I am 25 yrs old, female. I have a very active sporting history, and played squash for several years at competitive level. 18 months ago I started to experience some pain in my right hip. Having an Xray of the hip & pelvis revealed no problems. An MRI was done, followed by a CT Spect Scan. Eventually, in the summer of 2010 I was diagnosed with a non-union fracture to the L4/5 Superior ARticular process. I was advised against surgery due to the risk/return, and set about working dedicatedly to building my core. This has helped mildly with the symptoms but I continue to experience very bad lower back pain, and have been unable to return to competitive sport (which I really would like to do). I have been reading a little about more active forms of spinal treatment: halo vests, spinal surgery, etc. Please could you provide some advice? Moreover, I understand that in some cases the fractured particle may refuse with the original bone - is this true / how likely is this to happen, & if it does, does full healing/recovery take place?
How are you doing now a days?
I would like to address your doubts -
Question = I understand that in some cases the fractured particle may refuse with the original bone - is this true / how likely is this to happen, & if it does, does full healing/recovery take place?
Answer = Fracture may or may not refuse to heal with the original bone. But it hardly matters. If there is a Non-Union of the L4 articular process, then surgery is the best way out. I am really not understanding as why did the medical team advised you, not to go for the surgery.
Surgery would provide an additional support to the non-union region via screws and rods. As far as bone healing is concern, bone grafting will help the cause.
Worst scenario is that, the bone would not join ( ie non-union may persists, but still having an additional support, in the form of rods and screw would surely help).
Hence please re-discuss with a good spine specialist.
Feel free to discuss further or at least please explain me the reason for not doing the surgery, in a better way. Looking forward to discuss more.
Copyright 1994-2016MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.