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  • exercise453
    Member
    Post count: 53

    Dear Doctor,

    I am not hung up on any procedure. What I have been unsuccessfully asking is not foraminotomy to ACDF but foraminotomy to foraminotomy. IF….cervical posterior foraminotomy is the correct surgical choice why does one doctor do it open with a large midline scar and cut muscle and another as you do it. Is there a surgical reason or is that unfortunately that’s how some surgeons perform it on those who may not have known there are superior techniques. The surgeon I saw said open foraminotomy/laminotomy as I described in his notes in the previous post and has since elected to ignore two brief follow up email questions as to why open. What was it you said “welcome to the world of spine surgery”. The fact is more doctors than not across every spectrum treat patients this way because they can get away with it. Their holiness is far from limited to the spine. After all why are hundreds taking advantage of your unparalleled kindness to ask questions and thousands reading it in a search for answers. Answers their own doctors were paid (too much) to provide. If these doctors did their jobs you wouldn’t have a single reader instead of having thousands.

    You stated that Manning had two foraminotomies before it was “understood” he needed the ACDF. I think the level of doctors he went to understood everything and he and they elected to gamble with the foraminotomy in an attempt to avoid fusion knowing they could ACDF later if they had to.

    If this snrb identifies C7-T1 as the pain generator I will ask your permission to send my scans and the surgical opinion. You will tell the best way and you are who I trust.

    Thank you for everything

    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    The retractor tube of the Metrx system has to displace muscle that inserts on the lamina. The central midline incision dis-attaches the insertion of the muscle and it is then retracted laterally. The muscle is then sutured back and will heal in 4-6 weeks. Yes, the incision is somewhat longer but I don’t think that the difference in outcomes will be much different.

    You are certainly welcome to send your scans. Please call the office at 888 888-5310 and talk to one of my nurses.

    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.
Viewing 2 posts - 31 through 32 (of 32 total)
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