Guest guest Posted October 1, 2010 Report Share Posted October 1, 2010 I might be wrong but since TC surgeries are so delicate and require removing the scarring peace by piece it requires full visualization. That would make a minimally invasive approach not applicable. Sent via BlackBerry by AT & T types of tc surgeries Can anyone tell me all of the choices of what choices and types of surgery their are for tc surgery? From what I know the main standard is to go thru the lumbar region, what other ones are there? Is there a least invasive one? Carol Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2010 Report Share Posted October 1, 2010 It depends on where your tether is, and what type of tether you have I would think. I had my filum " snipped " for a tight/fatty filum tether. My NS went in through the sacrum, staying away from L4/L5. My incision is 8 cm long. Dee To: tetheredspinalcord From: drwoo528@... Date: Thu, 30 Sep 2010 17:40:59 -0700 Subject: types of tc surgeries Can anyone tell me all of the choices of what choices and types of surgery their are for tc surgery? From what I know the main standard is to go thru the lumbar region, what other ones are there? Is there a least invasive one? Carol Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2010 Report Share Posted October 1, 2010 The surgery is based on the specific condition, individualized to our " quirks " as we are all tethered at different levels, some with lipomas, some split some not etc. As for choices, our choice lies in what doctor we pick basically. Since bone is removed in order to view the cord better and remove scar tissue as well as opening the dura,  I doubt it can be tooo minimally invasive. Subject: types of tc surgeries To: tetheredspinalcord Date: Thursday, September 30, 2010, 7:40 PM  Can anyone tell me all of the choices of what choices and types of surgery their are for tc surgery? From what I know the main standard is to go thru the lumbar region, what other ones are there? Is there a least invasive one? Carol Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2010 Report Share Posted October 1, 2010 what are the advantages of going in through the sacrum rather than Lumbar area? Is it less painful? Did you have screw placed or did you require a fusion? > > > It depends on where your tether is, and what type of tether you have I would think. I had my filum " snipped " for a tight/fatty filum tether. My NS went in through the sacrum, staying away from L4/L5. My incision is 8 cm long. > > > > Dee > > > > > > To: tetheredspinalcord > From: drwoo528@... > Date: Thu, 30 Sep 2010 17:40:59 -0700 > Subject: types of tc surgeries > > > > > > > Can anyone tell me all of the choices of what choices and types of surgery their > are for tc surgery? > > From what I know the main standard is to go thru the lumbar region, what other > ones are there? Is there a least invasive one? > Carol > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2010 Report Share Posted October 1, 2010 Hi, could you elaborate on sacrum option please? This is really dumb and vain but I have a huge tattoo in that area. Of course if the other option is preferred and recommended I would go with it. Subject: Re: types of tc surgeries To: tetheredspinalcord Date: Friday, October 1, 2010, 1:08 PM  what are the advantages of going in through the sacrum rather than Lumbar area? Is it less painful? Did you have screw placed or did you require a fusion? > > > It depends on where your tether is, and what type of tether you have I would think. I had my filum " snipped " for a tight/fatty filum tether. My NS went in through the sacrum, staying away from L4/L5. My incision is 8 cm long. > > > > Dee > > > > > > To: tetheredspinalcord > From: drwoo528@... > Date: Thu, 30 Sep 2010 17:40:59 -0700 > Subject: types of tc surgeries > > > > > > > Can anyone tell me all of the choices of what choices and types of surgery their > are for tc surgery? > > From what I know the main standard is to go thru the lumbar region, what other > ones are there? Is there a least invasive one? > Carol > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2010 Report Share Posted October 1, 2010 I think in my case my NS wanted to stay away from L5 as that is where my spondylolisthesis was. I do have a fusion now, but did not 2+ yrs ago with the TC surgery. I honestly don't know if he would have done things differently if I didn't have the abnormality at L5. They normally do a laminectory wherever they go in to access the dura. I am not sure if there is a benefit going in through the sacrum -- but my sense is I am thinking your sacrum may be more stable and hence handle a laminectomy better? I may be totally off base so if anyone knows about this please chime in. I did not require any bone grafts, screws or fusion. I remember reading someone else's post awhile back that said their NS was going in through the sacrum. This would only work if your tether is low and they are snipping the filum I would assume. If there is a tether by a lipoma or split cord they have to go in where it is tethered. Less pain? I don't know -- I had plenty of pain but looking back managed on tylenol and ibuprofen beginnning a few days after surgery -- I was on oxycodone at home for a month after my spinal fusion -- I'd say the spinal fusion recovery was more painful. However, I could