I am a T12 complete para fused from T10 to L2. I am (was) an active handcyclist who rode on average 100 miles a week. The eventual outcome of this over flexion and extension was Charcot spine or arthropathy. The result is in the inserted image. I am now facing a complete AP fusion from S2 to T8 along with who knows what else. The question is, "Will I ever be able to handcycle again and if so with what intensity?" Perhaps a better question would be, "What will I lose in the way of ROM?"