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  • Guess before you look. How many ways to correct your spine problem

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    Old 06-19-2004, 09:21 AM   #1
    Shoreline
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    Guess before you look. How many ways to correct your spine problem

    Low Back Degenerative


    1.A Comparison of Microdiscectomy to Microendoscopic Discectomy
    2.A Randomized, Prospective, Blinded, Placebo Controlled Trial of Epidural Analgesia During Lumbar Discectomy
    3.An Introduction to Open Anterior Lumbar Interbody Fusion (ALIF); 4.Indications, Approaches, Techniques, and Nursing Care
    5.Anterior Lumbar lnterbody Fusion Utilizing The AO Titanium Interbody Spacer (TIS)
    6.Clinical Experience of Percutaneous Vertebroplasty in 40 Cases of Vertebral Body Collapse
    7.Comparison of Instrumented Anterior and Posterior Lumbar Interbody 8.Fusions with Posterolateral Lumbar Fusions Using Pedicle Fixation For Management of Mechanical Back Pain
    9.Development and Testing of a Novel Cortical Allograft Wedge for Posterior Lumbar Interbody Fusion
    10.Dynamic Cervical Plates: Do They Load Share at the Expense of Stability?
    11.Impacted PLIF: Posterior Lumbar Interbody Fusion with Machined, Pre–sized Allograft
    12.Instrumented Fusion in the Management of Post–laminectomy Lumbar Spinal Stenosis
    13.Midline Sparing Bilateral PLIF with Single Side Plate/Contralateral Cage Stabilization
    14.Minimally Invasive 360 Degree Instrumented Lumbar Fusion
    15.PLIF with Allograft Bone: Preliminary Results Comparing Cylindrical Dowels and Impacted Wedges
    16.Robotically Assisted Laparoscopic Anterior Lumbar Interbody Fusion
    17.Segmental Stability and Compressive Strength of Posterior Lumbar Interbodey Fusion Implants
    18.Single Stage Anterior Cervical Reconstruction with Harms Titanium Mesh Cages, Local Bone Graft, and Plating
    19.The Surgical Management of Lumbar Disc Disease with Neurological Deficits During Pregnancy
    20.The Use of lntraoperative Neurophysiologic Monitoring During Anterior and Posterior Lumbar lnterbody Fusions
    21.Percutaneous Polymethylmethacrylate Vertebroplasty In the Treatment of Osteoporotic Thoracic and Lumbar Vertebral Compression Fractures: Early Outcome of 159 Patients
    22.The Surgical Management of Lumbar Disc Disease with Neurological Deficits During Pregnancy
    23.Preliminary Followup of Impacted Posterior Lumbar lnterbody Fusion (PLIF)
    24.Far–Lateral Approach to Lumbar Peripheral Nerve Sheath Tumors
    25.The Increase in Spinal Canal Area After Inverse Laminoplasty
    26.A Prospective Study of Calcium Sulfate Pellets as Bone Graft Extenders in Lumbar Posterolateral Arthrodesis
    27.Long–term Efficacy of GRAF Soft Fixation and PLIF with Cages in Multiple Spondylotic Stenosis in Lumbar Spine
    28.Retroperitoneal Approach for Anterior Lumbar Interbody Fusion and Combined Anteroposterior Lumbar Fusion
    29.Multilevel Corpectomy Strut Graft Can Be Stabilized By Appropriate Reconstruction and Plating
    30&31.Microsurgical Decompression of Lumbar Spinal Stenosis: Two Methods
    IDET and PED: Benefits of Combination Treatment
    32.Use of Autologous Growth Factors in Lumbar Spinal Fusion
    33.Outcomes Assesment in Military Patients After Ultrarigid Lumbar Spinal Fusion
    34.A Preliminary Report on the FRA Spacer: Uniform Allograft for Anterior Interbody Fusion of the Lumbar Spine
    35.Lumbar Spondylolisthesis and Stenosis Treated with Interbody Fusion Cages: A Five Year Experience
    36.Clinical Experience with the Z–plate for Management of Fractures of the