have probably used some oxycodone for sleeping at home after my TC surgery but it wasn't offered to me! Dee To: tetheredspinalcord From: stvtm@... Date: Fri, 1 Oct 2010 18:08:14 +0000 Subject: Re: types of tc surgeries what are the advantages of going in through the sacrum rather than Lumbar area? Is it less painful? Did you have screw placed or did you require a fusion? > > > It depends on where your tether is, and what type of tether you have I would think. I had my filum " snipped " for a tight/fatty filum tether. My NS went in through the sacrum, staying away from L4/L5. My incision is 8 cm long. > > > > Dee > > > > > > To: tetheredspinalcord > From: drwoo528@... > Date: Thu, 30 Sep 2010 17:40:59 -0700 > Subject: types of tc surgeries > > > > > > > Can anyone tell me all of the choices of what choices and types of surgery their > are for tc surgery? > > From what I know the main standard is to go thru the lumbar region, what other > ones are there? Is there a least invasive one? > Carol > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 1, 2010 Report Share Posted October 1, 2010 Wishful thinking but really hope that my ping will be able to get the least invasive as possible but guess won't know till I talk to the nsg. carol ________________________________ To: tetheredspinalcord Sent: Thu, September 30, 2010 6:03:38 PM Subject: Re: types of tc surgeries I might be wrong but since TC surgeries are so delicate and require removing the scarring peace by piece it requires full visualization. That would make a minimally invasive approach not applicable. Sent via BlackBerry by AT & T types of tc surgeries Can anyone tell me all of the choices of what choices and types of surgery their are for tc surgery? From what I know the main standard is to go thru the lumbar region, what other ones are there? Is there a least invasive one? Carol Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 5, 2010 Report Share Posted October 5, 2010 Pings mri showed small fatty filum. mid to lower L2 conus. wonder, did your mri actually showed where the tether was? Carol ________________________________ To: tetheredspinalcord Sent: Tue, October 5, 2010 3:35:09 AM Subject: Re: types of tc surgeries Carol, It would depend on what kind of tether and where it is located. I think those that had surgery where the MD when in through the sacrum had a filum type tether. The filum terminale is located at the base/end of the spinal cord. That would make sense to be able to access it through the sacrum. If the tether is higher up (like mine, for example was tethered at L2 and I also had diastematomyelia), there would be no way to access it through a sacral laminectomy. Jenn > > > Does he try and go thru the sacrum for most of his tcs? or it still depends > on > the type of tc and where it is at? > > thanks for the info. how is he to talk to? > carol > > ________________________________ > From: Cathleen Pratt <cathpratt@... <cathpratt%40yahoo.com>> > To: tetheredspinalcord <tetheredspinalcord%40yahoogroups.com> > Sent: Sat, October 2, 2010 6:40:26 AM > > Subject: Re: types of tc surgeries > > Carol my surgeon, who does this, and did mine 7/30/10 is Dr. Fraser C. > , MD in Bethesda, MD. He was with town U Med Center many > years, > and now is head of neurosurgery at a hospital in Lanham, MD, Doctors > Community > Hospital, near Greenbelt. He is GREAT and my recovery from the incision > was > quick. The post op care at the wing of this hospital was great as he has > taught > all of the nurses and assistants all about TCS, EDS and ACM, and it was > like > being in the ICU for 5 days. > > Best, > Cate > > > > > I believe going thru the sacrum, you don't have to cut thru all that > muscle to > > > get to the dura and spinal cord. Thus, making recovery a little quicker, > I > > think but don't really know. I would like this one if I can find a > surgeon > >that > > > > does this. But, still researching. > > Dee, how was it for you? > > carol > > > > ________________________________ > > From: stvtm <stvtm@... <stvtm%40yahoo.com>> > > To: tetheredspinalcord <tetheredspinalcord%40yahoogroups.com> > > Sent: Fri, October 1, 2010 11:08:14 AM > > Subject: Re: types of tc surgeries > > > > > > what are the advantages of going in through the sacrum rather than Lumbar > area? > > > > Is it less painful? Did you have screw placed or did you require a > fusion? > > > > > > > > > > > > > It depends on where your tether is, and what type of tether you have I > would > > > >think. I had my filum " snipped " for a tight/fatty filum tether. My NS > went in > > > >through the sacrum, staying away from L4/L5. My incision is 8 cm long. > > > > > > > > > > > > > > > Dee > > > > > > > > > > > > > > > > > > To: >tetheredspinalcord <tetheredspinalcord%40yahoogroups.com> > > > From: drwoo528@... > > > Date: Thu, 30 Sep 2010 17:40:59 -0700 > > > Subject: types of tc surgeries > > > > > > > > > > > > > > > > > > > > > Can anyone tell me all of the choices of what choices and types of > surgery > > >their > > > > > > are for tc surgery? > > > > > > From what I know the main standard is to go thru the lumbar region, > what > >other > > > > > > > ones are there? Is there a least invasive one? > > > Carol > > > > > > Quote Link to comment Share on other sites More sharing options...
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