Re: - Anterior Approach and Nerves

[Guest guest]

--

,

Is this the part that they use to build the bony cages/secure the

cages? I will ask Pricsilla when I speak to her next, maybe I did not

ask enough questions when I was there.,PA

- In , " Racine " <linda@s...>

wrote:

>

> ...

>

> You should ask to be certain, but unless one has some very unusual

> anatomy, at least one rib needs to be removed if the front of the

> thorasic spine is to be accessed. They don't actually remove the

> entire rib. It's just the front part. And, most surgeons carefully

> leave the sheath (periosteum) in place, so the rib actually grows

back.

>

> --Linida

>

>

> > >

> > > No, they still remove a rib. I was just referring to not

having to

> > > move organs out of the way.

> > >

> > > --

>

[Guest guest]

Hi ...

Yes, I think the rib is normally morselized and placed into a cage. Or

in my case, it was morselized and placed between the vertebrae where

the discs were removed.

--

> > > >

> > > > No, they still remove a rib. I was just referring to not

> having to

> > > > move organs out of the way.

> > > >

> > > > --

> >

>

[Guest guest]

Titch, thanks for the info. I was unaware the originator was no longer promoting the technique. IScoliosis.com still has the video of the young girl having it, and mentions it among scoliosis surgery techniques.

The minimally invasive posterior approach looks interesting, but I don't imagine it works for complicated cases.

http://www.spineuniverse.com/displayarticle.php/article1972.html

Sharon

Re: [ ] Re: - Anterior Approach and Nerves

One of the oddest of the list of odd things about my fusion was that I had to have first time fusion all the way from T10 up to T3, in addition to the lumbar revision and extension. I suspect my recovery would have been rather easier if I hadn't had essentially, a full first surgery and revision in one go.

As to minimally invasive surgery - I read on the page of the pioneer of this that he is no longer recommending the procedure *except* when it is followed by posterior surgery and instrumentation. Umm - here it is, found the page: http://www.scoliosisrx.com/ Just underneath the info on the 2 surgeons, there is a a note before it gets on to discussing scoliosis. However, I know a guy who recently had an extremely successful correction of a very unusual curve combination of over 80 degree Scheuermann's kyphosis and over 70 degree scoliosis, all in a very short, confined area, at the same hospital although by a different surgeon than mine, and had minimally invasive approach to achieve the anterior release and fusion, so it's definitely been taken on board by some as a way of reducing the amount of trauma to the patient.

I've pretty much been assured that if it comes to it that I need further fusion, lumbar at least, they'll use a posterior approach of some kind for all the anterior work - suits me just fine! I think they'd have trouble using my existing anterior scar to reach that low, so it may be partly down to the amount of scarring I already have and avoiding any adhesions (not that I seem prone to forming them, thankfully). It is again a matter of opinion though - the first revision doc I saw wanted to go anterior again, and I asked him about minimally invasive, but he said with the existing scarring it would be technically impossible - he's clearly a good surgeon though, as I know other people who have had good results from him. I'm still happy with the one I chose though - my gut was right on that one ;o)

titch-- Something unknown is doing we don't know what

[Guest guest]

Cool, . I hadn't heard that they make it so the rib grows back. So

much for the miracles of surgery; our bodies are the real miracle.

Sharon.

[ ] Re: - Anterior Approach and Nerves

> ...

>

> You should ask to be certain, but unless one has some very unusual

> anatomy, at least one rib needs to be removed if the front of the

> thorasic spine is to be accessed. They don't actually remove the

> entire rib. It's just the front part. And, most surgeons carefully

> leave the sheath (periosteum) in place, so the rib actually grows back.

>

> --Linida

>

>

>> >

>> > No, they still remove a rib. I was just referring to not having to

>> > move organs out of the way.

>> >

>> > --

>

>

>

>

>

>

>

> scoliosis veterans * flatback sufferers * revision candidates

>

[Guest guest]

Mmm...Morselized ribs... Barbecue cookin' for folks with braces on their

teeth.

(Sorry, couldn't resist.)

[ ] Re: - Anterior Approach and Nerves

> Hi ...

>

> Yes, I think the rib is normally morselized and placed into a cage. Or

> in my case, it was morselized and placed between the vertebrae where

> the discs were removed.

>

> --

>

>

>> > > >

>> > > > No, they still remove a rib. I was just referring to not

>> having to

>> > > > move organs out of the way.

>> > > >

>> > > > --

>> >

>>

>

>

>

>

>

>

>

> scoliosis veterans * flatback sufferers * revision candidates

>

[Guest guest]

,

You should definitely ask ...but I think you said that Dr Rand was

going to leave the old HR in place...since you said he also said we

had similar surgical needs...I am doubtful he will go any where near

your thoracic spine....you may well escape without a deflated lung/rib

removal. Didn't happen in my case anyway.

Cam

[Guest guest]

---

Yes, he is leaving my rod in...yes, he stated we are similiar, and if

you did not I am guessing I am not, he would have told me that I am

sure...but i'll double check.I am sure Priscilla has missed my calls,

joking,

P.S. I found some temporary pain relief today, my daughter had an ice

hockey game, the rink was outside, it was 9 degrees, sit on a ice cold

bench for 1.5 hours at 9 degrees, your spine becomes numb and you have

temporary pain relief..you can't feel anything...,PA

In , " cammaltby " <cammaltby@y...>

wrote:

>

> ,

>

> You should definitely ask ...but I think you said that Dr Rand was

> going to leave the old HR in place...since you said he also said we

> had similar surgical needs...I am doubtful he will go any where near

> your thoracic spine....you may well escape without a deflated

lung/rib

> removal. Didn't happen in my case anyway.

>

> Cam

>

[Guest guest]

Ouch ! You made me hurt just thinking of being in 9 degree weather.

Joyce E

[ ] Re: - Anterior Approach and Nerves

---Yes, he is leaving my rod in...yes, he stated we are similiar, and if you did not I am guessing I am not, he would have told me that I am sure...but i'll double check.I am sure Priscilla has missed my calls, joking, P.S. I found some temporary pain relief today, my daughter had an ice hockey game, the rink was outside, it was 9 degrees, sit on a ice cold bench for 1.5 hours at 9 degrees, your spine becomes numb and you have temporary pain relief..you can't feel anything...,PAIn , "cammaltby" <cammaltby@y...> wrote:>> ,> > You should definitely ask ...but I think you said that Dr Rand was > going to leave the old HR in place...since you said he also said we > had similar surgical needs...I am doubtful he will go any where near > your thoracic spine....you may well escape without a deflated lung/rib > removal. Didn't happen in my case anyway.> > Cam>

[Guest guest]

Same here as Cam said - I've had a total of 5 surgeries , and

never had a deflated lung nor any ribs dealt with. And my original

rod has also been left in place as it's not any hinderance to all the

lumbar work. So I wouldn't fret unnecessarily until you speak with

Dr. Rand. You've got enough to think about!

Peace -

~CA ~

>

> ,

>

> You should definitely ask ...but I think you said that Dr Rand was

> going to leave the old HR in place...since you said he also said we

> had similar surgical needs...I am doubtful he will go any where near

> your thoracic spine....you may well escape without a deflated

lung/rib

> removal. Didn't happen in my case anyway.

>

> Cam

>