ACDF C6-C7 follow up

Tagged: post acdf extension

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

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OswaldOtte
Participant

March 23, 2020 at 10:51 am

Post count: 10

#32352

Dear doctor

I was hoping you could help me with a few questions I have.

Link to mri and cr

On February 20th I had an c6-c7 acdf. No plate was used. I did not have to wear a collar afterwards.

Because of Corona hitting Belgium hard, my following appointments have been cancelled.
-scan + follow up on April 3rd
-phyiscal training starting half April

So far I have been:
-doing ‘around the worlds’ and ‘yes/no’ daily
-walking 6km daily
-riding a stationary (upright position) 30 minutes 4 times a week

I had following problems/questions prepared, but due to Corona I can’t ask anyone:
1)I feel like a nail is being poked into my vertebrae during extension. This is accompanied by a slight burning feeling.
Hard to say at what level, but I think at or just below fusion.
I am not extending very far, imagine sitting on a mountainbike and just trying to look ahead.
Is this normal? Could the screw be too long? Should I continu ‘yes/no’ excercises? What about riding a bicycle, where I have to extend my neck to be able to look forward?
2)Can I move on to other excercises? Or is it better to wait for scan + follow up from surgeon? Knowing that this could take months.
3)My surgeon said the other discs are within limits and did not require surgery. And having problems with them later on would mostly depend on luck.
What can I do to keep those discs from getting worse?
4)I’m passionate about swimming, running and mountainbiking. What is your opinion on these sports knowing the state of my neck? I can live without running and swimming. But mountainbiking is something I would have a hard time giving up.

Thanks in advance
Oswald

Donald Corenman, MD, DC
Moderator

March 23, 2020 at 10:59 am

Post count: 8660

#32354

What was the graft and spacer used to perform the ACDF? Why was a plate not used? You mention a “Screw”. What was that in reference to?

I can’t comment on your other discs or the need for activity restriction unless I know about the health of your other discs. Generally, a one level fusion means you don’t have to give up sports if the other discs are good.

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.

OswaldOtte
Participant

March 23, 2020 at 12:38 pm

Post count: 10

#32355

A peek cage was used with 2 screws in c6 and 1 in c7.
The surgeon decided not to use a plate.
Bone scrapings from the fused vertebrae were used in the cage.

Here are some pictures of the other discs and the peek cage with screws. The screw in c7 looks a bit long to me.
photo

Donald Corenman, MD, DC
Moderator

March 23, 2020 at 3:01 pm

Post count: 8660

#32360

This is a self retaining PEEK cage with self tapping screws so it does not need a plate. I am not a fan of this design as the surface area of the bone ingrowth is not as large as it could be but the screws look OK. This will take about 3 months to heal in. Don’t be too vigorous in activities until it heals in. The other discs seem to be fine.

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.

OswaldOtte
Participant

April 8, 2020 at 11:07 am

Post count: 10

#32410

Hello

Whenever I extend my neck, I feel as if a lump is in my vertebrae. And I immediately feel pain building up. And I’m only slightly looking up, not staring at the sky. The pain lasts for minutes afterwards.
What could this be?
Should I wait to extend my neck until it’s healed in?
I’m waiting for my surgeon to call me back. Should I ask for further scans? If so, which one?

Thanks in advance.
Oswald

OswaldOtte
Participant

April 14, 2020 at 10:07 am

Post count: 10

#32449

Dear doctor

I am now 8 weeks post acdf with peek cage/ self tapping screws/ no plate and no collar. When trying to extend, it feels like something is poking in the vertebrae. Afterwards I have a burning feeling for around 15 minutes.
Will this go away on its own? Should I ask for a scan (which one) or what questions should I ask my surgeon? He is hard to get a hold of, so I want to make the most use of it when I get to speak to him.

Many thanks
Oswald
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Donald Corenman, MD, DC

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81 reviews

Eric S

Sep 26, 2021

by Eric S on Donald Corenman, MD, DC

Successful pars repair at 46 years old

Back in November of 2018 (at 46 years old) I came from Vancouver BC to have a pars repair done with Dr. Donald Corenman at the Steadman Clinic in Vail Colorado. I'm finally posting this review nearly three years later in late 2021. The reason I waited so long was I wanted to know the final result before I posted my review. Unfortunately in that time Dr. Corenman has retired. Nevertheless, I want to post this review of Dr. Corenman and his staff at the Steadman Clinic in their excellent treatment of my L5 pars interarticularis.

