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User offline. Last seen 1 year 13 weeks ago. Offline
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Fusion to S1

Has anyone been fused to S1. Can you tell me what your mobility is like. I am wondering how it affects you in day to day living?
I just had this done 3 weeks ago and i am still in a brace with a leg attachment so i dodn't twist at all.
I feel a weird pain like numbness in the hip areas. I try not to take so many drugs so maybe if i took more i wouldn't feel the numbness.

But can anyone tell me what there lives are like with a fusion so low. I am also fused up ward to T12 from Worried previous surgeries.

Elyse Worried

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Welcome to the board ~

Is this fusion from L5 to S1 or how many levels does it cover? I think we need more information before anyone can share more information with you.

Hope you are feeling OK. Usually around three weeks people start to feel slightly human again.

_____________

I have no medical training. Comments are based on personal experience and lots of research and reading.
PLIF @ L4-5 with Peek cage, rods and screws Jan 2008
Lami-foraminotomy L5-S1 Jan 2009
Fusion L3-S1 coming up -- 1 June

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Lysee, I am fused from T4 to

Lysee, I am fused from T4 to pelvis. My flexibility is reduced. There are some things that will always be a struggle such as putting on socks and lacing up my joggers. Since I don't have any "bend" in my body I have to use my knees a lot more as in "crouching" to reach something low. I shave my legs with a razor attached to a long handled wooden spoon. Various other things that may not ever affect you, I find more difficult, such as swimming on my front, and trying to climb out of the sea into a boat! But there's actually nothing I can't do, with a bit of effort. Does this bother me? Absolutely not. The fusion was the best thing I ever did for myself. I live a pain-free life, am very active and my future looks bright again.

I realise not everyone has such a good outcome as I've had but from my reading on the subject, it seems the vast majority are very happy with their scoliosis fusion surgeries even if some are left with some sort of residual pain. It is usually much, much better than pre-op. I think I've only read of one person who considered her scoliosis fusion surgery a failure, which is very sad.

Please don't try to cut back on your meds too early. If you take the correct dosage, you will be able to sleep better and that's vital to your healing. Sleep, eat healthily and try to walk a couple of times a day (doesn't have to be a long way) and you will have the best possible recovery. At three weeks, it's still very early days so don't expect too much just yet.

_____________

Surgery aged 57 for Scoliosis
Laminectomies, Osteotomies and Fusion T4-pelvis
using autograft, allograft and BMP
March 3, 2009, Brisbane, Australia.
Curve corrected from 68 degrees to 22 and spine de-rotated.

User offline. Last seen 1 year 13 weeks ago. Offline
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Fusion- to pelvis

Thanks, it's been almost 6 months since i have checked back to this site.I am still in my brace.

I see what you mean about putting on my socks and shaving my legs , not !. Tyeing shoes, ha, ha..

I have no bend in my body as you say. I hope i will be as lucky as you are living a pain free life. I take about 1 pain pill a day now, usually at night because then whole day just wears on me.
I do walk and i have resumed cooking and do some house hold chores but i think recovery from this surgery can take a good years time.I am 6 months in, but i still feel i have along way to go. Maybe the Dr. will let me out of the brace soon because we will be starting summer.
Thanks for your help
Lysee

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Hi there!

I'm about to be fused from the T12 down. It really freaks me out and was wondering how you are feeling? My biggest concern is not being able to bend forward, which I do now even though I'm not supposed to. Do you feel it was worth it? Thanks for posting your story.

Susan

_____________

ALIF L4 & L5 on 3/10/10
PLF 8/20/10 T8 to S1

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Hi JenG

I see you are fused a bit more than what the doc will be doing to me. Did you also have pelvic fixation? Thanks.

Susan

_____________

ALIF L4 & L5 on 3/10/10
PLF 8/20/10 T8 to S1

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Regarding walking. I don't

Regarding walking. I don't know where you live, it may be too icy for you to get outside, but if you possibly can, get out into the fresh air to walk. In these very early days, it's best to take someone with you in case you feel a bit weak and wobbly. I know I did till at least 4-5 weeks. But the fresh air lifts your spirits which in my view is as important as other aspects of your healing. Good luck!

_____________

Surgery aged 57 for Scoliosis
Laminectomies, Osteotomies and Fusion T4-pelvis
using autograft, allograft and BMP
March 3, 2009, Brisbane, Australia.
Curve corrected from 68 degrees to 22 and spine de-rotated.

User offline. Last seen 1 year 13 weeks ago. Offline
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Lysee55 wrote:Has anyone

Lysee55 wrote:
Has anyone been fused to S1. Can you tell me what your mobility is like. I am wondering how it affects you in day to day living?
I just had this done 3 weeks ago and i am still in a brace with a leg attachment so i don't twist at all.
I feel a weird pain like numbness in the hip areas. I try not to take so many drugs so maybe if i took more i wouldn't feel the numbness.

