It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Back Problems Message Board

  • What does 'Pre Testing' for fusion surgery entail?

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 09-20-2003, 07:15 PM   #1
    Brooke79
    Senior Veteran
     
    Brooke79's Avatar
     
    Join Date: Aug 2003
    Location: Sydney, NSW, Australia
    Posts: 584
    Brooke79 HB User
    Post What does 'Pre Testing' for fusion surgery entail?

    Goodmorning lovely people

    As most of you would know by now, i just love to ask questions... I hear lots of people discussing pre-testing before they have fusion surgery.
    What does this pre-testing entail? When is it done?
    and why? Is it so that if you're having a cage inserted, it's contoured to the shape of your spine?
    What is a blood bank for? Is that only for ALIF? Do they take the blood in hospital or during the pre-testing?
    5 weeks to go...
    Thanks so much everyone

    [img]http://www.healthboards.com/ubb/heart.gif[/img] Brooke
    __________________
    October 2003 PLIF for L5S1 Spondy
    May 2004 PLIF revision RHBMP2

     
    Sponsors Lightbulb
       
    Old 09-20-2003, 09:10 PM   #2
    L5S1
    Senior Member
    (male)
     
    L5S1's Avatar
     
    Join Date: Jan 2003
    Location: OK USA
    Posts: 228
    L5S1 HB User
    Post

    Hi Brooke

    I am not exactly sure what other board members had done during their pre-test exams. As far as my experience, I had a exam at the hospital a week before surgery where I met with the anesthesiologist and he examined my throat for the breathing tube; checked my weight so he knew how much anesthesia to give me; blood samples; EKG; and advised me on what to expect during and after surgery. Since you are 5 weeks pre-op, I would doubt you would donate any of your blood to be used during surgery because it takes about a month for your body to replenish your own blood supply. The blood test they give will be given to the hospital blood bank where they will reserve a supply of blood for you (if needed). In my case, I had PLIF and the doctor used the cell saver (recycles and filters your own blood) and I did not loose enough blood to need any blood from the blood bank.

    As far as the cages, my doctor knew from my x-ray I did not have enough disk space to insert the BAK cages. The BAK cages are filled with morsalized bone and inserted between the disk space (to not only give space between the disks but also to facilitate the fusion process between the disks). Instead of using the BAK cages, my doctor just inserted the bone graft between the disks. Note: I lost about 1 inch in height due the reduction in disk height.

    Please let me know if you have any additional questions.

    I wish you the best on your surgery [img]http://www.healthboards.com/ubb/t_up.gif[/img]

    ---------------------
    Spondylolisthesis - level 2 L5/S1
    Pars Defect
    End Plate Separation
    2 Nerve Root Blocks (no effect)
    L5/S1 Posterior Fusion with hardware (no BAK cages due to lack of disk space) 08/02
    Right side hardware removed due to loose screw and rod rubbing against facet joint - 03/03
    __________________
    Spondylolisthesis - level 2 L5/S1
    Pars Defect
    End Plate Separation
    2 Nerve Root Blocks (no effect)
    L5/S1 Posterior Fusion with hardware (no BAK cages due to lack of disk space) - August 2002
    Right side hardware removed due to loose screw and rod rubbing against facet joint - March 2003
    Sciatica returned 8/03 - Tried Neurontin and Elavil - Eased sciatica but could not tolerate medicine.
    11/03 MRI of cervical and thorasic spine

     
    Old 09-20-2003, 10:45 PM   #3
    isillyme
    Senior Member
    (female)
     
    isillyme's Avatar
     
    Join Date: Jan 2003
    Location: Atlanta Ga
    Posts: 262
    isillyme HB User
    Post

    Hi Brooke:
    I am having the ADR surgery on October 9 and I will be having my preop stuff this week. I just donate 2 units of my own blood for the surgery. The preop visits will be seeing an anesthesiologist, having blood work done, and EKG, Chest films and more things along that nature. You will also be told when to arrive for the surgery. I will be seeing my own family doctor for medical clearance to have the surgery done on Monday. I am starting to get very nervous about the surgery, and I am told that this is normal. I wish you success on your surgery and I will keep you in my prayers

    ------------------
    canadate for the prodisc surgery. have herniated disc at L4-5 also have tears in L3-4,and
    L5-S1. Had the IDET in January 2000 at
    L4-5 level. Have nerve blocks under sedation at C5-6 and C6-7 also have swelling in the nerve that supplies down both arms and hands. May have 3 buldging discs in the cervical region as well. due to have the prodisc surgery for the lumbar in October. Have tried everything for lumbar nothing has worked, including significant weight loss.

