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  • Tinashah
    Participant
    Post count: 5

    My husband, is in India, has cervical myelopathy, high BP, diabetes, Rhumatoid Atrthritis, Glaucoma, Crohn;s. Trying also to decide what benefits would entail in doing Spinal Decompression in US, he has Medicare Part A. Whether implants needed or not.

    MRI done 24th nov. 2020, says:
    The cervical spine shows straightening.
    Disc bulges are seen at C3-C4, C4-C5, C5-C6, C6-C7, levels with posterior longitudinal ligamentum thickening causing diffuse cord compression and cord edema at C3-C4, C4-C5, and C6-C7 levels. Ligamentum flavum hypertrophy also seen. Narrowing of neural foramina is noted.

    Impression:
    Marked cervical spondylosis
    disc bulges are seen at C3-C4, C4-C5, C5-C6, C6-C7 levels with posterior longitudinal ligamentum thickening causing diffuse cord compression and cord edema at C3-C4, C4-C5, C5-C6, C6-C7,levels. Ligamentum flavum hypertrophy is also seen. Narrowing of neural foramina is noted.

    Symptoms: Difficulty walking, walks without support, upto 10,000 steps (in two rounds), has some balance problems started in the last two years, fists have grip, but some tingling, numbness in hands and feet, legs.

    surgeons in India say C3 to C6 or C3 to C7 laminectomy. One surgeon says no implants cause of 64 age, another says screws at C4 and C6 with plates.

    Would the treatment be same in US or different? how? Will implants be good or bad? what levels?

    Thanks in advance

    Tinashah
    Participant
    Post count: 5

    PS. He does have Medicare. So his surgery will be covered by Medicare if done in US.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    It appears he has myelopathy due to cord compression. See https://neckandback.com/conditions/cervical-central-stenosis-and-myelopathy/.

    If he has Rheumatoid arthritis and the neck is involved, he probably has facet disease and instability. See https://neckandback.com/conditions/cervical-spine-instability/ and https://neckandback.com/conditions/degenerative-spondylolisthesis-cervical/.

    If that is the case, he needs a fusion with the laminectomy. That requires facet screws and rods.

    Dr. Corenman

    Tinashah
    Participant
    Post count: 5

    Thank you Dr. Corenman.
    Do you do this surgery?
    He has medicare part A insurance.
    Will that work?
    How do we approach your office about this and other details?

    Tinashah
    Participant
    Post count: 5

    Found the forms.
    So need email to send the info and get info about insurance for surgery.

    Tinashah
    Participant
    Post count: 5

    Found the forms.
    So need email to send the info and get info about insurance for surgery.

Viewing 6 posts - 1 through 6 (of 7 total)
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