A member asked:

What are the risk for taking hardware scoliosis out before one year ?

3 doctors weighed in across 3 answers
Dr. Moshe Lewis answered

Specializes in Physical Medicine and Rehabilitation

Failure of fusion: Typically surgeons like to wait until the fusion is completely healed prior to removing instrumentation.Removal is formally indicated when there's a loose screw or rod.Likewise,consideration for removal when there is severe pain,such as a painful prominence of the hardware against the skin,an allergy to the metal or an infection. Please discuss this in detail with your MD.Use PT to strengthen core

Answered 8/19/2014

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Dr. Julie Abbott answered

Specializes in Preventive Medicine

Very complex: Whether to remove hardware following scoliosis surgery is a very complex question, let alone whether it should be done less than a year after initial surgery. The biggest issue is whether complete healing has taken place indicating you are at the maximum point of benefit. As always there are the usual surgical risks: infection, bleeding, paralysis, anesthesia, death. Need careful specialist eval.

Answered 8/19/2014

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Dr. Ki-Hon Lin answered

Specializes in Orthopedic Surgery

Failure of fusion: The hardware is placed to keep the spine stabilized while the bone fusion heals. If the hardware is removed too soon, then the fusion could fail to heal like planned, possibly resulting in loss of alignment and/or pain.

Answered 8/18/2014

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