    [This message has been edited by isillyme (edited 09-21-2003).]
    __________________
    I had the prodisc surgery at level L4-5 on October 9,2003. I have L3-4 and L5S1 starting to go bad... but will look into that in the future. Epideral blocks are helping.

     
    Old 09-20-2003, 11:27 PM   #4
    Brooke79
    Senior Veteran
     
    Brooke79's Avatar
     
    Join Date: Aug 2003
    Location: Sydney, NSW, Australia
    Posts: 584
    Brooke79 HB User
    Post

    Dear L5S1,

    Thank you so much for the very informative post. Is pre testing something that everyone definately has? I only ask because earlier this year I had to have day surgery (not spinal related) and i met with the anethetist (excuse my v. poor spelling) on the day. Do you have to donate blood with a PLIF? as far as i knew it was only with ALIF because entry is from the front and there is a chance major arteries could be interupted, and I thought the blood bank for that purpose. If you do have to donate blood with a PLIF is it too late for me to donate my own?
    Ah ok, so if i have had mri's and ct's they should know from those the size of the instrumentation?

    So obviously the actual surgeon doesnt inform you about what to expect and so on as much as the pre-testing would?

    Thanks again

    [img]http://www.healthboards.com/ubb/heart.gif[/img]
    Brooke
    __________________
    October 2003 PLIF for L5S1 Spondy
    May 2004 PLIF revision RHBMP2

     
    Old 09-20-2003, 11:30 PM   #5
    Brooke79
    Senior Veteran
     
    Brooke79's Avatar
     
    Join Date: Aug 2003
    Location: Sydney, NSW, Australia
    Posts: 584
    Brooke79 HB User
    Post

    Dear Isillyme,

    Thank you also for your post. What do they do an EKG for, (called ECG in Oz)? Does everyone need medical clearance? I know that sounds like a silly question, but is that something the hospital requires in writing from your GP?

    Thanks Again
    [img]http://www.healthboards.com/ubb/heart.gif[/img] Brooke
    __________________
    October 2003 PLIF for L5S1 Spondy
    May 2004 PLIF revision RHBMP2

     
    Old 09-21-2003, 12:43 AM   #6
    isillyme
    Senior Member
    (female)
     
    isillyme's Avatar
     
    Join Date: Jan 2003
    Location: Atlanta Ga
    Posts: 262
    isillyme HB User
    Post

    Hi Brooke :waving:
    An EKG is a quick study of your heart, they will just see how healthy your heart is. This is not painful or harmful in any way. I am not sure if all patients needs a medical clearance, it's just that my family doctor feels more comfortable about me having the surgery. He has been there ever since I hurt my back and he fully supports the surgery. I am hoping by having the clearance done in advance may save me a few steps during the pre op stuff on September 29.
    __________________
    I had the prodisc surgery at level L4-5 on October 9,2003. I have L3-4 and L5S1 starting to go bad... but will look into that in the future. Epideral blocks are helping.

     
    Old 09-21-2003, 06:12 AM   #7
    MarianJ
    Senior Veteran
    (female)
     
    MarianJ's Avatar
     
    Join Date: Jul 2003
    Location: Australia
    Posts: 1,335
    MarianJ HB User
    Smile

    Hello Brooke,

    Since your surgery is only 5 weeks away, I am surprised that your doctor hasn't told you if her requires you to donate your own blood. It all depends on the surgeon if he in fact wants a donation. My neuro office had called the Blood Donation Center and told them to contact me with an appointment. I also had to pay a fee for my own donation as they charge you to store and deliver it to the hospital. I only had to donate one unit as I was having infuse with my surgery so that made surgery time much less. Also blood donations are not only required for ALIF as I had an PLIF and had donated my own blood only 11 days before my surgery. My doctor would have preferred that I donated sooner but my surgery date was moved up as my symptoms were getting worse.

