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Scoliosis - Introduce yourself and meet others

Spine Health | Last Active: 2 days ago | Replies (443)

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@katet

Hello Everyone! This is Kate. My original surgery for AIS (adolescent idiopathic scoliosis - you’re all probably familiar with that) was 1975 in Pittsburgh, Pa. I was 13yrs old. I was fused from T 4 to L 1 with the Harrington rod. Around 30 yrs later, I was having low back, hip and leg pain that I couldn’t ignore. Long story short, I elected to go the conservative medical route for treatment. I’ve had epidural injections, median branch nerve blocks, Radiofrequency Ablation of 3/4 lumbar levels bilaterally over the last 17 years. Back when this first stated I went to Minnesota scoliosis & spine research center, and other spine docs and just did a lot of research on it.. I was involved on message boards on yahoo, etc. I am a nurse, major critical care and then went to outpatient surgery because of my pain. I was running an ambulatory surgery center. I did not like the experimental nature of the revision surgeries that were being done and I know and have seen too much over my career.
Now my pain is worsening and I’m not getting the relief anymore from my procedures. I really don’t have the courage to submit to going for revision surgery when the complication rate is 61%. Has anyone here ever used the PEAK Scoliosis Brace for pain relief and improving posture?

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Replies to "Hello Everyone! This is Kate. My original surgery for AIS (adolescent idiopathic scoliosis - you’re all..."

Hi Kate,
I’m in a similar condition as you. Fused in 1974 from T3-L4 with one long Harrington distraction rod in the “Dollar sign” position running the length of a double curve and a compression rod on the convex side of the thoracic curve.

I haven’t used that brace you mention but my opinion is that anything that helps you find a “neutral” position for your lower back would reduce your pain. Soft cervical collars do that for neck pain and help the nerves and soft tissues heal. The wrist splints I wear at night stop the pain from synovial cysts and thickening ligaments causing nerve compression of carpal nerves.

How is your overall bone and muscle strength? Are you taking any hormone therapy to help improve bone, muscle and skin tone? I do dozens of small measures daily to help manage the consequences from an aging, extremely long fusion. These include daily walking, stretching that gently lengthens the muscles in my back, ligament stretches in my hips, nutritional supplements, Ca, D, melatonin, C to name a few. I focus on maintaining straight posture while sitting, driving, walking. I have extra mirrors in my house to help me check my posture. A thoughtful eating plan limiting calories to 1200-1600 daily for weight loss and maintaining at 1700-1800, based on NIH low cholesterol weight loss guidelines. I also aim for 50 grams of protein each day for long term energy and to keep from getting hungry.

I agree the risk from salvage surgery to correct flat back or eliminate back pain, which requires various vertebral osteotomies is extremely dangerous. There is no published data on the surgical outcomes, success or failure rates. The small number of known cases spoken of anecdotally by patients and surgeons indicates an enormous rate of patients made worse, or very temporary improvements followed by repeated surgeries with bad results. It is an exercise in futility.