Hardware failure after ACD & Fusion
Need some input - Had a 4 level ACD & Fusion 11/30/10. Successful surgery initially but surgeon stated concerned when noticed "bones were spongy" and "screws went in too easily" when plating. Questions raised post-op: ? Smoker = NO, ? Osteoporosis = NO, ? Vit D deficiency = NO. X-ray at 6 wks post show middle 4 screws "working their way out" with the titanium plate "bowing" and "shifting". Also, bone grafts are stronger than my bones and on x-ray shows compression along with the shifting of the fusion.
Now getting an endocrine work up. (History of Hashimoto's Thyroiditis). Have been in Miami-J continuous since 11/30/10, bone stimulator daily x 4 hours and now surgeon wants me in a custom Minerva for another 6 weeks. Getting a little stir crazy, jaw and teeth are very painful, neck and shoulders intense muscle discomfort, increasing muscle weakness to both arms but at least the arm pain and numbness I had prior to surgery is thankfully mush better (for now). I get daily headaches, feel exhausted, sleep is disturbed due to neck brace on all the time. Oh, and I almost forgot, lost my voice due to surgery (not just a slight hoarseness, significant loss of voice). Can't work, can't drive, can't lift anything over 5 pounds, and can't even clean my house.
MD very conservative, thinks the extra 6 weeks in the Minerva custom brace will reverse the bowing of the plate and the screws will "magically" go in the other direction. I'm skeptical that this will work and I may need another surgery. Also, any thoughts on the success of using Forteo in the healing of bone for this kind of post-op problem ?
Anybody have any input? Would love to hear your thoughts.