    I also had a pre-opt exam at the hospital a couple of days prior to surgery. This exam is usually required whenever you are going to have anesthesia and within the week prior to surgery. I had blood work, EKG and Chest X-ray. I did not get to me the anesthesiologist as L5S1 did, as it sounds like a really good hospital to me. After you pre-opt testing is complete they send all the results to your primary doctor the next morning. You should have a scheduled appointment within a couple of days with your primary doctor as that is who gives you medical clearance. Your primary should go over the pre-opt test results with you and will also perform his/her exam on you. Then if all is well he/she will sign the form for medical clearance. Your doctor then faxes this report to the hospital. I also requested a copy of the medical clearance to bring to the hospital with me on surgery date. I only did this because it seems as if their is always a mix up with paper work getting lost and I was not taking that chance. Also if anything comes back abnormal from your pre-opt testing not only will your primary be told but they send those results also to your surgeon. I had an abnormal result of my blood count being to low and my surgeon almost canceled. It wasn't to low and he thought the reason why it was low was the fact that I had donated my blood so close to surgery and then started menstruating. So he still agreed to do the surgery on that date. Today they found that I have anemia.

    On my surgery date after being admitted I was brought upstairs and prepared for surgery. That is when I met the anesthesiologist. He explained everything to me. Then I met a specialists who then proceeded to hook up so many electrodes all over my legs, feet, arms, and hands. He was their to monitor all my nerve signals and performed EMG's through out my surgery. I have not heard of anyone else having this done. I did not have the cages only 2 rods and 6 screws. My surgery was experimental as I had infuse with BMP and did not have the cages.

    I would suggest calling your surgeon's office as asking to speak with their surgical coordinator, to find out it they are expecting you to donate blood. I really wish you the best of luck.

    Take Care.

    ------------------
    [b]Cervical[/b] MRI 10/02
    Loss of cervical lordosis with reversal of the curvature.
    C4-5 and C6-7 disc bulges resulting in flattening of the ventral margin of the cord.
    C5-6 there is a left foraminal herniation which results in moderate foraminal stenosis In addition, there is flattening of the ventral margin of the cord due to bulging disc.
    Cervical Epidural 5/19/03

    [b]Lumbar[/b] MRI 10/02
    Lumbar Lordosis
    L5-S1 disc herniation with moderate thecal sac deformity.
    L4-5 disc desiccation with bulge which results in mild thecal sac deformity and mild bilateral foraminal stenosis.
    L2-3 disc desiccation with Schmorl’s nodule of L3.
    Lumbar Epidural 1/30/03
    Lumbar Epidural 2/12/03
    Lumbar Epidural 2/26/03
    Lumbar Discogram 5/23/03
    Lumbar CatScan 5/23/03
    [b]Posterior Fusion & Infuse on L4,L5,S1 6/30/03[/b]
    Lumbar X-Ray 7/24/03
    Lumbar X-Ray 8/27/03
    Still no pain relief....

     
    Old 09-21-2003, 06:24 AM   #8
    MarianJ
    Senior Veteran
    (female)
     
    MarianJ's Avatar
     
    Join Date: Jul 2003
    Location: Australia
    Posts: 1,335
    MarianJ HB User
    Smile

    Hello Isillyme,

    I just wanted to tell you to make sure that your pre-op test date is correct. I also reside in NY and have been told that all pre op testing has to be done within the week of surgery. The reasoning for this is because they have to make sure that you have absolutely no infections prior to surgery. If you have this testing this week than you almost have 2 weeks were you could develop any slight infection. I have heard of someone having their surgery canceled because of an ear infection. This is also why they perform a chest X-ray. I just don't want you to go through all the testing and then have to repeat it. I guess their is a possibility that you doctor is doing things differently but please just make sure.

    I really wish you the best of luck.

    Take Care.

