Topic

spinal hardware removal question

I had a arthrodesis 360 anterior/posterior lumbar two level fusion l-5 S-1 and the level above with screws rods and two cages. When they do a hardware removal do they also remove the cages? Cages were inserted during posterior surgery (two cages). The hardware removal will be posterior removal only. I was just found to have a metal allergy and would like to know if the cages will also be removed or is it possible during hardware removal going in posterior?

2015-02-05 11:39:41

David

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Contents

Hi! Yes hardware removal including cage removal is possible. If the cage and screws are of the same material that you are allergic to then yes all will be removed. However if screws and plates are being removed then cage may also need to be removed if is not a stand alone device and has been held in position by the screws. However whether cage can be removed or not depends on many factors. Anterior cage removal is easier and less dangerous than posterior cage removal as there is less risk of injuring the cord. Also the earlier the removal is done post surgery the easier will be the removal due to fewer adhesions. The type of cage its length position or mal-position if any condition of the vertebra level of adhesion strength of vertebra etc are also considered before removal. Also the risk of removal will be weighed against risk of allergy. If the allergy is not severe and can be managed with medications then in all probability no removal will be done. In general posterior approach for cage removal is risky compared to anterior cage removal. If it cannot be achieved then your doctor may remove the anterior hardware and leave the posterior one. However you need to be assessed by your specialist before any decision can be taken. I sincerely hope you will find this information useful in your discussions with your specialist. Good Luck and take care!

2015-02-05 11:40:07

Amy