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I haven't posted in a long time - but still working through my back issues. I searched and couldn't find anything helpful, Has anyone had a cage migrate (or possibly not placed correctly originally) post op? If so, what (if anything) was done about it? Finally - I have a PEEK cage. Does anyone know if the metallic markers are at the very end of the cages?
Long story short....I had a revision of L5-S1 PLIF because my 2nd surgeon told me the 1st surgeon either misplaced the cage or it migrated into the nerve area. 2nd surgeon said he needed to shave down the cage to cure the impingement. He couldn't remove it because there was some bone growth. After continued pain and issues 1.5 years post revision, I met with my first surgeon last night. He does not believe my 2nd surgeon did anything with the cage - as the markers are still in tact, and in the same position as they were after the first operation. He said he had never heard of someone cutting off a portion of a cage. My operative report from the revision says 1/3 to 1/2 of the cage was protruding from the disc space - and that he used an electric drill to 'bur' it off. 1st surgeon says if the back end of the cage was removed, the marker would no longer be there. He also said that if he removed 1/3-1/2 of the cage, the front marker would be in the middle of the disc space - which also isn't the case.
I am so shocked, worried & confused! My second surgeon lost his license to practice medicine not long after my revision. I don't know why - just that it was conduct that could pose a danger to patients or the public. I realize this is a very unique case - does anyone have any thoughts? Thank you! Happy Holidays!
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