    Cervical
    37.Anterior Cervical Foraminotomy for Radiculopathy
    38.Anterior Cervical Fusion with Cages
    39&40. Biomechanical Comparison of Anterior Cervical Plating and Combined Anterior/Lateral Mass Plating
    41.Cervical Interbody Cage Fixation through Microscope
    42.Cervical Pedicle Screws: Comparative Accuracy of Two Insertion Techniques
    43.Clinical Experience of Percutaneous Vertebroplasty in 40 Cases of Vertebral Body Collapse
    44.Clinical Experience with a New Load Sharing Dynamic Anterior Cervical Plate
    45.Cost Advantages of Two–Level Anterior Cervical Fusion with Rigid Internal Fixation for Radiculopathy and Degenerative Disease
    46.Early Clinical Outcomes with Kyphoplasty, the Minimally Invasive Reduction and Fixation of Painful Osteoporotic Vertebral Body Compression Fracture VCF
    47.Evaluation of a Monocortical Screw for Anterior Cervical Fusion and Plating
    48.Evaluation of Open Door Expansile Laminoplasties using Titanium Miniplates for Treatment of Cervical Stenosis
    49.Corpectomy Decompression
    50.Management of Acute Odontoid Fractures with Single–Screw Anterior Fixation
    51.Microsurgical Wedge–Corpectomy Without Bone Grafting for Cervical Spondylosis with Myeloathy or Radiculopathy
    52.Midline T–Saw Laminoplasty for the Management of Cervical Spondylotic Myelopathy:
    53.Occipitocervical Reconstruction with the OMI Loop: Posterior Spinal 54+Fixation for Disorders of the Cervico–Thoracic Junction
    55.Prospective Study of Microsurgical Anterior [email protected] for Cervical Radiculopathy
    56.Preliminary Results Using A New Anterior Hybrid Cervical Plate System
    57.Pulsed Electromagnetic Field Stimulation Increases Multilevel Cervical Fusion Rates
    58.Thoracoscopic surgical Resection of Thoracic Neurogenic Tumors
    59.Treatment of Severe Cervical Spondylosis via Combined Anterior and Posterior (360 degree) Decompression and Fusion:
    60.Virtual Fluoroscopy for Cervical Spine Surgery
    61.Improvement of Cervical Sagittal Angulation Using Dynamic Stabilization Implant
    62.Transoral Odontoidectomy and Occipitocervical Fusion
    63.Early Experience With the 'Cervifix' Modular Tension System
    64."Skip" Corpectomies for Anterior Cervical Decompression:
    65.C1–C2 Transarticular Screw Fixation for Atianto–Axial Instability:A Case 66.Intradiscal Depomedrol and Bupivicaine for Treating Refractory Spine Pain
    67-68.Comparison of Instrumented Anterior and Posterior Lumbar Interbody Fusions with Posterolateral Lumbar Fusions Using Pedicle Fixation For Management of Mechanical Back Pain
    69.Occipitocervical Reconstruction with the OMI Loop:
    70.Treatment of Chronic Traumatic Atlanto–axial Rotatory Subluxation in an Adult
    71.Improvement of Cervical Sagittal Angulation Using Dynamic Stabilization Implant
    72. Transoral Odontoidectomy and Occipitocervical Fusion for Basilar Impression
    73-74-75.Comparison of Anterolateral, Lateral Extracavitary and Bilateral Transpedicular Approaches to Thoracolumbar Spine Reconstruction
    76.Use of Titanium Mesh and Vertebral Autograft in the Reconstruction of Anterior Spinal Column
    77.Surgical Technique and Results of Anterior Decompression and Fusion for Ossification of Cervical Posterior Longitudinal Ligament
    78.Management of Unstable Thoracolumbar Burst Fractures Using a Titanium Mesh Cage and the Kanada System:
    79.Percutaneous Vertebroplasty of Vertebra Plana
    80.Clinical Experience with the Z–plate for Management of Fractures of the Thoracic and Lumbar Spine
    81.Spinal Brachytherapy with 1125 for Malignant Tumors
    82.Far–Lateral Approach to Lumbar Peripheral Nerve Sheath Tumors
    83.Early Experience With the 'Cervifix' Modular Tension System
    84.The Tethered Cord Syndrome: Urodynamic Evidence of Improved Outcome With Early Untethering
    85.Microsurgical Wedge–Corpectomy Without Bone Grafting for Cervical Spondylosis with Myeloathy or Radiculopathy;
    86.The Increase in Spinal Canal Area After Inverse Laminoplasty
    87.Calcium Sulfate Pellets as Bone Graft Extenders in Lumbar Posterolateral Arthrodesis
    88-89.Long–term Efficacy of GRAF Soft Fixation and PLIF with Cages in Multiple Spondylotic Stenosis in Lumbar Spine
    90.Retroperitoneal Approach for Anterior Lumbar Interbody Fusion and Combined Anteroposterior Lumbar Fusion
    91.Multilevel Corpectomy Strut Graft Can Be Stabilized By Appropriate Reconstruction and Plating
    92-93-94.Comparison of Anterolateral, Lateral Extracavitary and Bilateral Transpedicular Approaches to Thoracolumbar Spine Reconstruction
    95.Use of Titanium Mesh and Vertebral Autograft in the Reconstruction of Anterior Spinal Column
    96.Circumferential Approaches for the Correction of Occipitocervical and Subaxial Deformity

