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Thread: Help needed please - Nurse? Dr. Young?

  1. #1

    Help needed please - Nurse? Dr. Young?

    This is a picture of my son's lower back. He's been developing what we were told "curvature" due to sitting but just the other night, I noticed it was much larger than before and I'm really worried. The location is at or just below the small of his back. T-12 injury, hardware is located at T10 - L2. This bump is located atjust above his tailbone. The redness on the hip area is irritation from wound vac tape, however, this hump is bright red and we're keeping him off of it.

    Could this be syrinx or tethered cord? He's experiencing pain, something he hasn't complained too much of before.

    've got a call into his GP, but I'm not real confident he'll know what it is. We don't have a nuerosurgeon, YET. I've been trying to get an appointment with one that Dr. Davies recormmended.

    Any advice would be greatly appreciated.
    FAITH: Is not believing God can, but knowing he will.

  2. #2
    You don't get redness from a syrinx of tethered cord- those are things within the spine. He seems to have a lot of splotches of redness above this area also. Is that there all the time? Has the redness decreased any since you have kept pressure off of it? He needs to have x-rays done and see a neurosurgeon.
    CWO

  3. #3
    Thank you, it's the hump I'm concerned about. The redness was because he'd been laying on it and has since decreased since he's been laying prone. Most of the other splotchiness is from the wound vac tape. What would cause such a growth/abnormality? Thank you in advance
    FAITH: Is not believing God can, but knowing he will.

  4. #4
    Quote Originally Posted by Faithful1990 View Post
    Thank you, it's the hump I'm concerned about. The redness was because he'd been laying on it and has since decreased since he's been laying prone. Most of the other splotchiness is from the wound vac tape. What would cause such a growth/abnormality? Thank you in advance
    Without being able to examine the "hump", i.e. whether it is soft or is bone, I hesitate to say what it is from. Based on the general shape, it looks like a kyphosis. A kyphosis is a result of the collapse of a vertebral body and the consequent folding of the spine towards the front and the angle of the fold is pointed backwards. It is called a kyphosis because it resembles the letter K. Did this develop over a period of time? Your son needs an x-ray and comparison of the x-ray with previous x-rays.

    Wise.

  5. #5
    Senior Member CurvySAT05's Avatar
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    I would go for x-rays ASAP. The other thing I thought of was movement of the spinal hardware. Either way, he needs to have an x-ray to compare to his previous post op x-rays to check for changes in vertebral body height, hardware location, etc. Ask his GP to order the films and get an appt with a Neuro sooner rather than later.
    ~Mandy~
    SCI as a result of spinal surgery
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  6. #6
    Nurse, Dr. Young. - Thank you so much for replying so quickly. The spot is fairly soft and moves. We saw his GP today and just had xrays. If it's fluid, I'm not sure how much is going to show up. We also see the wound dr and infectious disease specialist tomorrow.

    He's had a prominence there for quite some time. His bones are very prominent in his lower back as he's lost so much weight and muscle tone. It's just recently gotten like this.

    He just complete 9 wks of IV antibiotics for osteomyelitis and they surgically removed some of the infected bone (left butt bone). I sure hope this isn't more infection. We've had a real battle since August (staph inf) in a pressure sore that an idiot of a wound care specialist had been treating for 2 months. Two weeks later he developed Osteomyelitis. Ugh, this has been one hell of a year, seems more like war these days rather than battle.

    Thank you again for your responses and all you do here on Carecure. It sure helps more than you can imagine. Because of this site, I knew when his DVT developed (last year) and also to have them check for Osteo (even though they ignored me). I just wish the dr's would be half as responsive and have just ab ounce of the SCI knowledge of you and your team. Thanks again.
    Last edited by Faithful1990; 12-08-2010 at 05:59 PM. Reason: forgot to answer Dr. Young's question about how long it's been there.
    FAITH: Is not believing God can, but knowing he will.

  7. #7
    Thank you CurvySAT05. I'd love to get an appt. with a neurosurgeon, I can't get anyone to return phone calls. This is crazy. We did have his hardware checked in Sept., they said everything was in place.
    FAITH: Is not believing God can, but knowing he will.

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