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  • fresan99
    Participant
    November 25, 2019 at 9:22 am
    Post count: 10
    #31535

    Hi

    I had 3 herniated discs c3-c6
    C3-c4 was not that bad at first.
    So I had a ACDF c4-c6 30 nov 2011.
    With a plate infront and that is solid now with good fusion.

    2 years later 24 aug 2018 I had to do c3-c4. Now I had a X-ray to see if it’s fused and there was a movement of 13 mm between the spinous processors.

    I have muscle pain scalene and levator and the has been more pressure on the nerves on that level.

    Do you think a new surgery is a must?
    The surgeon told me if I have pain from the nerves we can do the surgery but the lack of fusion is not really the case of pain. Is that really true?
    Thanks
    Fredrik

    fresan99
    Participant
    November 25, 2019 at 2:20 pm
    Post count: 10
    #31537

    Just wanna add that the implant in c3-c4 is ok and screws are in place but still motion in that level.
    So the surgeon talked about posterior surgery to lock down the level fully.

    fresan99
    Participant
    November 26, 2019 at 11:02 pm
    Post count: 10
    #31539

    My surgery could be done 12/12 so hoping for answer
    Thank you ??

    Donald Corenman, MD, DC
    Moderator
    November 28, 2019 at 5:26 am
    Post count: 8660
    #31548

    Pseudoarthrosis (lack of solid fusion) in the cervical spine is not uncommon. Almost 1/2 of the pseudoarthroses are not painful. If they are stable (don’t move much on stress X-rays), and don’t cause any nerve impingement, they can be left alone.

    However, 50% of the pseudoarthroses are painful (either neck pain or shoulder/arm pain) and do have to be dealt with. Depending upon how the surgical site looks, either a front procedure (ACDF) or a back procedure (posterior fusion) can be effective. Occasionally, both procedures need to be performed at one surgery.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    fresan99
    Participant
    November 28, 2019 at 9:53 pm
    Post count: 10
    #31563

    Thanks for the reply.
    In my case I have muscle pain in neck at the scalenes ( all of them) and levator scapulae.
    Bonespurrs that has grown and put some pressure on the nerves due to the non-fusion and can keep growing if there is pseduarthrosis.
    Do you believe e revision surgery would help the muscle tightness and my symptoms I have.

    fresan99
    Participant
    November 28, 2019 at 9:53 pm
    Post count: 10
    #31564

    Thanks for the reply.
    In my case I have muscle pain in neck at the scalenes ( all of them) and levator scapulae.
    Bonespurrs that has grown and put some pressure on the nerves due to the non-fusion and can keep growing if there is pseduarthrosis.
    Do you believe e revision surgery would help the muscle tightness and my symptoms I have.

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