    [B]Sorry, Tired of counting but still wondering what the corect way to fix a problem is.
    continued on next page

     
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    Old 06-19-2004, 09:23 AM   #2
    Shoreline
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    Re: Guess before you look. How many ways to correct your spine problem

    Instrumentation and Technology

    A Comparison of Microdiscectomy to Microendoscopic Discectomy
    A Different Approach to Posterior Spinal Instrumentation
    Anterior Lumbar lnterbody Fusion Utilizing The AO Titanium Interbody Spacer (TIS)
    Application–Specific Accuracy Requirements for Image Guided Spinal Surgery
    Biomechanical Assessment of Hydroxyapetite Vertebroplasty in Cadaveric Compression Fractures
    Biomechanical Comparison of Anterior Cervical Plating and Combined Anterior/Lateral Mass Plating
    Biomechanical Comparison of Anterior versus Transverse Threaded Fusion Cages
    Cervical Pedicle Screws: Comparative Accuracy of Two Insertion Techniques
    Clinical Experience of Percutaneous Vertebroplasty in 40 Cases of Vertebral Body Collapse
    Clinical Experience with a New Load Sharing Dynamic Anterior Cervical Plate
    Comparison of Clinical Outcome: Posterolateral Fusion with Transpedicular Screw Fixation and Cage
    Comparison of Instrumented Anterior and Posterior Lumbar Interbody Fusions with Posterolateral Lumbar Fusions Using Pedicle Fixation For Management of Mechanical Back Pain
    Development and Testing of a Novel Cortical Allograft Wedge for Posterior Lumbar Interbody Fusion
    Discography in Failed Back Syndrome
    Early Clinical Outcomes with Kyphoplasty, the Minimally Invasive Reduction and Fixation of Painful Osteoporotic Vertebral Body Compression Fracture VCF
    Endoscopic Thoracic Sympathectomy
    Evaluation of a Monocortical Screw for Anterior Cervical Fusion and Plating
    Evaluation of Open Door Expansile Laminoplasties using Titanium Miniplates for Treatment of Cervical Stenosis
    Failure and Complication Rates of Anterior Instrumentation in Patients Undergoing Cervical Corpectomy Decompression
    Fluoroscopic Guided Targeting System with a Robotic Arm for Pedicle Screw Insertion
    Impacted PLIF: Posterior Lumbar Interbody Fusion with Machined, Pre–sized Allograft
    In Vitro Evaluation of Self–Centering Pedicle Screws Using Computer–Aided Surgery Techniques
    Increased Pedicle Screw Pullout Strength with Vertebroplasty Pedicle Augmentation
    Magnetic Resonance Neurography of Sciatic Nerve Following Crush Injury, and Correlation with Functional Deficit
    Midline Sparing Bilateral PLIF with Single Side Plate/Contralateral Cage Stabilization
    Oblique Cervical Wiring: Technique Modification with Biomechanical Failure Testing
    Outcomes and Complications of 179 Thoracoscopic Approaches to the Thoracic Spine
    Pulsed Electromagnetic Field Stimulation Increases Multilevel Cervical Fusion Rates
    Pyogenic Spine Infections – New Perspectives
    Radiation Exposure During Fluoroscopically–Assisted Pedicle Screw Insertion
    Robotically Assisted Laparoscopic Anterior Lumbar Interbody Fusion
    Segmental Stability and Compressive Strength of Posterior Lumbar Interbodey Fusion Implants
    Single Stage Anterior Cervical Reconstruction with Harms Titanium Mesh Cages, Local Bone Graft, and Plating
    Surgical Anatomy of the C2 Pedicle
    Percutaneous Polymethylmethacrylate Vertebroplasty In the Treatment of Osteoporotic Thoracic and Lumbar Vertebral Compression Fractures: Early Outcome of 159 Patients
    Preliminary Results Using A New Anterior Hybrid Cervical Plate System
    Prospective Randomized Multi–Center Clinical Trial of Cervical Fusion Cages
    The Treatment of Posterior Wound Complication with Myocutaneous Flaps in Cancer Patients
    The Use of lntraoperative Neurophysiologic Monitoring During Anterior and Posterior Lumbar lnterbody Fusions
    Thoracoscopic surgical Resection of Thoracic Neurogenic Tumors
