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Daughter scheduled for back surgery - one year checkup (1 Viewer)

Steeler

Footballguy
My daughter is 17 and has had health issues pretty much since before she was born (the umbilical cord was wrapped around her neck at birth - that was exciting). She also has mental delays and is in special needs classes.

She has worn a back brace for several years to limit scoliosis curvature (currently at ~50 degrees IIRC) in her lower back. Over the last few years she has also developed kyphosis (currently at 80-85 degrees curvature - this is a rounding of the upper back; hunch back). The degree of curvature of the kyphosis is the reason they are recommending surgery. We've already sought a 2nd opinion and they agreed with the recommendation for surgery. The surgery would be 6 to 8 hours and they would repair the entire back (I can't remember the exact list of vertebrae they will fix) meaning they would expose the spine, add a bracket (or whatever the proper term is called) to each vertebrae, shave the vertebrae if needed so it can be properly aligned, connect the brackets, align the spine and then tighten everything. It's crazy to me that this is even possible. The surgeons are well known in this area and this is the only surgery they do so we are in good hands but it is still scary as hell.

Typically, surgery is recommended to relieve pain, correct any cosmetic issues of the patient, and/or to prevent future issues with nerves (numbness, etc.). She has no pain and is not concerned at all about how she looks. It's not overly noticeable when she is dressed (she never wears a bikini or anything like that - always a t-shirt or something when in the pool). If she bends over it's very noticeable and the x-ray is almost unbelievable - its very squiggly as she likes to say. So without any pain and/or concern about how she looks we are left with trying to prevent future possible issues that may never arise. OTOH, if we wait it may just continue to get worse. My biggest fear is that there will be some lingering pain due to the surgery that simply doesn't exist now - that would be heart breaking.

Most people ask this question so I'll answer it now: if everything goes well. the recovery from the surgery is 2 days in intensive care and a total of 4 or 5 days in the hospital. Within 4 to 6 weeks most patients can begin jogging - so to me that's pretty much the end of the recovery process for my daughter. They say she will be taller after the surgery so she is hoping to be taller than her sister after the procedure - she really tries to find the positive in everything :)

On one hand, I try to be extremely positive and assume everything will work out fine and within 4 to 6 weeks she'll be back to normal but with better posture and less of a chance of having negative implications from the kyphosis. OTOH, this is a major surgery to the spine and she has no pain or any outward/known/whatever type issues that the surgery would be fixing. My wife and I keep thinking of that x-ray and think it's the right thing to do (not to mention 2 specialists recommend it).

Additional information if it makes a difference:

She's been diagnosed with Ehlers Danlos syndrome but that cannot be confirmed by any tests so we don't know for sure. It is a connective tissue disorder where her joints are more lax than most people and the biggest issue for Ehlers Danlos patients is that it can effect arteries, viens and the heart. She sees a cardiologist once a year and everything appears to be normal from a cardiovascular POV. She has dislocated her right kneecap twice (the second time I was able to pop it back in myself - first time I had no idea what to do) and has fractured a hip during a fall at home on a tile floor - not anything more forceful than that.

These sort of underlying existing conditions give us additional reasons for concern about the surgery and the long term effects of the procedure. Anyway, thanks for reading - surgery not until end of August so we have time to worry about this for a while.

Anyone have experience with anything like this?

 
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I have scolosis. If I got the thing done I'd go from 5-10 to 6-1.

I'm 37 and have no issues. I back squat 3x a week and do deadlifts at 2x my bodyweight twice a week.

The surgery for scolosis is pretty easy and routine, no idea about the other stuff.

If my daughters end up with it I'll just go ahead and have them cut on if it's above about 30/30. I'm right there.

17 is actually fairly old for the surgery right? don't they like to do it at 14ish these days on girls?

That's all I got which isn't much.

 
Just re reading, so she's 50 straight or 50/50. that makes a difference. I'm 30/30 a straight 30 is way worse than a split.

 
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17 is actually fairly old for the surgery right? don't they like to do it at 14ish these days on girls?
Not sure what is typical, but the kyphosis curvature wasn't bad enough to recommend surgery until recently and I think they wanted to wait until she was done growing.

Just re reading, so she's 50 straight or 50/50. that makes a difference. I'm 30/30 a straight 30 is way worse than a split.
Are you talking about the difference between an "S" curve and a "C" curve? Either way the scoliosis isn't bad enough that they would recommend surgery. However, the top of the back typically curves forward at about 40 degrees - surgery is recommended at 75 degrees - my daughter is at 80-85 degrees. The surgeon said the worst case they have ever done was 120 degrees.

ETA: the surgery to repair scoliosis and kyphosis is basically the same - straighten the spine and lock it in place with hardware.

 
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No experience with this, but wanted to extend my best wishes as well.

