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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Shows Degenerative Change In Lower Lumbar Spine. Have Harrington Rod In Spine For Scoliosis

My name is Susan Wachtel, I am 53 with a Harrington Rod the full length of my spine to L4 due to scoliosis since I was 14. I just picked up my MRI report. I have had AVN in my left hip diangosed since April 2012. I had 7 cortisone injections in left hip Oct./Nov. 2011. By June 40 % of hip was involved and as of today 70 % is involved. Findings are as follows-hips: Examination demonstrates moderate bilateral effusion . Labrum-tear & detachment of the acetabular labrum anterosuperiorly. No high grade chondral loss or delamination along acetabular margin, mild chondral thinning. Alpha angle is 55%. Musles & tendons-mild distal gluteal tendinosis & peritendinous edema bilaterally. Bone marrow-no abnormalities. Degenerative change in lower lumbar spine. Opposite left hip shows a lesion of AVN without collapse, deformity or secondary prominent alterations of degenerative arthritis. Comparison to the prior examination reveals a similar pattern of AVN in the left hip involving 70% of the articular surface with no obvious collapse.
Fri, 6 Dec 2013
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Anesthesiologist 's  Response
As per ur reports u requirebilaterl total hip replacement surgery one after another with agap of few months in between.This will be done under general anesthesia due to ur spine because of ur previous spine surgery regional anesthesia is difficult n proves impossilble most of the time.
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MRI Shows Degenerative Change In Lower Lumbar Spine. Have Harrington Rod In Spine For Scoliosis

As per ur reports u requirebilaterl total hip replacement surgery one after another with agap of few months in between.This will be done under general anesthesia due to ur spine because of ur previous spine surgery regional anesthesia is difficult n proves impossilble most of the time.