My journey with a T11 to L4 spinal fusion - 40 degree scoliosis curve

Posted by sherrym25 @sherrym25, Nov 7, 2024

Hi, I am scheduled for an L4 to T11 spinal fusion for my 40 degree scoliosis curve on December 11 2024.

Looking for feedback or advice for recovery from anyone who has had a similar surgery!!

I very active, with an “almost” teenager, and I ride horses.

Thank you!!

Interested in more discussions like this? Go to the Spine Health Support Group.

Profile picture for vikkitennis @vikkitennis

The SCS was removed mid-March.
I have felt well, with sitting in a car, driving the worst. I do realize, sitting in a car has improved.
I also am trying myofascial release PT.

Jump to this post

@vikkitennis I’m happy to hear you’ve had some improvement with sitting in the car. I have not had to do the myofascial release at this point, but I know Jennifer is a proponent. Have you noticed a difference with it yet?

REPLY
Profile picture for sassytwo @sassytwo

Yes, I am pleased. I had a fusion from T12-S2. Stenosis and slipped disc, and scoliosis. I still feel very much a back patient, and only 6weeks into PT. The cage feeling is gone, but I still feel muscle tension and tenderness. I still love to lay on heating pad.

Walking again is such a gift as is simply standing to cook or talk in the hall.... the stuff we used to take for granted.
I walk over 3 miles a day now. And on vaca.....increased to 4-6, but I felt it by the end of the week.

I went for a 2nd swim for 15 minute (Treading water in the deep end). It felt great, but felt it the next day. As my PT says, increase in 5% increments. Slow progress but still progress.

I am optimistic, I will continue to heal, but I am back to a pretty normal life. Do not do much lifting or cleaning. I will never give up my paid housekeeping. 🙂

The people I talked to on this site that had similar surgeries, both stated it does take a year to truly feel "normal". And two years out back to some sports etc.

Hope this info is helpful.

Jump to this post

@sassytwo you sound like me! I swam last week and overdid it a little, but I have to say, after I got over the extra soreness, it made me feel better a few days later. My therapist has been massaging my back each session to loosen up my muscles. They were solid as a rock when I first started but she’s been slowly loosening them up and helping them to engage in my day-to-day activities.
I too love my heating pad and my big gel ice packs. There are days that I prefer one over the other 😊
I actually do a lot of lifting as I have horses and dogs and cats and everything that goes along with that. And in talking with my therapist, as long as I keep the weight close to my body and don’t lean over and put that stress on my lower back, I am good.
I am so thrilled at how much better I have felt over the past couple weeks! I know everyone heals at different rates, but this seems to be the tipping point for me and I am so excited for every week in the future!
I say this, with the hope that it gives others encouragement for their healing❤️🙏

REPLY
Profile picture for sherrym25 @sherrym25

@vikkitennis I’m happy to hear you’ve had some improvement with sitting in the car. I have not had to do the myofascial release at this point, but I know Jennifer is a proponent. Have you noticed a difference with it yet?

Jump to this post

We flew from Portugal to Boston to Phoenix, and I didn’t have the lower spine problems as before; the test will be in July, when we take two car trips to California, Last year, I was screaming after 1 hour.
However, I am taking a low-opiate buprenorphine at 25 mg for a condition associated with RLS called Periodic Limb Movement Disorder. I am not sure if that has helped the lower spinal condition.
Write to me late July, and I will let you know.

REPLY
Profile picture for vikkitennis @vikkitennis

We tank you for the update post-surgery.
You are such a native person, and I know that has a lot to do with the healing process.

