Spinal fusion: Hardware removal

Posted by zorrospouse @zorrospouse, Aug 13, 2019

I had spinal surgery on L2 to S1 six years ago and am facing removal of hardware due to failure of fusion and placement. Has anyone had similar promblem?

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@zorrospouse

Hardware being replace with rods and attempting fusion again.

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I had L3,4 and 5 hardware removed it was 14 years old I developed scoliosis and had it taken out and had a cage put in it places and scoliosis surgery
done from bottom of neck all the way to tailbone and pelvis two months ago .

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@lylaaaa

I was in a car accident and fractured several vertebrae in my thoracic spine, including a T6 burst. Fused T2-T10 in 2012.
Pain was unbearable for years and never improved.
In 2017, I got all the hardware removed. Every single piece of it. Not replaced, not revised, completely removed. It IS possible.
Realistically, your pain will not disappear. You will still have bad days and worse days.
For me, though, on a good day my pain is about 50-80% less than it was. Even my bad days and awful days (which are fewer and farther between) are nowhere near the pain I experienced before getting the hardware removed.
I searched for a couple of years for info on hardware removal but the internet is not always your best option. This was my process:
I found a new primary care doctor within a large medical system (Houston Methodist) with several hospitals and clinics in my region, so that all my medical info would be portable and easily accessed by all my doctors.
I went to see her and said simply and clearly, “I want to talk to a surgeon about hardware removal.” She did some digging and referred me to an orthopedic surgeon. I told him the same thing, answered all his questions regarding my pain, and he agreed it was a viable option.
The insurance company insisted on a procedure to make sure it would work. I was referred to a pain management doctor who gave me numbing injections at every level of my fusion. I had to rate my pain levels for a week before and a week after.
They required a 30% reduction in overall pain levels to cover the surgery.
A few weeks later, I had the surgery! I was warned in advance that they might get in there and see that some or all of the hardware was still necessary, or would be unable to be removed. Luckily, that didn’t happen. All the hardware was removed. Surgery took about an hour!

It was absolutely the single best decision I have ever made. Am I still in pain? Absolutely. Is it anywhere near the kind of pain I experienced daily before the removal? Not even close.
Hardware can removed about a year after fusion, but there is a point at which it can no longer be removed. I recommend seeing a surgeon sooner rather than later. If your doctor says no, go see another!

PS: edited to add, I asked my doctor if I could keep the hardware. Took some convincing but he agreed. I’ve attached a photo of it.

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Thank you very much for the information you posted, very encouraging.
If I may ask, how long after removal was your full recovery took?

Thanks in advance for your response.

Vince

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@cgmc

Hi. I had a long fusion, T4-L3, and was quite thin at that time. The hardware was giving me a lot of pain, and after a period of pain meds, rest, and PT, my doc decided to remove all the hardware. This was over a year post surgery, and my fusion was healed/ intact. I wouldn’t recommend a second surgery unless it is absolutely necessary, as spine surgery is major. I guess the question would be, why did the fusion fail for you?

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I have had 3 back surgeries. I live in constant pain in thoracic area. I have had T3 thro L3 fused. Doctor suggest removing hardware. Did you remove hardware and are you pain free ? Was recovery rough?

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@JustinMcClanahan

@zorrospouse, I'd like to invite back @cgmc who had discussed a scoliosis fusion and hardware removal. I'd also like to invite a few members who discussed having hardware removed from hip surgery, although it is not the same injury type, they may be able to share their experience with having surgery to remove hardware that perhaps has some similar experiences. @rlwilliams, @clca, and @skronky100 discussed having hardware removed after tibial fractures.

@zorrospouse, has your surgeon discussed with you what your next steps are after removal of the hardware?

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Has anyone had their hardware removed ? I feel the hardware and I am very thin. I have had 3 back surgeries. I am in pain all day and night in thoracic area. Fused T3 through L3

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@lucille409

I have had 3 back surgeries. I live in constant pain in thoracic area. I have had T3 thro L3 fused. Doctor suggest removing hardware. Did you remove hardware and are you pain free ? Was recovery rough?

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@lucille409 I'm sorry you are is so much pain. All surgeries create scar tissue which gets tight and can pull on muscles and nerves creating pain. If you go through another big surgery, it creates more scar tissue. What if you could relieve some pain and avoid another surgery?

You might be interested in trying some physical therapy to loosen the tight scar tissue called Myofascial Release to see if you can relieve some of the pain. Here is a discussion where you can learn more. I have done this a lot and benefited. There is a provider search at http://mfrtherapists.com/

Neuropathy - "Myofascial Release Therapy (MFR) for treating compression and pain"
https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/

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