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I went for a consultation with a surgeon today regarding pain that

has been intensifying past 6-8 months. I was fused for scoliosis in

1972, but my doctor used bone chips for the fusion, and did not use

Harrington rods. I was asking about flatback and the potential for

revision surgery. He was quite dismissive -- once you are fused, you

do not have pain from the fusion and no further improvement can be

made to the fused area he told me; you only have problems from the

unfused areas (I have bone on bone - little or no disc - between L4

and L5 and lots of degeneration in cervical and thoracic...don't yet

know extent).

This doctor said " flatback " (and he made finger quotes when he said

it) only really occurs in people with scoliosis who have had rods.

He did not address my questions about my forward-leaning posture,

some strange changes I'm noticing in my gait, and new intense pain in

my hips (except to say it was from the L4-L5 problem). He said I had

surgery in the " dark ages " and that people with scoliosis just have

lifelong issues with it.

So - my question: is flatback syndrome something that is only

treated when a person with scoliosis has rods? Even though I have no

lordotic curve, are all my problems (and the pain is getting to me

the past half-year) just related to degeneration, not flatback? Does

this warrant a second opinion (not likely with my insurance)?

Any advice or information would be so much appreciated.

Chappell

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