 
Steeler said:
culdeus said:
17 is actually fairly old for the surgery right? don't they like to do it at 14ish these days on girls?
Not sure what is typical, but the kyphosis curvature wasn't bad enough to recommend surgery until recently and I think they wanted to wait until she was done growing.

culdeus said:
Just re reading, so she's 50 straight or 50/50. that makes a difference. I'm 30/30 a straight 30 is way worse than a split.
Are you talking about the difference between an "S" curve and a "C" curve? Either way the scoliosis isn't bad enough that they would recommend surgery. However, the top of the back typically curves forward at about 40 degrees - surgery is recommended at 75 degrees - my daughter is at 80-85 degrees. The surgeon said the worst case they have ever done was 120 degrees.

ETA: the surgery to repair scoliosis and kyphosis is basically the same - straighten the spine and lock it in place with hardware.
I don't think it's all that unusual to have both. Yeah I get the fusion thing. They basically shim it all up and lash a few rods together. Yeah it takes awhile but the procedure is pretty low risk and once you do it your cured.

Yeah talking whether it's a C or an S. S people (me) can live with it alot easier. C curves are supposed to be a different animal. Sounds like the front back thing is the main issue. I got nothing on that really.

I did the brace from age like 13 to 18 at night only. Wasn't a huge big deal. Dr. said if I ever got over about 200 it could get worse even after I was done growing.

If you've had it followed for awhile and checked out by a few people then do it and don't look back. These never get better.

 
Anecdotal, but may work for you. My mom is 20/60. When she was in her 30s she was 20/40. She's shrunk 1.5 inches in height since age 35. She was supposed to be one of the first people to do the surgery with Dr. Harrington himself but she got cold feet and didn't do it.

She would tell anyone today that it was an awful call on her part. She actually has some difficulty breathing now at night because it's started to shift her rib cage around a little and she can't really find a good position to sleep in.

 
Out of curiosity given your user name, are you having the surgery done in Pittsburgh? If so, do you mind me asking where?

My wife had one back surgery at UPMC when we were dating (~8 years ago) and has to have another this July. (ETA - Doctor who is doing it moved to Allegheny General)

 
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Thanks for the well wishes everyone.

Nick - we live in FL so it won't be done in Pittsburgh.
There are 3 places that are thought to be solid for this right? Cooper in Dallas, Mayo, and St. Jude

I would consider travelling for this.

 
Thanks for the well wishes everyone.

Nick - we live in FL so it won't be done in Pittsburgh.
Got it. Well, best of luck for a positive outcome and a speedy recovery (even though you have some time to wait).

I will say that modern medicine is amazing these days. My wife had a tumor IN her spinal column that they removed through a tiny incision. Still amazes me to this day. Unfortunately it came back, and that's what they have to go get in July. Hope it goes equally as smooth.

 
Time for a bump since the surgery is less than one month away on 8/24. Given all her underlying issues she has gone through a bunch of tests to ensure she is capable of handling the surgery. A lot of blood work, MRI of the spine to rule out any abnormalities with the spinal cord which could be causing the kyphosis, a CT scan of her heart/cardiovascular system and she had to wear a heart monitor for 24 hours - all tests came back fine. We will meet with the surgeon one more time, she has one more CT scan of her spine so they can figure out the current configuration, and a hospital tour 3 days before surgery so we know what to expect and things like that, then the surgery.

She is really brave and says "its just a little surgery" while shrugging her shoulders - she is awesome. I'll bump again when the time gets closer, but thoughts and prayers can't start too soon.

 
Get a third opinion. I mean if she really needs it then by all means do it but it's seems like a pretty major surgery.

 
She, and your entire family, has my best wishes. I really hope it works out with the most positive outcome possible.

 
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This brought a tear to my eye, literally. I spend a lot of time traveling for work and don't get much time with my kids, but all are healthy at least...I hope everything goes well. T&P with your daughter, you, and your family.

 
Like the others I don't have any experience with this but thank you for sharing. The part about your daughter hoping to be taller then her sister is adorable/awesome.

If you so choose, please continue to share. FBGs is a special place with overwhelmingly great people and stories and life events like this really showcase that.

I think it's safe to say that we will all be rooting for you and her. I can't wait to read your posts a few weeks after the surgery and I hope more then anything that it makes her happy.

Good luck!

 
Medical science can really perform miracles these days. Get comfortable with the docs and then trust in their recommendations. Here's hoping that in a couple of years your daughter can't even recall life with back issues.

Good luck!

 
My wife has had 9 spinal surgeries and is fused from her sacrum to T-3 and also has three fused vertebrae in her neck. She had a car accident in 1987 at age 16 that completely disintegrated her lumbar vertebrae, so the first surgery was emergency trauma surgery. The next 2 surgeries occurred within the first year after the accident to stabilize her spine.

