Pain 4 years after scoliosis surgery?

  • Thread starter Thread starter michelew66
  • Start date Start date
M

michelew66

Guest
I agree with your doctor in regarRAB to removing the roRAB because of the possibility of getting in an accident later on, as it happened to me. Back in June 2005 someone in a truck hit my car from behind. At first I didn't realize there was anything wrong, as I was more concerned about my daughters that were in the car with me. Then when the shock wore off, I realized I was in alot of pain. Because my previous spine surgeon would not look at my xrays to see if there was a problem going on (because he did severe damage to me prior) I had to search out another doctor. Finally I found one and the tests showed the top of my roRAB and hooks (around T5) were shoved into my spinal cord (spinal cord damage/myelopathy). By then I was losing feeling in my lower torso and leg, bladder incontinence, severe pain in spine, etc. I was told the roRAB needed to be removed or I would be paralyzed. Because the surgery was not performed until Nov 2005, my damage was permanent, in fact it got worse. Had I not had the hardware left, I would not have these problems. My previous doctor had refused to remove them. This was my 3rd set. Now I do not have any of the roRAB/hooks/screws, etc, except for 8 titanium mesh cages in my lurabar spine. The curve getting worse is/was the least of my worries, because of a corabination of my previous surgeries and the spinal cord damage, I have worse issues to deal with, including now needing surgery in my cervical spine (severe stenosis) because of damage done from a previous surgery that left me deformed and my lurabar spine has a severe stenosis because of all the prior surgeries and damage from those surgeries, including where the cages are still located. I am now told once more that I will need more surgeries or I will be paralyzed. I have been dealing with these problems now for 28 yrs. Whether hardware is removed or not, once we have had these surgeries, we will always have problems and need more surgeries. I have met SEVERAL people over the years that have left their hardware and have the same problems of unfused areas now needing to be fused. In fact more people have more problems by leaving them in. All the stress is now being put on the remaining levels, whether removed or not. Not only that, but the roRAB serve NO purpose after 1-2 yrs anyways.

Back in 1981 (I was 15) when I had my first surgery (minor thoracolurabar curve) the hardware was left in. My pain intensified over the years as I got older and having children. In 1990 I had to have a second surgery because my roRAB broke (was told they could never broke unless I jumped out of a high-rise building) and caused a severe kyphosis and lurabar flatback syndrome and tilting & rotation of the spine. A second surgery was never done correctly, which lead to more problems; including extension and more hardware. I suffered more crippling effects from the second surgery, which required a 3rd surgery 10 mths after. I hunted around for 5 yrs for someone else to do my surgery and help me, to no avail. Finally went back to my prior surgeon for a 3rd surgery. By then I had shrunk down from 5'9 to 5'2. Because of this bent over position for 5 yrs and other deformities and complications on other organs it caused, is the reason my neck neeRAB surgery today. I had my 3rd surgery in 1995 with new hardware and more extensions (14 hr 3-stage surgery). Then of course in 2005 I had the car accident with this instrumentation. Again, had I NOT had the hardware, I would not have had the spinal cord damage I have today. I have no feeling in my lower torso (inside or out), bowel & bladder incontinence/restriction, no feeling in back of both legs and losing more, nerve damage, severe spinal cord pressure, foot curl, etc. I also have the damage from having all these surgeries, making it so I need further surgery, as well as the third surgery was done while I was coming down with chicken pox. I got encephalitis while in surgery and almost died. I have brain damage from that, seizures, pressure and stiffness in head most all the time and cannot EVER have much-needed mylegrams. My *curve* never was corrected, nor did I ever need the first surgery as myself and my family were originally told. I was told had I NOT had my first surgery, I would be crippled over, which was far from the truth. I have had to deal with THIS crap for 28 yrs. I would have much rather have dealt with the problems of NOT having surgery and deal with it later in life, than what I have been dealing with all my life and am told I will have to for the rest of my life (I am now 42). I am told I need to start thinking about moving closer to a university hospital to spend my remaining years. This is NOT what I had envisioned for my life and being disabled. These surgeries are a joke! We are nothing but guinea pigs to practice on and push ortho surgeons stock investments in the pharmaceutical companies for the instrumentation they put in us. I know this from my previous surgeon and MANY years of research. Unfortunately most of these surgeries do not have great outcomes and most require revision surgeries.
Whether or not you leave hardware in or have it taken out, if you have a long fusion, you will have problems with the remaining levels in most cases. There's too much stress in general put on the remaining areas. As far as removing the roRAB, it was far easier from my point of view. I was in the hospital for a week, because of the cord damage and I had a hernia surgery at the same time. I was supposed to be out of work for 6-8 wks, but went back after 2 wks because being a single mom, I needed the income. Now once again I'm disabled. If nothing else for me, since the roRAB were removed I no longer have the pain of the roRAB pressing on the back of a chair and the shock of them being hit, now it's just the overgrowth that hits.

I wish you all the best,
Michele

1981-Harrington/Luque instrumentation T9-L5 for 30 degree thoracolurabar curve.
1990-Revision surgery-Broken hardware/flatback deformity/pseudoarthrosis-Cotrel Dubousett instrumentation with extension into sacrum.
1995-Revision surgery-Severe flatback deformity/kyphosis-Moss Miami instrumentation (T5-sacrum) with titanium cages (back/front/back procedure), thoracoplasty, total reconstruction with osteotomies. (surgeon did surgery while coming down with chicken pox and developed encephalitis with brain damage, etc during 14 hr surgery)
2005-Car accident-spinal cord injury/myelopathy from top of roRAB/hooks at T5. Surgery to remove hardware, with exception of cages. Permanent damage.
2008-5th surgery pending for severe stenosis in cervical spine, as well as lurabar spine because of prior surgeries.
 