    Transthoracic Video Assisted Endoscopic Discectomy
    Treatment of Severe Cervical Spondylosis via Combined Anterior and Posterior (360 degree) Decompression and Fusion: Initial Results
    Virtual Fluoroscopy for Cervical Spine Surgery
    Virtual Fluoroscopy: Multiplanar X–Ray Guidance with Minimal Radiation Exposure
    Far–Lateral Approach to Lumbar Peripheral Nerve Sheath Tumors
    Volumes of Degenerated Lumbar Intervertebral Disks Determined From Volumetric Image Analysis
    The Increase in Spinal Canal Area After Inverse Laminoplasty
    A Prospective Study of Calcium Sulfate Pellets as Bone Graft Extenders in Lumbar Posterolateral Arthrodesis
    Long–term Efficacy of GRAF Soft Fixation and PLIF with Cages in Multiple Spondylotic Stenosis in Lumbar Spine
    Retroperitoneal Approach for Anterior Lumbar Interbody Fusion and Combined Anteroposterior Lumbar Fusion
    Multilevel Corpectomy Strut Graft Can Be Stabilized By Appropriate Reconstruction and Plating
    Microsurgical Decompression of Lumbar Spinal Stenosis: Two Methods
    IDET and PED: Benefits of Combination Treatment
    Use of Autologous Growth Factors in Lumbar Spinal Fusion
    Outcomes Assesment in Military Patients After Ultrarigid Lumbar Spinal Fusion
    A Preliminary Report on the FRA Spacer: Uniform Allograft for Anterior Interbody Fusion of the Lumbar Spine
    Lumbar Spondylolisthesis and Stenosis Treated with Interbody Fusion Cages: A Five Year Experience
    Improvement of Cervical Sagittal Angulation Using Dynamic Stabilization Implant
    Surgical Outcome After Transoral Odontoidectomy and Occipitocervical Fusion for Basilar Impression
    Early Experience With the 'Cervifix' Modular Tension System
    "Skip" Corpectomies for Anterior Cervical Decompression: Technical Note
    C1–C2 Transarticular Screw Fixation for Atianto–Axial Instability: A Six Year Experience
    A Case Review of Intradiscal Depomedrol and Bupivicaine for Treating Refractory Spine Pain
    Comparison of Anterolateral, Lateral Extracavitary and Bilateral Transpedicular Approaches to Thoracolumbar Spine Reconstruction
    Use of Titanium Mesh and Vertebral Autograft in the Reconstruction of Anterior Spinal Column
    Surgical Technique and Results of Anterior Decompression and Fusion for Ossification of Cervical Posterior Longitudinal Ligament
    Fluoroscopically Visible Vertebral Fracture Instability Observed During Percutaneous Vertebroplasty
    Provocative Annulography for the Diagnosis of Outer Annular Lesions
    Management of Unstable Thoracolumbar Burst Fractures Using a Titanium Mesh Cage and the Kanada System: A Report of 21 Cases
    Surgical Management of Patients with Multiple Thoracic Herniated Disks: Analysis of Seven Cases with 18–month Follow–up
    Percutaneous Vertebroplasty of Vertebra Plana
    The Surgical Management of Craniocervical Junction Tumors Involving the Occipital Condyle
    Circumferential Approaches for the Correction of Occipitocervical and Subaxial Deformity
    Adaptation of Therapies Established in Clinical Neurosurgery to an Endangered Species
    Utilization of Autogenous Blood Products for Spine Surgery
    Anterior Discectomy and Fusion With BAK: The First 225 Patients
    Clinical Experience with the Z–plate for Management of Fractures of the Thoracic and Lumbar Spine
    Operating Surgeon's Evaluation of
    Bone Marrow Derived Mesenchymal Stem Cells Transduced with an Adenoviral Vector Carrying the Gene for Human BMP–2 Can Induce Anterior Spinal Fusion
    Endoscopic Thoracic Sympathectomy
    Posterior Spinal Fixation for Disorders of the Cervico–Thoracic Junction
    Sensory Ganglionectomy Versus Rhizotomy: Theory, Technical Aspects and Clinical Experience
    The Tethered Cord Syndrome: Urodynamic Evidence of Improved Outcome With Early Untethering
    The Treatment of Posterior Wound Complication with Myocutaneous Flaps in Cancer Patients
    Transthoracic Video Assisted Endoscopic Discectomy