But can anyone tell me what there lives are like with a fusion so low. I am also fused up ward to T12 from Worried previous surgeries.

User offline. Last seen 1 year 13 weeks ago. Offline
Joined: 09/11/2008
Posts: 13
Points: 26
Lysee55 wrote:Has anyone

Lysee55 wrote:
Has anyone been fused to S1. Can you tell me what your mobility is like. I am wondering how it affects you in day to day living?
I just had this done 3 weeks ago and i am still in a brace with a leg attachment so i don't twist at all.
I feel a weird pain like numbness in the hip areas. I try not to take so many drugs so maybe if i took more i wouldn't feel the numbness.

But can anyone tell me what there lives are like with a fusion so low. I am also fused up ward to T12 from Worried previous surgeries.

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User offline. Last seen 1 year 34 weeks ago. Offline
Joined: 06/26/2009
Posts: 219
Points: 452
Hi Lysee. I hope you are

Hi Lysee. I hope you are doing well since your surgery. As per my post to NaptownGirl, mobility isn't a problem, but flexibility is reduced, for about a year. It's normal to feel numbness in the hip area. The feeling in that area may return, but for me it did not. It doesn't affect me in any way and I am used to it. It's not painful. When you wrote that post, you were only 3 weeks out, and reducing your drugs, which is why you could feel that painful numbness. I trust that by now, you are free of that pain. I hope by now you are doing well. I don't get here often but you can always pm me if you think I can help with questions. Best wishes with your recovery.

_____________

Surgery aged 57 for Scoliosis
Laminectomies, Osteotomies and Fusion T4-pelvis
using autograft, allograft and BMP
March 3, 2009, Brisbane, Australia.
Curve corrected from 68 degrees to 22 and spine de-rotated.

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User offline. Last seen 1 year 34 weeks ago. Offline
Joined: 06/26/2009
Posts: 219
Points: 452
Hi NaptownGirl. Yes, I had

Hi NaptownGirl. Yes, I had the pelvic fixation. I am now 17 months post surgery and life has just gone on as if I never had scoliosis. I've been lucky. I have none of the old pain and no new pain. My flexibility is improving all the time. I can now tie shoelaces (with a stretch!) shave my legs and cut my toenails. At first, I didn't think I'd ever be able to do those things. It just takes a while. By 12 months post op, I was doing everything I could do pre-op. I can work in the garden, I regularly power-walk, I care for my three grandchildren under 5, go kayaking and nothing seems to bother my back. The old arthritis I had in the lumbar area has gone beause arthritis needs movement and now I have no movement in that area. I take care of my unfused upper portion of my spine - above T4 - because it now takes extra wear and tear and my surgeon told me not to lift heavy loads or run. So, to avoid future surgery in that area, I try to take care of it.

It's a scary road but for most of us, it pays off. I don't come here often so any questions, you could send me a pm if you wish. Good luck!

_____________

Surgery aged 57 for Scoliosis
Laminectomies, Osteotomies and Fusion T4-pelvis
using autograft, allograft and BMP
March 3, 2009, Brisbane, Australia.
Curve corrected from 68 degrees to 22 and spine de-rotated.

User offline. Last seen 1 year 34 weeks ago. Offline
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T-3 to S-2 Fusion with rods/screws 53 yrs. old

In March 1999 a syrinx was found in my T3 level about 5 months after a fall while working offshore in the Gulf Of Mexico as a Mechanic. By 2003 scoliosis bagan setting in and by 2009 it was Reeeal bad or extremely severe with rotation; several disc herniations;tears; stenosis; and internal organ smashing. On June 3rd 2009 I had corrective surgery performed by LSU in Shreveport,Louisiana Neurosurgeon and Instrumentation Specialist Dr. XXX who is Dr. YYY's associate. They did a great job straightening me out and giving me my lost height of 3-1/2 inches back. BUT, I developed a staph infection that turned into MRSA and had to go back and be cut open again to do a washout. I was put on IV antibiotics for 6 wks. Two & 1/2 weeks later my son brought me to our E.R.very sick and dillusional and the doctor sent me home. Next day OCTOBER 1st, 2009 my local FP did a direct admit and my Temp. was 105.6 degrees. Ice baths,a CTscan was negative as now my Family Practioner, my Internist, a Cardiologist, and a surgeon were zeroing in on possible Hardware induced infection. Another CT with Contrast was negative. They ordered some type of special contrast that shows up hotspots and it was negative. I was Septic(blood infection throughout body) and they were in consult with Chief of Neurosurgery at LSU XXX and the Infection Control specialist there also. I don't remember Anything from several days before hospitalization till a few days after I was in ICU.Infection hit one of my heart valves and I nearly had to have Heart surgery. I kept losing use of One Arm & One Leg but on OPPOSITE Sides and it would switch side to side until it stayed with Right arm & Left Leg. Thanksgiving Day they transfered me back to Shreveport where I had my surgery .They did more tests and thought I had an infection of sort in my neck but said it was a naturally occurring fusion. On December 14th I was transfered closer home to an LTAC for remaining 6wks of IV Antibiotic therapy and intense PT & OT. I could Not put any weight on either leg until early January and on January 22nd as I ran out of Medicare days I was transfered to another hospital where they had swing beds and therapy. Istayed there till I was out of all and any Medicare days on April 11th 2010. They got me walking with a walker some which was a Big thing for me. I began Outpatient therapy here 2 blocks from my home at the hosp. outpatient. I am getting some use back in my Right arm (even though I was told by local Ortho. I never would). I have a BUMP at L4-5 level on my left side that is getting BIGGER and causing stiffness, some pain but lots of Nerve pain down left leg with numbness and severe stiffness. Had it X-Rayed again last week and it is Not a screw backing out and not Calcium buildup. Radiologist thinks it is SCAR TISSUE forming. It is a little bigger than a Quarter and pokes outwards about 1/2-3/4 inch. It is very hard to touch. ANYONE have any Ideas??? OH! I have No problems bending down to tie shoes or anything. I have severe problems straightening up like in standing up straight.