     
    Old 09-21-2003, 10:38 AM   #9
    camelia
    Senior Member
     
    camelia's Avatar
     
    Join Date: Aug 2003
    Location: Boston MA USA
    Posts: 128
    camelia HB User
    Post

    hello to all - I've been asked to donate 3 units of blood - my surgery is 11/11 so will need to do next week I guess - my pcp said to do in 2 stages with 3 weeks inbetween - just checked dates & see I only have 7 weeks - yikes!
    still praying epidural which I have tomorrow will relieve symptoms so I can postpone surgery for a while - anyone else with 1st grade spondy ever get pain relief from steroid epidural? someone on board wrote it was just a band aid . . .
    best to all - especially those with surgery dates coming up soon
    C

    ------------------
    Spondylolisthesis for over 25 years without pain symptoms
    Leg aching started 12/02 & burning feet pain in 7/03 finally diagnosed as pressure on nerves at L5 & S1 on 9/8/03
    Scheduled to have 2 Epidurals & Myelogram
    Provisional surgery date 11/11/03
    __________________
    Spondylolisthesis at L5S1 = nerve impingement = pain in legs & feet
    Laminectomy April 21, 2004

     
    Old 09-21-2003, 03:14 PM   #10
    Brooke79
    Senior Veteran
     
    Brooke79's Avatar
     
    Join Date: Aug 2003
    Location: Sydney, NSW, Australia
    Posts: 584
    Brooke79 HB User
    Post

    Hi Camelia

    I cant speak for experience in terms of the relief offered by epidural but yes, in my opinion its totally a band aid. I only say that because once you have it (depending on how effectively it works for you can be anything from one hour of relief to one year, its totally individual) but the bottom line is it is only masking the pain. The thing that made me decide against epidural was because my surgery was so close, I wanted to knoe exactly what was going on in my body so I could tell my surgeon exactly how I was feeling. An epidural would have masked everything. Also with my surgery date close now I want to be nice and healthy with as limited amount of any un-natural substance in me as possible. Good luck with tommorrows procedure, you are in my thoughts.

    [img]http://www.healthboards.com/ubb/heart.gif[/img] Brooke
    __________________
    October 2003 PLIF for L5S1 Spondy
    May 2004 PLIF revision RHBMP2

     
    Old 09-21-2003, 06:00 PM   #11
    MarianJ
    Senior Veteran
    (female)
     
    MarianJ's Avatar
     
    Join Date: Jul 2003
    Location: Australia
    Posts: 1,335
    MarianJ HB User
    Smile

    Hello Camelia,

    I just wanted to say good luck with your epidural tomorrow. I have posted on another thread that I have heard the epidural referred to as a Band-Aid. It is by no means a cure for your diagnosis but sometimes a pain remedy. It has helped some people for several months. For me it only made matters worse and that could be because of my stenosis. I am surprised that your doctor has scheduled surgery and is doing an epidural. Usually doctor's try the epidural's before agreeing to perform surgery. I do wish that you get some pain relief from your epidural and good luck.

    Take Care.

     
    Old 09-21-2003, 08:35 PM   #12
    isillyme
    Senior Member
    (female)
     
    isillyme's Avatar
     
    Join Date: Jan 2003
    Location: Atlanta Ga
    Posts: 262
    isillyme HB User
    Post

    Hi Tomorrow
    I actually go to my family doc for a medical clearance, and then on September 29 I go to the hospital for a preop consultation, then I have the surgery the following week. Yikes talk about getting scared. I am not scared about after surgery, it's the actual part of having surgery. I hope I am making sense there.

    ------------------
    canadate for the prodisc surgery. have herniated disc at L4-5 also have tears in L3-4,and
    L5-S1. Had the IDET in January 2000 at
    L4-5 level. Have nerve blocks under sedation at C5-6 and C6-7 also have swelling in the nerve that supplies down both arms and hands. May have 3 buldging discs in the cervical region as well. due to have the prodisc surgery for the lumbar in October. Have tried everything for lumbar nothing has worked, including significant weight loss.
    __________________
    I had the prodisc surgery at level L4-5 on October 9,2003. I have L3-4 and L5S1 starting to go bad... but will look into that in the future. Epideral blocks are helping.