    360° And Posterior Spinal Fusion Segmental Biomechanics: A Cadaveric Model
    A Biomechanical and Sem Analysis on Repetitive Use of Spinal Screws
    Anterior Lumbar lnterbody Fusion Utilizing Titanium Mesh Cages and Coralline Hydroxyapatite
    Anterior Single Solid Rod Instrumentation in Thoracolumbar Adolescent Idiopathic Scoliosis With and Without the Use of Interbody Structural Support

    Complex Pediatric Thoracolumbar Spinal Deformity: Neurosurgical Management
    Delayed Epidural Hematomas after Spinal Surgery
    lnterbody Fusion for Disk Disease Following Discectomy
    Interbody Fusion with Transpedicular Screw Fixation in Adult Spondylolisthesis
    Lateral Extrapedicular Screw Fixation in the Thoracic Spine
    Large Magnitude Adolescent Idiopathic Scoliosis: Anterior vs. Posterior Surgical Stabilization
    Microscopic Anterior Lumbar lnterbody Fusion for Lumbar Radiculopathy
    The "Crank shaft" phenomenon : Treatment options and complexity when growth is completed
    Thoracic Pedicle vs Pedicle / Rib screw Fixation : A Biomechanical Study
    Spinal Resources on the Internet – An Extensive Review
    A Case Review of Intradiscal Depomedrol and Bupivicaine for Treating Refractory Spine Pain
    Percutaneous Vertebroplasty of Vertebra Plana
    Adaptation of Therapies Established in Clinical Neurosurgery to an Endangered Species
    Utilization of Autogenous Blood Products for Spine Surgery
    Anterior Discectomy and Fusion With BAK: The First 225 Patients
    Biomechanical and Electrophysiological Characterization of the Intact and Injured Peripheral Nerve
    [/B]I thought ya'll might be blown away if you knew how many ways there were to corect a problem, get 100 different surgical opinions and be offered 100 different aproaches.
    Take care, Dave
    PS. Sorry, I got tired of counting, what can we learn? Get more than 1 or 2 opinions and then rersearch the aproach the doc wants to take, then research the rates of succes for each procedure. There are at least 150 ways to do a fusion, which is the right way with the highest succes rate? Ask your surgeon why his method is betyter than the other 150 or so methods. It's not simply posterior or global or screws or cages, the differences are very significant.

    Last edited by Shoreline; 06-19-2004 at 01:31 PM.

     
    Old 06-19-2004, 02:23 PM   #3
    Fiona_Jo
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    Re: Guess before you look. How many ways to correct your spine problem

    Wow Shoreline -- Really puts it in perspective. Thanks for the information.

    Jo
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    Old 06-19-2004, 06:32 PM   #4
    Shoreline
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    Re: Guess before you look. How many ways to correct your spine problem

    How are you doing Fiona, your mighty fresh out surgery. Does your doc use theturtle shells for the first 3 months? Did you use your own bone or cadavor, didyou use a bone groth stim? Did they use the new enzymes to promote bone growth and reduce scar tissue? Do you know what line of hardware he used.

    There are at last a hundred variables to the method used to fuse your spine. L4-5 fusions tend to put alot of pressure on L5-S1 and from what I have been reading it's foolish to even try to do a posterior fusion of L5-s1 and things tend to go like dominoes when displacing the stress on your spine by fusion.

    Although I wouldn't want a global fusion, the changes in the last few years and just looking at a skeleton in a docs office, where they try to fuse L5-S1 posteriorlly, It's like trying to attach sheets of plywood end to end. If they go in from the front they can rip the disc completely out and replace with bone and the pressure placed on the grafted material actually helps the fusion process on a large flat area rather than anarrow portion of the pedicles between L5 and S1, three posterior attempts have failed in that area every time.