At that point, only her lumbar vertebrae were fused. Unfortunately, this led to scoliosis (severe S curve) and eventually to terrible, debilitating pain. Eventually, this led to the rest of the surgeries, which were all performed at Duke and Johns Hopkins, two pretty elite hospitals. Those surgeries never solved her problems, and may have made them worse (she would tell you they did). She has been disabled since 1998 and has had severe chronic pain ever since. At 43, she has no quality of life at all. She had approximately 9 years with a normal quality of life in between the initial surgeries and the start of her pain in 1998.

In 1998 when the pain started, we visited 4 orthopedic surgeons, including one at Duke. At the Duke appointment, a neurosurgeon also participated. So we got 4 opinions on what to do. 2 of them were to perform surgery, and 2 were to wait. Ultimately, we felt most comfortable with the Duke doctors, and they were on the side of waiting. While they recognized she was in pain, they said it did not appear that the pain was severe enough to justify the risks associated with the surgery. They recommended that we wait and come back when the pain reached a point that she couldn't take it any more. We did that, and had the first Duke surgery about 18 months later.

I realize this is anecdotal, but it has convinced me of 2 things.

1. Get a number of medical opinions before having major surgery. I recommend more than 2 opinions, and, like someone else said, I recommend traveling to see top quality doctors if possible. If you delay surgery, it always remains an option. Once you have surgery, it is done, there is no going back. You need to be sure.

2. Put off major surgery for as long as possible. From the way you describe the situation (no pain, no stated serious problems), it isn't clear why the specialists are recommending to go forward with surgery now. I hope the reasons are compelling, because they need to be.

Best of luck. We will include your family in our prayers.

 
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Thoughts and prayers for your daughter.

My wife just had her 2nd surgery on her back last Tuesday. She had another benign meningioma removed from her spinal chord. Same place as the one she had removed in 2007. Surgery went well, and she was up and walking a few hours after surgery. Pretty amazing what medicine can do. The scary part is that they apparently reappear often with pregnancy. We had our son 1 year ago...Now we're really nervous to have another kid as she has this to deal with, as well as really bad preeclampsia.

 
We met with the surgeon yesterday and the curvature has gotten a lot worse since they took the last measurement (currently ~110% curve). She will have rods from L4 to T2 and they expect to get 3% to 7% correction for each vertebrae they correct. The extreme curve means that she may not be straightened out completely, but it obviously won't continue to get worse.

The procedure will basically be to shave each vertebrae to make room to realign the spine, insert screws/brackets in each vertebrae, add the rods. The bone shavings will be used to help fuse the screws to the bone along with some synthetic material and probably cadaver bone fragments. A CT scan was also performed yesterday and that will help the surgeons determine which size screws to use. They will also use a CT scan during surgery to ensure the screws are inserted at the correct location, and it will also help them align the spine. They will also monitor her nervous system to ensure nothing goes wrong from that POV. Crazy, crazy #### that this is even a possibility.

Surgery is expected to take about 6 hours and she should be in the hospital for 5 or 6 days if everything goes well. The biggest risk (other than anesthesia and the general risks of surgery) is that the screws/rods don't fuse to the bone properly - additional surgery would be needed if that occurs. Pretty scary stuff and I wish I could do the surgery for her.

But she continues to be in good spirits. Today my wife told her that her new nickname should be "Joy" (from the inside out movie) because she is so happy all the time. My daughter responded - you should be called "Sadness" because you cried when we met with the surgeon... :lol:

 
Best of luck to your daughter and family. These are pretty involved procedures, but ones that are managed very closely.

An additional risk I assume they mentioned is the risk of blindness after surgery. Not to freak you out, but I want you to be informed that it does happen, very rarely fortunately, in these types of procedures.

 
Totally missed this.

My father just had surgery where they put rods in took out the vertebrae shaved it so it would fit back properly.

Good luck. I swear he's 2 inches taller :)

 
Nothing to add other then good luck and positive vibes for a full recovery and improved lifestyle.

My daughter is having her tonsils out next week and its freaking me out. I can only imagine what it is like for a procedure such as this.

My only other experience was with my father when he had a triple bypass a few years ago. I was totally freaked out over it, and ironically YouTube was the best thing. In researching the procedure, I found a few videos of the surgery and saw just how cool and routine the doctors handled it, it strangely put me at ease.

GL to you and your daughter

 
We had the pre-op visit today and everything is a go for Monday. We will get to the hospital at 5:30 AM and the surgery will start at 7:00 AM. They expect the surgery to take at least 6 hours and they will update us each hour on the progress. This weekend is going to be pretty much whatever she wants to do, what she wants to eat, whatever. I'll update next week when I can. Continued thoughts and prayers would be great!

 
Hope all goes well on Monday. Thoughts and prayers for your brave and courageous daughter.

My niece is 12 and might need surgery for scoliosis. She's in a brace now and if it doesn't correct the curves, she will have surgery.

 

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