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You've been to hell and back

You've been to hell and back Bobby. I can't help with the bump, but suspect it is scar tissue but I would definitely follow up on it just in case. I would say that about any lump that is growing. Do you have problems walking and standing, as in holding yourself upright? Didn't quite understand that last line. But suspect you mean as in going from bending to upright, not walking upright.

_____________

Surgery aged 57 for Scoliosis
Laminectomies, Osteotomies and Fusion T4-pelvis
using autograft, allograft and BMP
March 3, 2009, Brisbane, Australia.
Curve corrected from 68 degrees to 22 and spine de-rotated.

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Points: 6
Upright clarification

I have serious problem to stand or walk upright. I can walk around bent over . I can stnd or walk upright a few feet but it is like my muscles are to weak . Really, I really feel like my rods are bent forward but I am scared to find out. They are Titanium and my local doctors told me they never thought I would leave hospital ALIVE because of how sick I was and they and my PT & OT (who were my therapists while hospitalized here locally) are amazed how well I am doing except for trouble straightening up.

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Saggital imbalance is

Saggital imbalance is something that happens after fusion surgery in some patients. It has to do with the amount of lordosis you are given in the surgery. Patients feel they cannot hold themselves upright and their muscles aren't strong enough to hold them upright. Unfortunately, in the case of saggital imbalance, further surgery is required. But first, you would need to see a scoliosis surgeon skilled in revision surgery in adults. I am going out now, but if you want to send me a pm, I will give you some names and more information and I will reply when I get home. Meantime, you could Google "Saggital imbalance" and see what you can find out about it and whether it fits your problem. Patients who have revision surgery for saggital imbalance seem to do very well.

_____________

Surgery aged 57 for Scoliosis
Laminectomies, Osteotomies and Fusion T4-pelvis
using autograft, allograft and BMP
March 3, 2009, Brisbane, Australia.
Curve corrected from 68 degrees to 22 and spine de-rotated.

User offline. Last seen 1 year 34 weeks ago. Offline
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Posts: 3
Points: 6
Pedicle screws backing out

I have a knot about big around as a quarter and poking out in low lumbar area on left side of spine. As it gets bigger I am having more trouble standing upright. Yesterday I had Cat Scan and the pedicle screw on left side at L5 is backed out 0.9cm which is a little over 3/8 inch. At S1 it is out 1.4cm which is a little over 1/2 inch. Now I have to call my surgeon.

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Screws backing out

Bobby Black wrote:
I have a knot about big around as a quarter and poking out in low lumbar area on left side of spine. As it gets bigger I am having more trouble standing upright. Yesterday I had Cat Scan and the pedicle screw on left side at L5 is backed out 0.9cm which is a little over 3/8 inch. At S1 it is out 1.4cm which is a little over 1/2 inch. Now I have to call my surgeon.

So sorry to hear this. I have heard of this happening. It's a minor surgery to fix, so don't panic too much. I don't know why this would happen, they screw those things in so tightly, it's amazing any of them ever move. But it's easily fixable. Just sorry it means yet another trip to the hospital. Let us know how you go!

_____________

Surgery aged 57 for Scoliosis
Laminectomies, Osteotomies and Fusion T4-pelvis
using autograft, allograft and BMP
March 3, 2009, Brisbane, Australia.
Curve corrected from 68 degrees to 22 and spine de-rotated.

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Joined: 06/26/2009
Posts: 219
Points: 452
Oops I've spelt it wrongly!

Oops I've spelt it wrongly! It's Sagittal Imbalance.

_____________

Surgery aged 57 for Scoliosis
Laminectomies, Osteotomies and Fusion T4-pelvis
using autograft, allograft and BMP
March 3, 2009, Brisbane, Australia.
Curve corrected from 68 degrees to 22 and spine de-rotated.

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