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Old 06-30-2003, 03:01 PM   #1
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Red face Titanium Plate removal????

I'm confused - I read on this board that someone had their "hardware" removed after they fused. Does this mean that the titanium plate is removed after you fuse????
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Old 06-30-2003, 03:14 PM   #2
ajfinsand
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The purpose of the titanium plate (or 12" rods and screws in my case) is to provide stability (prevent any movement) to the are that is being fused. Think of it as a 'splint' that is applied to a broken finger.....just there to keep things immobile until the bone heals. Same thing. Some people have adverse reactions to the titanium plates or other hardware causing irritation and inflamation, and thereby PAIN, to the surrounding tissue and muscles, which necessitates it's removal once fusion is complete. After you have fused the plate is no longer needed becasue the bone is solid and can no longer move. If you don't have any problems with the plate being left in then they just leave it in to avoid another surgery.

aj in Oregon



------------------
~ 48 year old female; currently self-employed as an artist/designer/woodcrafter.
~ Previously worked in the restaurant biz for 27 years (not so good for someone with a bad back!)
~ Hereditary and congenital scoliosis, but it never caused any problems until I was 40+ years old.
~ 76 degree curvature had increased 2 degrees in two years 1999-2001; indicating surgery was necessary.
~ Surgery in March of 2001.
~ Fusion and insturmentation of C7 - T9.
~ Fourth rib removed; 5th and 6th rib cut back halfway; removed ribs were morselized and used for the grafting, plus additional bone harvested from hip.
~ After tthe hardware was attached, spine was straigntened 20+ degrees.
~ 2 weeks in the hospital.
~ Brace worn for five months. Bone growth stimulator device also worn several hours per day.
~ PT 5 mos. after surgery caused increased pain.
~ Follow-up surgery to remove hardware scheduled for Feb. 2002.
~ Round 2 of PT 2 mos. after hardware removal.
~ Medically released to return to full activity in July 2002.
~ Increased pain upon returning to regular work schedule.
~ Round 3 of PT in April/May 2003; continually increasing pain.

 
Old 06-30-2003, 04:15 PM   #3
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Ummm...that's about all I can say. I was NEVER told this by my Dr. The more I learn and experience after my surgery, seems there are a lot of things I wasn't told about. Maybe because I was in shock and the surgery happened so fast that I didn't want to know. I did research the surgery to some exent, but now I am finding out new things all the time. I am thin, and the plate does bother me. I am 7 weeks post op, it could just still be imflammed a little. If I am lying down and turn a certain way, I can feel the plate against my esophogus. Still have some trouble swallowing. This is the 1st I have heard about removng the plate. But I won't worry about that until I fuse. I also heard that if you don't fuse they have to go in again?

Thanks for the info...
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Old 06-30-2003, 04:32 PM   #4
ajfinsand
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My doc didn't say anything to me about the possibility of ever having to remove the hardware either. And I DID ask a lot of questions! I tried to research my surgery on the internet, but couldn't find ANY info on a procedure as extensive as mine, so he was my only source of information. He didn't bring up the fact that it needed to be removed until I began to have problems with it. My disability attorney told me that on the majoriyt of fusion cases he handles that more often then not the hardware does need to be removed.

As for the fusion taking, if you are not a smoker, and don't do anything to pull on the area that has been fused, you should fuse just fine. If there are any specific factors working against you as far as fusing goes, ask your doctor about a 'bone growth stimulator device'.

Hang in there.....your just beginning the healing process.

aj in Oregon

 
Old 06-30-2003, 04:46 PM   #5
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Thanks A.J.!

Like I said I'll worry about that later if I need to. I do smoke, and I have a PhysioStim I have to wear 3 hours a day for 6 months, well 4 to go now. It's not a small device as I have read that some wear on this board.. Mine resembles something a race car driver would put on for protection before his helmet. He said even if I quit smoking I would still need to wear it as I have been smoking awhile. I have cut back, but can't seem to QUIT!!!! I am still on pain meds, (8 weeks post) how long did you need them??

Amy
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