Today is Titus’ surgery. He was the first surgery of the day (which is wonderful). He was feeling pretty anxious. He ended up going into surgery about 7:30am. The surgery should take 8ish hours.
The surgery plan: fuse the occipital bone (bottom of skull) to C2 (2nd vertebrae) or C3 (3rd vertebrae) depending on the vertebral bone condition. They will do this by attaching a plate to the skull and using pins connect this to his vertebrae. Like this:
Because the hardware will eventually fail, they will be doing a bone graft to (hopefully) have a bone bridge over the wonky C1 (1st vertebrae that your skull is supposed to sit on). The extra bone will be from 2 of his ribs and they will use BMP to help the bone grow.
- The concerns are:
- Post surgical respiratory distress
- Waking up well after surgery
- Post surgical pain management
- Bone graft “taking”
- Halo success (both with the safety of using it – no skull fractures! and with the reduced energy level that the Halo will require)