Jump to this post

@sherrym25
Hi Sherry,
I just read your last post and I'm so happy for you. I do have a few questions. Were you using any type of assistance for walking like a cane or walker prior to surgery? How long after your surgery was it until you were able to walk and stand for extended periods of time un-assisted ? You mentioned the bone growth and I wondered if your Dr. ever recommended a bone growth stimulator. When I had L3 L4 & L4 L5 fused I wore a bone growth stimulator for 45 minutes a day for I think it was 3 months? My surgeon told me that would be equal to the development of the bone in that area for about one year. Also you procedure was minimally invasive for this type of procedure I know your hospital stay was 7 days I was in the hospital four days when I had the lumbar fusion hope the lumbar surgery provides a good foundation for my full spine fusion if that's what the doctor orders . I had a thoracolumbar curve of 50 and a lumbar curve of about 40 degrees as well as having a significant trunk shift over 7 cm. that was about a year ago now I think I need a full spine fusion but if I do I want it done with the minimally invasive procedure if that is possible?
I'm so happy for you ! You are truly an inspiration
so thank you again Bob.......
rwdixon4 (@rwdixon4);

REPLY
Profile picture for vikkitennis @vikkitennis

We flew from Portugal to Boston to Phoenix, and I didn’t have the lower spine problems as before; the test will be in July, when we take two car trips to California, Last year, I was screaming after 1 hour.
However, I am taking a low-opiate buprenorphine at 25 mg for a condition associated with RLS called Periodic Limb Movement Disorder. I am not sure if that has helped the lower spinal condition.
Write to me late July, and I will let you know.

Jump to this post

I wonder if your PLMD is a result of your spine problems?
I’m glad to hear that you were able to take a trip without being in so much pain. I will definitely check in with you next month to see how your California trips go!
We are camping in the Bodega Bay area in August and the 3 Hour drive would have me dreading the pain of sitting in the vehicle, but not anymore 😊🙏!!!

REPLY
Profile picture for rwdixon4 @rwdixon4

@sherrym25
Hi Sherry,
I just read your last post and I'm so happy for you. I do have a few questions. Were you using any type of assistance for walking like a cane or walker prior to surgery? How long after your surgery was it until you were able to walk and stand for extended periods of time un-assisted ? You mentioned the bone growth and I wondered if your Dr. ever recommended a bone growth stimulator. When I had L3 L4 & L4 L5 fused I wore a bone growth stimulator for 45 minutes a day for I think it was 3 months? My surgeon told me that would be equal to the development of the bone in that area for about one year. Also you procedure was minimally invasive for this type of procedure I know your hospital stay was 7 days I was in the hospital four days when I had the lumbar fusion hope the lumbar surgery provides a good foundation for my full spine fusion if that's what the doctor orders . I had a thoracolumbar curve of 50 and a lumbar curve of about 40 degrees as well as having a significant trunk shift over 7 cm. that was about a year ago now I think I need a full spine fusion but if I do I want it done with the minimally invasive procedure if that is possible?
I'm so happy for you ! You are truly an inspiration
so thank you again Bob.......
rwdixon4 (@rwdixon4);

Jump to this post

Hi Bob, I was not using anything for walking assistance before surgery. I was very active but had a constant, drilling pain in the right side of my back, along with sciatica pain down my right hip.
I’ve been taking Garden of Life Bone Growth since right after my surgery and plan to take it for a few more months.
I’ve never heard of a bone growth stimulator! Did your doctor do any imaging that showed whether the bones have fused completely? I’m going to ask mine about it when I talk to him in August.
So what is the next step for you? It appears they straightened your lumbar curve, do you know why the doctor didn’t do your thoracic curve at the same time?
Yes, the minimally invasive surgery really worked well for me! The surgery definitely takes longer, but much less damage to the muscle and nerves. The challenge might be finding surgeons that want to do the minimally invasive surgery. It’s so much more work for them!!!
Wishing the best for you!!😊

REPLY

I’m not sure why Dr Orisek didn’t treat the Thoracic Spine or go up further because there is a severe curve and rotation in my Thoracic Spine. Fortunately, I have a appointment with Dr Orisek tomorrow for my Cervical Spine. He replaced a disc in C5-C6 If for some reason Dr Orisek can’t do a fusion from T 11 to L3 I will be contacting Dr. McClendon at The Mayo Clinic in Phoenix. Was this your Surgeon Dr. Jamal McClendon Jr, MD? The bone growth stimulator looked like a steering wheel for a race car video game. you put it on with a belt around your waist with the steering wheel on your back. There is one on Ebay now "Bone Fusing Growth Therapy" and yes Dr Orisek had film and said the fusion went well. You had a 40° curve in your thoracic and lumbar spine, correct? The T11 to L4 was enough to correct that 40° curve and rotation? If I could get just the fusion from T11 to L2 as I have already had L3 L4 & L4 L5 fusion I would be so grateful.
Thank You for your comments and input, it is very much appreciated.

