40 y/o female. Surgery in Oct. 2011 for decompression at L 2-3 and L-5 – S1 fusion with instrumentation. After surgery she could not move left foot at all. Eventually got some feeling and motor back. Now walks with a cane – significant pain. Surgeon wanted to go back in for exploratory. Patient went for 2nd opinion and was told that 2 screws were misplaced – one in psoas muscle and one into nerve. Both subsequent opinion Drs. counseled against removing hardware or screws as they are too close to vena cava. Had DVTs right leg 1990 and 2010 and DVT left leg after this surgery. She is factor 5, Leiden and on Coumadin – 30 mg per day
Whether misplacement of the screws was below standard of care and, if so, did it cause neurological deficit.