Re: fusion and feet placement

[Guest guest]

IHi, Marty,

I think fusion to the sacrum changes one's gait.

Bonnie

[ ] fusion and feet placement

Hi All, I have yet to see this topic, so that I'd go ahead and ask... Does anyone know if when they do posterior stage, if it matters how your feet are "aimed" while laying face down? Don't think I am crazy, but ever since my (failed) revision, I noticed almost immediately that my feet toed-out excessively when I walk or lay down. I don't know the dynamics of the hip/sacram area - if how they fuse or attach hardware would cause this. I only know that I definately "walk like a duck" now, and I never did before. Just curious if anyone had this experience or has asked their doctor if it matters if feet toe out during fusion or if doctors make sure legs are not rotated outward during surgery? Hope this makes sense. Marty

[Guest guest]

Hi Marty,

My left foot turns out when I walk. No one mentioned it while I was

in therapy directly after surgery but it does it now. My left knee

turns in when I ride my bike and I have to constantly think of my

left foot to make sure it doesn't slip off the pedddle. I don't know

why this is happening and neither does my surgeon.

Joyce E

>

> Hi All, I have yet to see this topic, so that I'd go ahead and

ask...

> Does anyone know if when they do posterior stage, if it matters

how

> your feet are " aimed " while laying face down? Don't think I am

crazy,

> but ever since my (failed) revision, I noticed almost immediately

that

> my feet toed-out excessively when I walk or lay down. I don't

know

> the dynamics of the hip/sacram area - if how they fuse or attach

> hardware would cause this. I only know that I definately " walk

like a

> duck " now, and I never did before. Just curious if anyone had this

> experience or has asked their doctor if it matters if feet toe out

> during fusion or if doctors make sure legs are not rotated outward

> during surgery? Hope this makes sense. Marty

>

[Guest guest]

Hi Marty....

You should ask your surgeon to be sure, but I believe that most

hospitals place the patient in a position with their feet facing down.

I scanned a portion of a section of the book " Spinal Deformities The

Comprehensive Text " that discusses the topic:

http://www.scoliosislinks.com/PatientPosition.jpg

Regards,

>

> Hi All, I have yet to see this topic, so that I'd go ahead and ask...

> Does anyone know if when they do posterior stage, if it matters how

> your feet are " aimed " while laying face down? Don't think I am crazy,

> but ever since my (failed) revision, I noticed almost immediately that

> my feet toed-out excessively when I walk or lay down. I don't know

> the dynamics of the hip/sacram area - if how they fuse or attach

> hardware would cause this. I only know that I definately " walk like a

> duck " now, and I never did before. Just curious if anyone had this

> experience or has asked their doctor if it matters if feet toe out

> during fusion or if doctors make sure legs are not rotated outward

> during surgery? Hope this makes sense. Marty

>

[Guest guest]

- LOL! Lordy, lordy, those pics were a " visual " I hadn't quite

contemplated! Or to quote one Austin Powers movie, " Holy MOLE-Y " !

I've TOTALLY forgotten about my FEET for the moment! BIG SMILES, Marty

--- " Racine " <linda@...> wrote:> Hi Marty....

You should ask your surgeon to be sure... I scanned a portion of a

section of the book " Spinal Deformities

http://www.scoliosislinks.com/PatientPosition.jpg

>Regards,

[Guest guest]

Joyce, Well, I do think it is " curious " , 'cos even when I lay on my

back in bed, I feel like my feet aim out more than they used to.

--- " Joyce Edmonds " <bichon4me@...> wrote: Hi Marty,

My left foot turns out when I walk...

[Guest guest]

, Ok, I stopped laffing and looked at pix again. Considering that

my surgeon did anterior (first) and posterior stages both in same day,

I wonder how they turned me over from such positioning. Unfortunately,

I am " doctorless " at the moment. So, I am pondering about mechanics of

hip area... It just seems like hips were " flattened out " , like my legs

rotate out in hip sockets now. Wish I had a little spine column model

to look at, to see where things flex. Thanks for reply, Marty

--- " Marty T4 to S1 " <mstar2@...> wrote: - LOL! Lordy, lordy,

those pics were a " visual " I hadn't quite contemplated! Or to quote

one Austin Powers movie, " Holy MOLE-Y " ! I've TOTALLY forgotten about

my FEET for the moment! BIG SMILES, Marty

>

> --- " Racine " <linda@> wrote:> Hi Marty....

> You should ask your surgeon to be sure... I scanned a portion of a

> section of the book " Spinal Deformities

> http://www.scoliosislinks.com/PatientPosition.jpg

> >Regards,

>

[Guest guest]

I'm pretty sure one article I read on flatback says that under no

circumstances should a patient be placed in the 90/90 position for surgery.

I would guess this means with both the hips and knees at a 90 degree angle,

as one patient in that book appears. That position makes the lumbar spine

flatten out. I suspect those photos are pretty old.

Sharon

[ ] Re: fusion and feet placement

> , Ok, I stopped laffing and looked at pix again. Considering that

> my surgeon did anterior (first) and posterior stages both in same day,

> I wonder how they turned me over from such positioning. Unfortunately,

> I am " doctorless " at the moment. So, I am pondering about mechanics of

> hip area... It just seems like hips were " flattened out " , like my legs

> rotate out in hip sockets now. Wish I had a little spine column model

> to look at, to see where things flex. Thanks for reply, Marty

>

> --- " Marty T4 to S1 " <mstar2@...> wrote: - LOL! Lordy, lordy,

> those pics were a " visual " I hadn't quite contemplated! Or to quote

> one Austin Powers movie, " Holy MOLE-Y " ! I've TOTALLY forgotten about

> my FEET for the moment! BIG SMILES, Marty

>>

>> --- " Racine " <linda@> wrote:> Hi Marty....

