Tranquil
29th Jan 2007, 20:27
I am looking for some advise if there's any orthopods out there.
10 months ago I suffered a burst fracture to T12. This was stabilised with pedicle screws into T11 and L1. One of the screws in T11 is mislpaced and impinges on the spinal canal. Last X ray (dec) still shows minimal healing of the multiple fractures to T12. Origional surgeon says just take all the metal out after 12 months. Two other surgeons both say that doing this with no other stabilisation risks collapse of the vertabrae. Both agree misplaced pin needs to be removed but one wants to install more scaffolding to reduce strain on the screws, this will be done via a posteriora approach. The other recomends a spinal fusion graft done anteriorally using a large piece of the illiac crest placed into the front of the 3 vertabrae. Problem is its my decision and I have 3 possible ways to go although take it all out and hope does not seem too bright.
Anybody know anything about this and any thoughts.
10 months ago I suffered a burst fracture to T12. This was stabilised with pedicle screws into T11 and L1. One of the screws in T11 is mislpaced and impinges on the spinal canal. Last X ray (dec) still shows minimal healing of the multiple fractures to T12. Origional surgeon says just take all the metal out after 12 months. Two other surgeons both say that doing this with no other stabilisation risks collapse of the vertabrae. Both agree misplaced pin needs to be removed but one wants to install more scaffolding to reduce strain on the screws, this will be done via a posteriora approach. The other recomends a spinal fusion graft done anteriorally using a large piece of the illiac crest placed into the front of the 3 vertabrae. Problem is its my decision and I have 3 possible ways to go although take it all out and hope does not seem too bright.
Anybody know anything about this and any thoughts.