    You don't want to take all the weight of a fusion because that weight promotes bone growth. So fixation is changing drastically and methods to do these non FDA aproved methods seem to be making more sense from a mechanical perspective.

    The best thing you can do to promote your fusion is to walk every day, If you need to wear the turtle shell that's OK, But being upright mashing bone against bone actually helps, It hurts untill your fused but it helps promote bone growth.

    Kind of like the external fixation you see on a broken leg without a cast. The fixation keeps the alignment, but the weight bearing is essential to promote healing. You learn a lot being a guinea pig although the smell of cedar chips gets old. LOL
    Take it easy, Dave

    Last edited by Shoreline; 06-19-2004 at 06:35 PM.

     
    Old 06-19-2004, 09:12 PM   #5
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    Re: Guess before you look. How many ways to correct your spine problem

    Hey Shore, I hope you've got a voice-activated typing program! Otherwise, what nimble fingers you have.

     
    Old 06-19-2004, 09:46 PM   #6
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    Re: Guess before you look. How many ways to correct your spine problem

    Lol if he had voice rec software, I think after all that, he'd have a sore throat!

    ~Jonny Fandango

     
    Old 06-19-2004, 10:24 PM   #7
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    Re: Guess before you look. How many ways to correct your spine problem

    Dave:

    Surprisingly I am over four weeks post-surgery ... time does fly! I am doing pretty well. I think I kind of over-did it a couple of days this week and am paying for it now. I decided to do some Father's Day shopping for my husband and father (don't tell my Doctor or my parents LOL!). But, I did have my friend take me and by the time I got home, every step I took hurt. I guess I should have just had my kids make cards! I just seem void of common sense about certain things!

    Anyway, as far as my procedure goes (I'm glad you asked), interestingly enough my surgeon used bone graft bone and cadavor bone. Does that make sense? They showed me right on xray -- where the bone from my hip was placed and the cadavor bone. I was really shocked; because I thought they either used one or the other. The cadavor bone seemed to placed where the discectomy was. The instrumentation is titanium. Yes, I am wearing a back brace, initially my Doctor wanted me to wear it even to sleep in, but it opened my incision a bit and I got an infection. This happened week two weeks post surgery after I was already out of the hospital and I was running a high fever. I had taken my back brace off and my son said: "mom theres blood all over your t-shirt", (I've been wearing the men type tank t-shirts). Anyway, my Doctor just put me on high doses of antibiotics and luckily it looked worse than it was; because it started healing up within two days.

    I had my first x-ray almost two weeks ago and everything looked fine. Everything in it's place at least!

    Jo
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    Last edited by Fiona_Jo; 06-19-2004 at 10:37 PM.

     
    Old 06-20-2004, 11:10 PM   #8
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    Re: Guess before you look. How many ways to correct your spine problem

    Thought I would jump in here because I can't sleep. LOL.

    I had to wear the turtle shell for 3 months. I am now wearing a soft back brace. I had to wear the turtle shell 24/7. I have titanium rods and screws. He used bone grafts from my left hip. I also use the bone growth stimulator. That darn thing costs 5 grand. I could not get over how much it costs. It's my understanding that they have a higher success rate with bone grafts from the patient over cadaver grafts.

    I had no idea there were that many different ways to do the same thing. It's amazing isn't it.

    Thanks for the info Shore.

    God Bless,
    Sherry
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    Old 06-20-2004, 11:29 PM   #9
    Fiona_Jo
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    Cool Re: Guess before you look. How many ways to correct your spine problem

    Sherry,

    It is amazing. It really surprized me when I found out they use my own bone from my left hip and cadavor bone. They had talked to me about the bone graft. But, during my first post-op appointment when they were showing me the xray ... screws, etc., they should me where my bone was placed and the cadavor bone was placed. I was literally speechless!