>> You should ask your surgeon to be sure... I scanned a portion of a

>> section of the book " Spinal Deformities

>> http://www.scoliosislinks.com/PatientPosition.jpg

>> >Regards,

>>

>

>

>

>

>

>

>

> scoliosis veterans * flatback sufferers * revision candidates

>

[Guest guest]

Hi Sharon...

Could be, but the book was published, for the first time, a few years ago.

--

>I suspect those photos are pretty old.

>

> Sharon

[Guest guest]

That's interesting, .

I suppose that position could be used for some types of back surgery where

there isn't a risk of creating flatback.

Sharon

[ ] Re: fusion and feet placement

Hi Sharon...

Could be, but the book was published, for the first time, a few years ago.

--

>I suspect those photos are pretty old.

>

> Sharon

scoliosis veterans * flatback sufferers * revision candidates

[Guest guest]

Hi Sharon...

It just dawned on me what you were talking about. The picture at the

bottom of the page I scanned is a patient positioned for a lumbar

decompression. It's the top picture that shows the correct position

for a fusion.

Regards,

>

> I'm pretty sure one article I read on flatback says that under no

> circumstances should a patient be placed in the 90/90 position for

surgery.

> I would guess this means with both the hips and knees at a 90 degree

angle,

> as one patient in that book appears. That position makes the lumbar

spine

> flatten out. I suspect those photos are pretty old.

>

> Sharon

[Guest guest]

Oh, ok, thanks, . Come to think of it, I wish they would have put me

in that position (or more flexed) for the myelogram injection. It might

have made insertion a lot easier.

Sharon

[ ] Re: fusion and feet placement

> Hi Sharon...

>

> It just dawned on me what you were talking about. The picture at the

> bottom of the page I scanned is a patient positioned for a lumbar

> decompression. It's the top picture that shows the correct position

> for a fusion.

>

> Regards,

>

>

>

>>

>> I'm pretty sure one article I read on flatback says that under no

>> circumstances should a patient be placed in the 90/90 position for

> surgery.

>> I would guess this means with both the hips and knees at a 90 degree

> angle,

>> as one patient in that book appears. That position makes the lumbar

> spine

>> flatten out. I suspect those photos are pretty old.

>>

>> Sharon

>

>

>

>

>

>

>

>

> scoliosis veterans * flatback sufferers * revision candidates

>

[Guest guest]

Hey Bonnie, That does seem to be the case for me. I do know that

years ago, when I was in a mother/daughter fashion show, I was told I

had an unequal gait (taking longer stride with my right leg). Now,

when I am laying down stretching my hip flexors, I try to

add " rotating toes-in " to my routine. Have a great day, Marty

-- " Bonnie " wrote: Hi, Marty, I think fusion to the sacrum changes

one's gait. Bonnie

[Guest guest]

---Dr.Rand told me before my surgery that my step would be

shorter...and he was correct..it has been odd for me to get used to

because I had such a long step before surgery.., PA

In , " Bonnie " <bonnie@...> wrote:

>

> IHi, Marty,

>

> I think fusion to the sacrum changes one's gait.

>

> Bonnie

>

>

> [ ] fusion and feet placement

>

>

> Hi All, I have yet to see this topic, so that I'd go ahead and

ask...

> Does anyone know if when they do posterior stage, if it matters

how

> your feet are " aimed " while laying face down? Don't think I am

crazy,

> but ever since my (failed) revision, I noticed almost immediately

that

> my feet toed-out excessively when I walk or lay down. I don't

know

> the dynamics of the hip/sacram area - if how they fuse or attach

> hardware would cause this. I only know that I definately " walk

like a

> duck " now, and I never did before. Just curious if anyone had

this

> experience or has asked their doctor if it matters if feet toe

out

> during fusion or if doctors make sure legs are not rotated

outward

> during surgery? Hope this makes sense. Marty

>

>

>

>

>

>

> scoliosis veterans * flatback sufferers * revision candidates

>

>

>

>

[Guest guest]

---..I am glad I viewed these after my surgery....YIKES!! Is that

what I looked like?? Oh , my, scary stuff!!!

,PA

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

wrote:

>

> Hi Marty....

>

> You should ask your surgeon to be sure, but I believe that most

> hospitals place the patient in a position with their feet facing

down.

> I scanned a portion of a section of the book " Spinal Deformities

The

> Comprehensive Text " that discusses the topic:

>

> http://www.scoliosislinks.com/PatientPosition.jpg

>

> Regards,

>

>

>

> >

> > Hi All, I have yet to see this topic, so that I'd go ahead and

ask...

> > Does anyone know if when they do posterior stage, if it matters

how

> > your feet are " aimed " while laying face down? Don't think I am

crazy,

> > but ever since my (failed) revision, I noticed almost immediately

that

> > my feet toed-out excessively when I walk or lay down. I don't

know

> > the dynamics of the hip/sacram area - if how they fuse or attach

> > hardware would cause this. I only know that I definately " walk

like a

> > duck " now, and I never did before. Just curious if anyone had

this

> > experience or has asked their doctor if it matters if feet toe

out

> > during fusion or if doctors make sure legs are not rotated

outward

> > during surgery? Hope this makes sense. Marty

> >

>