Hi Spiney Friends,
So today was my 8 weeks (tomorrow) post-op check-up. I took my xrays I had done on Friday. NS says I have posteriorlateral fusing taking place, no interbody fusion yet. Says he doesn't expect interbody fusion until 4-7 months. I noticied one of my screws slightly protrudes through the body of the vertebrae. He says it is fine, screws look great. I asked about BMP overgrowth, he says he hasn't had a case since he started using it in 2002. Says risk is 1/2000. I asked how does all that stuff stay put. He says after he puts in the cage he puts in DBM (putty-like), keeps BMP from escaping. In the posterior lateral gutter fusion, tissue holds it in place, nerves aren't near enough, drift can happen rarely. He says the intermittent bil sciatic pain hips down is normal, will come and go.
I am to start weaning out of my TLSO brace over the next 2 weeks, gradually. I can bend and twist gradually, slowly, with caution. He says I no longer have a weight lifting restriction, just don't try to bench press 500#. I asked about PT, he said if you want it, I said yes, so he ordered "work hardening" PT, 3 sessions a week for 6 weeks. He warned it is normal to have increase in pain, with increase in activity, such as PT.
He says I can go back to work whenever I want after out of brace. It is up to me. My original RTW date is Nov 4, but 12 weeks (FMLA) is October 27, so I may aim for that. I think I'll see how PT goes (hopefully it doesn't take forever to set up-HMO
). Anyways he thinks everything is going great. Plan XRay, return to NS in 8 weeks. So all is good news. I just need to call for note to return to work, or extend leave, whichever I decide.
So that is my enormously long update if anyone is still reading. I am long winded I know. Thanks for all your support. This site is so great! >:D< >:D< Sue