    Jo
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    080807-Cervical-Stim~071707-ACDF-C5-C7 w/instrumentation/bone graft~'07/06 Lumber instrum. removed 05/04-Fusion(DDD/Collapsed Disc L5-S1)08/99-Microdisectomy(Herniated Disc) ~Lupus/EDS,Migraine

     
    Old 06-21-2004, 08:55 AM   #10
    Shoreline
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    Re: Guess before you look. How many ways to correct your spine problem

    I have to run, But my last fusion was done with harvested and cadavor bone, crushed into a paste, an enzyme added and then slapet into the facets like mortor, the doc told me to expect the crunchy muncies as he called, I guess as the paste hardens and displaced. THat failed though,I still crunch 5 years later. There are new enzymes used for fusions to promote growth, there are internal and external stimulators unfortunately there really isn't a conclusive test if bone plugs were used , they can be seen in Xrays abut you don't know if the bone is alive and thriving or dead and just sittingt here. Not to scare you though. I do think more docs are getting away from cadavor for common sense reasons , but you don't have enough bone to remove from the iliac crests for long fusions so now they are doing rib resections for sources of bone.Whole ribs are used with screws and some docs crush them up into paste or chips, held in place by cages or the paste will stay in place untill or if it hardens, hopefully????
    Talke care, Dave

     
    Old 06-21-2004, 11:41 AM   #11
    sherry47
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    Re: Guess before you look. How many ways to correct your spine problem

    Wow, it sure is amazing what they can do isn't it. My surgeon says my bone grafts are growing good, actually better and faster than the norm according to x-rays. He attributes this to that bone stimulator. I just hope that bone knows when to stop growing and doesn't end up causing me more problems than it solves. I'm just so tired of being in pain. I wish they could do a back replacement. LOL. Maybe oneday they will develop something to cure us. Wouldn't that be wonderful.

    Everyone have a nice day.

    God Bless,
    Sherry
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    Old 06-21-2004, 10:51 PM   #12
    Fiona_Jo
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    Re: Guess before you look. How many ways to correct your spine problem

    Dave:

    That is funny that you should say that -- about not knowing if it is alive and thriving or just "sitting", because it just appeared to sitting there .. almost afloat! Lol! I realize it is still so early that is how it will appear. I sure hope eventually it starts thriving! My next appointment is at the end of the July, so I doubt much will have changed .. but maybe?? It is interesting to look at the xrays. It is just weird to make the association -- wow that is my back! When you look at an xray there is an objective detachment to it -- until you think about it later at home. Thanks for sharing all the information on back surgery. I hope everything is going well with you.

    Sherry:

    That is great that bone growth is being seen on your xrays. It must be really interesting to see. I can't wait until I can say the same.

    Jo
    __________________
    080807-Cervical-Stim~071707-ACDF-C5-C7 w/instrumentation/bone graft~'07/06 Lumber instrum. removed 05/04-Fusion(DDD/Collapsed Disc L5-S1)08/99-Microdisectomy(Herniated Disc) ~Lupus/EDS,Migraine

    Last edited by Fiona_Jo; 06-21-2004 at 11:36 PM.

     
    Old 06-22-2004, 11:31 AM   #13
    Marg001
    Senior Member
     
    Join Date: Oct 2003
    Posts: 161
    Marg001 HB User
    Re: Guess before you look. How many ways to correct your spine problem

    WOW!!! That's alot of typing!!! Eowwwww!!!! That is really enlightening though Shoreline. I myself am really starting to think on going the surgical method for my back, sick of all the pain meds, but hey, again who's to say that even after surgery I still won't need them. Really scared on this surgery, I've already had enough surgery's. I'm worried I think mostly because my bones are already so brittle with Osteoporsis, that I won't mend properly. I haven't been on the boards for quite a while. Hope you are doing well. Take good care!!!
    Marg
    __________________
    In 1977 had Harrington Rod and Fusion done due to Scoliosis.
    In 1993 had emergency surgery done for Ulcerative Colitis.
    In 1995 had pelvic pouch(internal) done.
    Two months later had to go back and have Illestomy closed.
    Now almost 1 year having chronic lower back pain due to Spondylolesthesis, and DDD, and also still have a 31 degree curse to back.
    Also have a dextro-scoliosis and a levo-scoliosis.

     
    Old 06-22-2004, 12:57 PM   #14
    sherry47
    Senior Veteran
    (female)
     
    Join Date: Apr 2004
    Location: Blackstone VA
    Posts: 525
    sherry47 HB User
    Re: Guess before you look. How many ways to correct your spine problem

    Hi Jo,

    Thanks. I feel very fortunate that my bone grafts are growing. My surgeon was very impressed with how fast they are growing. I have been using that bone stimulator since surgery though. What Dave said about not knowing whether the graft is growing or not is interesting though. Oh well it is an interesting life if nothing else.

    God Bless,
    Sherry
    __________________
    Spinal Fusion with cages, Cluster Headaches, Depression, Arthritis, Adhesions, Alt. Digestive Tract

     
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