     
    Old 09-21-2003, 10:58 PM   #13
    Brooke79
    Senior Veteran
     
    Brooke79's Avatar
     
    Join Date: Aug 2003
    Location: Sydney, NSW, Australia
    Posts: 584
    Brooke79 HB User
    Post

    Dear Tommorrow,
    Hi how have you been? Thank you so much for your advise. It was very helpful and detailed. I am a big fan of detail. I should have put my screen name as 'curious'.
    You got me thinking. I rang my surgeon today and asked about the blood donation and then rang the red cross blood bank about the when's and where's. They said they require 3 bags of blood and it costs $600. They said they dont need to do it until 2 weeks before the surgery date. I am due to see my surgeon on October 13 and then my op is on October 29, so i'd have to donate by October 15. They said they could take 2 lots of blood in one week if they had too. Other than that the receptionist said that if they needed too they could move the surgery date back.

    Thanks again for your advise Tommorrow

    [img]http://www.healthboards.com/ubb/heart.gif[/img] Brooke
    __________________
    October 2003 PLIF for L5S1 Spondy
    May 2004 PLIF revision RHBMP2

     
    Old 09-21-2003, 11:12 PM   #14
    Brooke79
    Senior Veteran
     
    Brooke79's Avatar
     
    Join Date: Aug 2003
    Location: Sydney, NSW, Australia
    Posts: 584
    Brooke79 HB User
    Post

    Dear Isillyme,

    I do know what you mean when you're scared. I too am scared of the actual procedure. Just the thought of what is going to be happening to your body during that time. I am also scared of the very first night post op. I have a feeling i am going to be extreamly uncomfortable for that night, prob a couple of nights. I have no diea and so am expecting the worst. I wonder, what will i feel when i open my eyes?

    Will I be:
    Tired [img]http://www.healthboards.com/ubb/yawn.gif[/img]
    confused [img]http://www.healthboards.com/ubb/confused.gif[/img]
    dizzy [img]http://www.healthboards.com/ubb/dizzy.gif[/img]

    or all of the above.. hmm. who knows.

    You'll be very much in my thoughts regardless as your surgery date nears.

    [img]http://www.healthboards.com/ubb/heart.gif[/img] Brooke

    __________________
    October 2003 PLIF for L5S1 Spondy
    May 2004 PLIF revision RHBMP2

     
    Old 09-22-2003, 04:43 AM   #15
    MarianJ
    Senior Veteran
    (female)
     
    MarianJ's Avatar
     
    Join Date: Jul 2003
    Location: Australia
    Posts: 1,335
    MarianJ HB User
    Smile

    Hello Brooke,

    I have donated blood several times over the years. When the time came for me to donate blood for my own surgery I was very upset that I would have to occur a charge. Then it was explained to me the fee was for the processing and delivery of my blood. I had only donated one unit and had a fee of $135. I guess things are a bit cheaper here. On donation they had checked my iron and my level was perfect. Before surgery it dropped just a little. After surgery I was again lower. Then on top of that six days after surgery I again started to menstruate. My cycle was really messed up. I believe all this caused my anemia. I just want you to make sure that your scheduling of blood donation give you time to rebuild your count. I don't want anyone else to have to go through what I have. But we are all different, in fact I have heard of women not menstruating for quite some time after surgery, I just wasn't that lucky.

    Australia, looks like a really beautiful place to live. I told my husband if I were ever able to fly again, the only place I want to visit is Australia.

    Have a good Day.

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    Doubts about flat foot reconstruction pacsman Foot & Ankle Problems 21 12-21-2011 07:17 PM
    Swollen knee, no pain and no injury....don't know what it is :( becca1981 Open to All Other Health Topics 3 10-03-2010 09:37 AM
    What could you do at one month post op lumbar fusion? marshrose Back Problems 8 05-13-2009 05:22 AM
    L5 bulge/herniation. At what point do I do surgery? marlow Hernia 7 02-23-2009 08:08 AM
    If I Knew Then What I Know Now cpmillerva Spinal Cord Disorders 42 10-18-2006 07:47 PM
    What exactly is a fusion and who does it help? kellyp Back Problems 8 09-04-2004 06:45 PM
    How often do fusions fail? At what point did they fail? susan_a22 Back Problems 29 06-14-2004 01:50 PM




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is Off
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 11:11 PM.





    © 2022 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!