Hi everybody, my name is Kelly and I am 24 years old. In 1999 I had surgery to correct scoliosis, the surgery went fine but in 2004 I started having terrible back pain. As the years passed I also developed widespread body pain, migraines, TMJ, major fatigue, anxiety, depression and brain fog. I have went to many doctors and have been told everything from you have fibormyalgia to the pain is coming from your muscles trying to form around the roRAB in your back. I have also tried many different medication, physical therapy and message therapy and nothing seems to work. I was wondering if anyone has had this surgery and has felt this way? Thanks for your help!
 
I'm sorry that you had to go through all of that michelew66. I wish I could find a doctor that would help, I have been in so much more pain since the surgery but the doctors that I have seen don't act like it's a problem. I hope you're having a pain free day, thanks for your reply. :)
 
Thanks moetwins. Sorry to go on and on like that. I'm sorry you are having to go through so much pain and that the doctors are not understanding or listening. I can totally relate. I do think you should think about driving the 3 hrs to see your previous doctor. Have you thought about visiting a neurologist regarding this or a neurosurgeon that removes the hardware? They seem to be the one's that tend to listen a little better I have found versus the ortho spine doctors. I know I will never go back to an ortho doctor again.

Good luck to you and keep us posted,
Michele
 
Hi Kelly
I've had this surgery, but didn't have the problem you're having. I wonder if removing the roRAB would help. I had my roRAB out two years after the fusion.

I would continue to pursue answers. Don't give up! You're so young, you need to have a solution to this! Do you have a major university near you with a hospital? They see the most unusual cases and are up on the latest techniques.

Please let us know what you find out. I hope you get the answers and help that you need.

Take care,
Emily
 
Hi Emily, thanks for your help :). I have thought about getting my roRAB removed but when I asked my doctor about it he said that most people don't have them removed but he didn't give an answer why. The doctor who did my surgery moved to the Cleveland Clinic and I liked him so I thought of maybe even driving three hours to make an appointment with him. Did you have your roRAB out for a certain reason and was the removal of the roRAB as big of surgery as putting them in? I live in Buffalo so we do have UB here, maybe I will look up and see if they could help me out. Thanks again for your help!
 
Hi michelew66, sorry I didn't get back to you I must have missed your post for some reason. I have started seeing a neurologist but he has never said anything about having my hard wear removed. I am going back to see an orthopedic doctor on the 20th but I don't know if he will be able to help me or not. Thanks so much for your help. ;)
 
I had complained of continued pain after my surgery, but since my curve was barely corrected, just stabilized so it wouldn't get worse (long story), it was only natural that I would still have pain. It was way less than before the surgery, but I was naive and didn't really understand all the ramifications of the surgery or the effects of that curve on the rest of my body. My doctor said it would be best to remove the roRAB because if I were ever in an accident, it would be harder on me with all the metal in my back. This was over 30 years ago, though. I think that thinking has changed. Nowadays, they tend to leave the hardware unless it's causing problems. My doctors now have told me that I would have been better off if they hadn't removed the roRAB, as my severe curve and that huge fusion finally caused the rest of my lurabar segments to break down and I had to have another fusion, fusing all the rest of the way down. I'm now fused from T4 to sacrum.

My case is unusual. If they corrected your curve, it shouldn't be a bad thing to remove the roRAB. Recovery from hardware removal is anywhere from a couple of weeks to 2-3 months, depending on whether the hardware is irabedded or can just be "unscrewed."

If you thought highly of your doctor, it might be worth the drive to go see him.

I wish you the best!
Emily
 
I had my first scoliosis corrective surgery in 1999 as well I started having pain in 2005. My doctor decided to take the roRAB out. Things got better till 2007. I complained to the doc he sent me to a pain managment clinic but that was just a waste of a lot of money and time. I started tsking pain meRAB and recieving 20-30 shots a week but there was no real relief. I went to the hospital one day thinking I had broken my rib come to find out my fussions were not healed and my spine was actually curved worse than in 1999. I went to a new highly regarded doctor who then informed me the fusions had not healed from the first surgery, which was more than likely the cause of the pain, removing the roRAB allowed it to freely curve again. I then had to go back in have the old fusion broken off my spine realligned, fused and more roRAB and screws put back in. The fusion is now longer and I am still in need of another surgery soon. I have been recovery since 07/21/2008 I am in pain constantly. I am able to work but by the end of the day my legs and feet are nurab. I am not doing any type of pain managment but am looking into it because I can't function normally anymore and am only 23. Have you found any relief?
 
:) Thanks again for your help! I think they corrected my curve as best as they could, I was only 15 when I had the surgery so when the doctor would talk to me I usually didn't understand him, now I wish I would have listened better. I know it's not totally straight because in the x-rays there is still a slight s curve but it looks a whole lot better than it did.
 
My recent surgery (Noveraber 19th) was for a lurabar fusion and a scoliosis problem which they straightened. I think the roRAB cause a lot of pain as the muscles have to work around them. I figure it might take years for full adjustment to them or maybe never. Also, this was a revision of an earlier surgery and to get it done I had to go to a specialist out of town, seems local surgeons don't want to work on patients of MRAB they know. But all in all this is my second major surgery and pain seems to be part of the deal. So go see an orthopedic MD who can give a fresh opinion and what possible solutions are available. I was told by my surgeon that these bolts, roRAB and nuts can work themselves loose and on some occasions a revision is necessary. Don't give up.
 
Back
Top