A Case of Double Failed Lumbar Fusion and Dangerously Misplaced Pedicle Screws

again. the

fusion

construct or the rods and

screws

, that's not the

fusion

, right, you have to put bone in here too. Also, forever, you need to make this solid block of bone, so there should be bone chips everywhere. You can even put them here. between the transverse processes, put them on the back of the foil, fuse all this stuff together, so the damn fuses didn't do it. I don't see a single splinter of bone, of course, these are the splinters of bone, I mean, maybe there is one there. I don't know what I don't understand, this isn't designed to be a lifetime deal, you don't, these can break, they'll probably fail if you don't have a fusion here, so anyway, let's sum it up, so you have nonunion. . the three levels no, not surprising here there is no bone ship Steven to fuse he still has the original problem that unilateral spondylolysis could be a pain generator could be a pain generator he has a poorly placed left

pedicle

screw and that's saying something lightly, it's completely out of ballpark and it's shish-kebob on the right that should be the Elco, that's the right one shish kebob means stab the left l2 actually the nerve root has broken

pedicle

screws

towards us one yet potentially dangerous not as bad as they were thank God but they are still not acceptable and now he has chronic radicular pain for a long time and describes pain in all his legs so it has probably now turned into a neuropathic pain syndrome which It's probably even too late.

To fix this, he's getting up and they're putting a spinal cord stimulator on him. Maybe that will help with the pain in his leg, but remember that when they took him out after two and a half years, they removed the pedicle screw L5 that It was in the anterior part of the left thigh here the directly in the pain in his thigh, so maybe the possibility, if they remove the pedicle screw that is stabbing the L2 nerve root on the left, maybe the possibility that at the less some of that horrible burning pain and your left groin region is better, so if you need to get it checked out and get this right, okay, you had a recent EMG that was negative, so at least that's a good thing, but remember the sense of sensitivity and specificity, the sensitivity in particular is at 60%, so just because you have a negative EMG.

It doesn't really mean anything EMG test if it's positive it's probably positive, it's at 80% and still not the best test in the world so if it's positive it's probably really positive, if it's negative it doesn't really mean it's not negative. he's not very good at picking up normal people, okay, recommendations, get the hell out of that country, start a GoFundMe page, I don't know how you're going to do it, but don't let those people operate on you again. to Germany is pretty close, I think, or you know, getting to a more developed nation with someone who has more up-to-date skills, you know, flying to this country if you want and you'll go after any revision surgery you've had.

You have to get everything out and try to do a real interbody fusion. Now decompress a little better and if that doesn't work, you'll end up with a spinal cord stimulator. He also has some cervical problems. That's why I think he is suffering from neuropathic pain. Maybe he's sensitizing his brain. He's starting to feel pain where normal people don't feel pain, so it's a really sad story, but I'm sure we all wish him good thoughts and something positive. The vibes are good, I hope he gets through this and gets proper medical attention, but that's okay, I hope you enjoyed the video and I have another crazy

case

coming up.

I don't know what it is about crazy

case

s and stuff. one comes in the future and I've never seen anything like this, the spine that you'll see even in textbooks, oh, that should be pretty interesting, so I hope you enjoyed the video that we'll see in the next one.