Doctors Lounge - Orthopedics Answers
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Forum Name: Bone trauma and fractures
|trdavis222 - Fri Nov 14, 2008 12:07 pm||
I had neck surgury last November (11th of 2007). They took a piece of my hip bone and fused my C4/C5 vertabras. Recovery has been very slow and I have been on multiple pain killers the entire time. I have been seeing my doctor every couple of months and my bone is not growning and the hardware is now comeing loose (one screw is loose). He is talking about another surgury, but I am very concerned why I am not having any new bone growth. I am 34 years old and a non smoker. I have expressed my concern to my doctor and he doesn't know why I am not growing any bone. Should I be alarmed that not only is the pain not gettting any better, but I am unable to heal from this type of surgury? It is throwing up a red flag and I want to know why.
Any help or direction to what questions I need to ask or where I need to look for any answers would be helpful.
|Tom Plamondon PA-C - Wed Dec 10, 2008 6:46 pm||
One question that comes to mind is the cervical bone quality (which could be assessed during the operation) and the alignment of the cervical spine post operatively.
This would be starting points for assessing why the spine has not fused and why the screws are slipping out.
Other questions to address are the general state of the cervical spine pre operatively and what were the expected outcomes (pain relief, movement). Of course your neck is not near expected outcome but how severely damaged was the next before surgery.
How was the rehab?
Often times the levels above and below the fusion site become hypermobile and arthritc and may degenerate. How are these levels?
Talk through these things with the orthopedist and perhaps ask for a second opinion.
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