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Hi Annette!

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Glad you found the group - as I said, it is a great resource. Please

don't hesitate to call or drop me an email if you have any more

questions.

Donna

>

> -Dear Cam,

>

> Great explanation! I know its an old post but very well done.

> I'm new to all of this and only feel overwhelmed and so deeply

afraid.

> I left Dr. Errico at NYU Hospital last Thursday with him telling

me " you know I need to fix

> you. "

> I'm still in shock.

>

> Thank you.

> Annette

> >

> > Hi Amy,

> >

> > Welcome to the group.

> >

> > Your question about what constitutes revision surgery is a little

broad

> > actually. As a medical term, it simply mean the revision of any

> > previous surgery. So, for example, someone who has had a prior

hip

> > surgery can have a " revision " if further intervention is required.

> >

> > In the case of our particular group, we speak of " revision " for

those

> > of us who have had prior scoiosis surgeries, with our groups main

focus

> > being on those who have developed a condition known as flatback

or

> > fixed sagittal imbalance. We also have members who have not

developed

> > this partiular malady, but instead suffer from other effects of

their

> > earlier scoliosis surgeries and require a revision anyway.

> >

> > From the groups start page we have this information on those

topics:

> >

> > " Flatback deformity is a loss of normal lumbar lordosis, or

curve. The

> > medical term for this is fixed sagittal imbalance. Flatback

typically

> > develops when there has been a posterior spinal fusion with

distraction

> > instrumentation (ex: Harrrington rod). It is often accompanied by

> > degeneration, instability, and stenosis. Most people also

experience

> > fatigue and muscle pain. A leaning forward posture, or

being " bent

> > over " is typical.

> >

> > Often this leads to revision surgery, which includes

instrumentation

> > and augmented fusion. Typically this reduces and stabilizes the

> > flatback deformity and reestablishs balance. With proper

selection of

> > technique for each individual patient's spine, a qualified and

skilled

> > surgeon may improve the patient's pain, quality of life, and

functional

> > capacity. This is not an operation to be entered into lightly. "

> >

> > Taking that information one step further often depends on what

each

> > indiviual circumstances may be. Many times revision will require

> > extending the fusion to the sacrum, removal of all, or part, of

the

> > prior instrumentation and placing new implants (rods, cages,

> > screws/bolts). The most critical portion of the surgery involves

> > reestablishing your lordosis (your backwaist) and making sure

that your

> > are balanced....since once this fusion is over the patient will

be

> > permanently " married " to this stance. The reseach shows

that " balance "

> > is the number one factor that determines if a patient will be

satisfied

> > with the effects of this surgery, in the long run.

> >

> > Where are you at in your " journey " and are you suffereing the

effects

> > of a prior scoliosis surgery?

> >

> > Take Care, Cam

> >

>

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Thanks for spending time talking to me.

I just need a little time to get used to the idea that I have to do this all

over again.

My head is spinning with questions and my emotions are off the wall just need

some time to digest this all before I can ask any real educated questions.

Thanks

Annette

Regional Commissioner

Marine Park Soccer AYSO 266

PO Box 340591

Brooklyn New York 11234

718-692-0008

www.marineparksoccer.org

> From: dturovac <dturovac@...>

> Subject: [ ] Hi Annette!

>

> Date: Thursday, November 20, 2008, 1:56 PM

> Glad you found the group - as I said, it is a great

> resource. Please

> don't hesitate to call or drop me an email if you have

> any more

> questions.

>

> Donna

>

>

>

> >

> > -Dear Cam,

> >

> > Great explanation! I know its an old post but very

> well done.

> > I'm new to all of this and only feel overwhelmed

> and so deeply

> afraid.

> > I left Dr. Errico at NYU Hospital last Thursday with

> him telling

> me " you know I need to fix

> > you. "

> > I'm still in shock.

> >

> > Thank you.

> > Annette

> > >

> > > Hi Amy,

> > >

> > > Welcome to the group.

> > >

> > > Your question about what constitutes revision

> surgery is a little

> broad

> > > actually. As a medical term, it simply mean the

> revision of any

> > > previous surgery. So, for example, someone who

> has had a prior

> hip

> > > surgery can have a " revision " if

> further intervention is required.

> > >

> > > In the case of our particular group, we speak of

> " revision " for

> those

> > > of us who have had prior scoiosis surgeries, with

> our groups main

> focus

> > > being on those who have developed a condition

> known as flatback

> or

> > > fixed sagittal imbalance. We also have members

> who have not

> developed

> > > this partiular malady, but instead suffer from

> other effects of

> their

> > > earlier scoliosis surgeries and require a

> revision anyway.

> > >

> > > From the groups start page we have this

> information on those

> topics:

> > >

> > > " Flatback deformity is a loss of normal

> lumbar lordosis, or

> curve. The

> > > medical term for this is fixed sagittal

> imbalance. Flatback

> typically

> > > develops when there has been a posterior spinal

> fusion with

> distraction

> > > instrumentation (ex: Harrrington rod). It is

> often accompanied by

> > > degeneration, instability, and stenosis. Most

> people also

> experience

> > > fatigue and muscle pain. A leaning forward

> posture, or

> being " bent

> > > over " is typical.

> > >

> > > Often this leads to revision surgery, which

> includes

> instrumentation

> > > and augmented fusion. Typically this reduces and

> stabilizes the

> > > flatback deformity and reestablishs balance. With

> proper

> selection of

> > > technique for each individual patient's

> spine, a qualified and

> skilled

> > > surgeon may improve the patient's pain,

> quality of life, and

> functional

> > > capacity. This is not an operation to be entered

> into lightly. "

> > >

> > > Taking that information one step further often

> depends on what

> each

> > > indiviual circumstances may be. Many times

> revision will require

> > > extending the fusion to the sacrum, removal of

> all, or part, of

> the

> > > prior instrumentation and placing new implants

> (rods, cages,

>

>

>

> > > screws/bolts). The most critical portion of the

> surgery involves

> > > reestablishing your lordosis (your backwaist) and

> making sure

> that your

> > > are balanced....since once this fusion is over

> the patient will

> be

> > > permanently " married " to this stance.

> The reseach shows

> that " balance "

> > > is the number one factor that determines if a

> patient will be

> satisfied

> > > with the effects of this surgery, in the long

> run.

> > >

> > > Where are you at in your " journey " and

> are you suffereing the

> effects

> > > of a prior scoliosis surgery?

> > >

> > > Take Care, Cam

> > >

> >

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