REPLY
Profile picture for rwdixon4 @rwdixon4

I’m not sure why Dr Orisek didn’t treat the Thoracic Spine or go up further because there is a severe curve and rotation in my Thoracic Spine. Fortunately, I have a appointment with Dr Orisek tomorrow for my Cervical Spine. He replaced a disc in C5-C6 If for some reason Dr Orisek can’t do a fusion from T 11 to L3 I will be contacting Dr. McClendon at The Mayo Clinic in Phoenix. Was this your Surgeon Dr. Jamal McClendon Jr, MD? The bone growth stimulator looked like a steering wheel for a race car video game. you put it on with a belt around your waist with the steering wheel on your back. There is one on Ebay now "Bone Fusing Growth Therapy" and yes Dr Orisek had film and said the fusion went well. You had a 40° curve in your thoracic and lumbar spine, correct? The T11 to L4 was enough to correct that 40° curve and rotation? If I could get just the fusion from T11 to L2 as I have already had L3 L4 & L4 L5 fusion I would be so grateful.
Thank You for your comments and input, it is very much appreciated.

Jump to this post

@rwdixon4 Thoracic level spine surgery is complicated because the lungs are in the way and many spine surgeons do not do it. The ones who do are deformity specialists. I am a Mayo spine surgery patient, and my surgeon is at Rochester who is a spine deformity specialist. His name is Jeremy Fogelson. My surgery was cervical and I don't have personal experience with scoliosis. I'm sure you must have a lot of questions about what's going on in your thoracic spine and what is the best course of action for your care.

REPLY
Profile picture for sherrym25 @sherrym25

Hello! This is the beginning of My Journal, through my journey, to have a spinal fusion surgery that will take place on December 11, 2024 at the Mayo Clinic in Arizona.
This is my quick intro and I will add to it as the days go by.
In December 2023 after a 31 year career of firefighting and a lifetime of riding horses, I finally went to my doctor and told her that I could not handle my back pain anymore and that I need to figure out what was going on with it!!!
After x-rays, an MRI, and a CT scan, I was diagnosed with a 40 degree scoliosis curvature of my spine.
Looking at the images, made it very clear to me where my pain originated. I consulted with a surgeon at UC Davis in California and was scheduled for a T10 to L4 fusion surgery on October 1, 2024.
I research and pray about everything. This brought me to the Mayo Clinic. I reached out to the Phoenix clinic and sent them my imagery and medical files and they called me the following week and said that a surgeon had accepted me as his patient.
Their soonest evaluation appointment was a month after my scheduled surgery at UC Davis so I canceled that surgery and then met with the surgeon at the Mayo Clinic.
The surgeon was kind and attentive and very articulate as to my situation and what he thought would be best as far as correcting my curve and relieving my pain.
I left his office excited and hopeful at a future with less pain, with a surgery date scheduled for December 11, 2024 for a minimally invasive spinal fusion that would be, at the most, a T11 to L4 fusion. The minimally invasive surgery would take much longer than the open surgery, but would not do as much damage to my body and would most likely not require a blood transfusion and would quite possibly create less pain and a quicker healing time.
I am a single mom with a young daughter. We live on 5 acres with three horses, three dogs, four cats, ten chickens and two fish.
I have a list that I am working on every single day to get things in order for my surgery. My parents live on my property with us. My mom will take care of my daughter throughout my healing. One of my sisters is flying with me to Arizona, and I am prepared for us to stay in the hospital for a few days and then in a hotel for a few days to heal enough to fly home.
I am now almost 3 weeks away from surgery. I am planning to take a carry-on and a personal item. I have front button up and snap up shirts, lightweight clothing and everything else that I can think to pack to get me through the first week of surgery.
I have a room reserved at the Sleep Inn that is 4 miles away from the Phoenix Mayo Clinic. I also have a reservation at the Help in Healing Home that is on the 8 acre Phoenix, Mayo Clinic property. There are pros and cons to each facility. The sleep in provides a free shuttle on every half hour, but does not have a recliner in the room. The help and healing home, which is only $50 a night, is walking distance from the hospital but requires you to have a rental car and you share the kitchen, living room, pantry, and library with five other rooms.
The Sleep Inn has nice amenities and was the most affordable hotel that I found. After weighing out the pros and cons of having Uber, drop us off the airport versus being in pain and having to deal with returning around car, I am choosing to stay at the Sleep Inn.
This is my first entry on my journey and I am going to call it a night. I would love to hear anyone’s feedback, ideas, tips to help me and others navigate through this process. It’s scary and yet I am so hopeful. Thank you so much!

