Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: allergies: pcn pmh/psh: ra, mvp, gerd, chronic cystitis, multiple spine surgeries during life, pilonidal cyst, btl procedure: dorsal and dorsolumbar fusion of the anterior column, anterior technique excision of bone for graft, other bones dorsal and dorsolumbar fusion of the posterior column, posterior technique other repair and plastic operations on spinal cord structures other partial ostectomy, tarsals and metatarsals excision of bone for graft, scapula, clavicle, and thorax [ribs and sternum] diagnoses: esophageal reflux mitral valve disorders acute posthemorrhagic anemia accidental puncture or laceration during a procedure, not elsewhere classified osteoporosis, unspecified rheumatoid arthritis scoliosis [and kyphoscoliosis], idiopathic other postsurgical lordosis 

Answer: The patient is high likely exposed to