Jump to this post

Hello Sherry. I hope your procedure went very well. I had my spinal fusion way back when scoliosis was a new disease and testing in middle school was new. I was 14 when it was discovered I had a quickly progressing S curve from lower cervical to mid lumbar regions. They pulled me out of school to do the surgery asap. I was in the hospital sedated 7 days then a body cast and 7 more days. The cast was from my chin to my hips and weighed 40 lbs. After 5 months, the cast was changed to an under arm to hip cast. I was active and ignored the doctor's warnings to never sleep on a water bed and other silly things. The only things I have found difficult with an 18" rod in the middle of my back is doing a summersault or cartwheel and squeezing into small areas. Now that I am MANY years older, I find my spine above and below have taken the brunt of my activities and require some TLC. It never stopped me from playing broomball with a cast on, horseback riding, dog wrestling as a vet tech, having children, and all activities of daily living. I mostly forget that I have impeccable posture until someone comments on it or asks about my scar.
Live your life to the fullest and God bless, Tanya

REPLY
Profile picture for rwdixon4 @rwdixon4

I’m not sure why Dr Orisek didn’t treat the Thoracic Spine or go up further because there is a severe curve and rotation in my Thoracic Spine. Fortunately, I have a appointment with Dr Orisek tomorrow for my Cervical Spine. He replaced a disc in C5-C6 If for some reason Dr Orisek can’t do a fusion from T 11 to L3 I will be contacting Dr. McClendon at The Mayo Clinic in Phoenix. Was this your Surgeon Dr. Jamal McClendon Jr, MD? The bone growth stimulator looked like a steering wheel for a race car video game. you put it on with a belt around your waist with the steering wheel on your back. There is one on Ebay now "Bone Fusing Growth Therapy" and yes Dr Orisek had film and said the fusion went well. You had a 40° curve in your thoracic and lumbar spine, correct? The T11 to L4 was enough to correct that 40° curve and rotation? If I could get just the fusion from T11 to L2 as I have already had L3 L4 & L4 L5 fusion I would be so grateful.
Thank You for your comments and input, it is very much appreciated.

Jump to this post

@rwdixon4 Hey Bob, I’m sorry for late response! Life has been busy lately.
How did your appointment go with Dr. Orisek?
Yes, my surgeon was Jamal McClendon. He is the director of neurosurgery at the Phoenix, Mayo Clinic. He’s absolutely amazing and you can Google him and see different topics that he speaks on at symposiums.
I did not have a spine rotation, but I apparently had slight kyphosis which is an arch in my spine.
My scoliosis curve was mostly in my lumbar and very slightly into thoracic, which resulted in my T11 to L4 fusion.
The surgery went very well and my back is pretty much almost perfectly straight. I love that I can go to 4H meetings and other events they require a lot of standing and sitting and not be in pain! Tomorrow I am 7 months post surgery. I still have some superficial skin nerve pain across my back and also some deeper post surgery pain, but it tends to happen towards the end of the day. It’s been a long and slow recovery, but I would not have made any other decision. I am in so much less pain now than I was before surgery.
As you know if you do a t11 to l2 it will almost tie you into your pelvis after what you’ve had done your lower lumbar to this point.
Sending prayers to you to the best decision for your body to heal! 😊🥰

REPLY
Please sign in or register to post a reply.