I fractured my pars at age 42 back in 2014 when rolling on the gym floor, and was denied treatment by the Canadian healthcare system, probably due to my age. First my GP told me there was no surgical option for a pars defect, which was quite incorrect! I tried to live with it, but the symptoms worsened (periodic random spine slippage and weeks of resultant pain after just bending over to tie my shoe, so I eventually learned to mostly squat and hardly bend). When I finally consulted with Canadian spine surgeons, I was told they believed my pars defect had been congenital (since birth). This was absurd, considering I had done extreme martial arts (including jiu jitsu) for years prior, as well as 5 years of reinforcing steel full time in my 20s, probably the hardest job on the back you can find. No pars defect like mine would possibly have allowed this--ergo it was impossible that I had had the defect since birth. I did however have an asymptomatic congenital spina bifida occulta that made me more susceptible to a pars fracture. In 2014 in one instant, I went from having the strongest back people I knew said they'd ever seen, to being unable to safely bend over and tie my shoe without a non-negligible risk of my spine slipping randomly (which would lead to weeks of pain after each occurrence). This was due to the unilateral L5 pars defect, otherwise known as spondylolysis. It was when lying in pain on the floor 4 years later after maybe the 6th spine slippage event post injury, that I had had enough, and resolved to have surgery. If Canada's "universal health care" said no, I would make lemonade from lemons, and find the very best surgeon in the world at pars repairs. That was Dr. Donald Corenman. Dr. Corenman back in 2018 ran a website https://neckandback.com/ that dedicated many pages to the science of every aspect of pars repairs, from eligibility (good discs on MRI), to best surgical techniques (minimal open compared to minimally invasive), best imaging to use (i.e., O-Arm with Stealth imaging vs. older fluoroscopy), the ideal amount of BMP to use and why not use too much or too little, and much more, all to do with pars repairs, pages upon pages of his site just on the pars, with scientific references and his own extensive expert opinion. As a health research statistician, I was very impressed with this. It was in stark contrast to the websites of other spine surgeons which barely gave the pars a word or two, focusing almost exclusively on fusions. I had found the best surgeon in the world for pars repairs, and so after Dr. Corenman personally screened my MRI to ensure my discs were healthy, I booked the surgery.

Being 46 years old at the time of surgery in 2018, with a 4-year-old pars fracture from 2014 combined with a congenital SBO meant my pars fragment was somewhat atrophied, but it was "very solid", said Dr. Corenman in the operative report. Nevertheless, it was challenging with two things to fix, the pars and SBO, and OR time was around 4 hours. Recovery over the following months was guided by a very clear "Spine binder" from the Steadman Clinic with strict rules of "no BLT" (no bending, lifting or twisting), and illustrated physiotherapy guidelines. They even warned patients to avoid fish oil supplements, which could excessively dampen inflammation and hence slow bone healing. They answered many questions I had during months of recovery, with responses coming from the very supportive Lori Fugate (then director of Dr. Corenman's practice), and Ehrich Bean (then physician's assistant at the practice), as well as a couple calls with Dr. Corenman himself after two of the CT scans. Ehrich Bean offered great advice for taking the spine binder conservatively due to the nature of pars repairs vs. fusions. The final post-op CT scan I had was a couple weeks ago at 34 months post-op, and Dr. Corenman had retired, but I got a very positive and informative call from Eric Strauch (current PA at the Steadman Clinic under Dr. Corenman's replacement there, and who had also worked with Dr. Corenman previously). The staff at the Steadman Clinic were extremely supportive all the way through the process. I should mention, the local Canadian spine surgeon did offer me very good post-operative support including antibiotics as needed to deal with a mild surface incision-site infection early on, booking numerous x-rays when I felt something was amiss, as well as booking all four of my post-op CT scans. I am very grateful for that support also.

My final result shows plenty of solid bone across the pars and a healed SBO, with my vertebral body now a solid bone ring instead of being broken at two places as it was pre-op. Does my spine hold up in the real world? You bet! I have recently dug and moved several yards of dirt and sand and gravel by myself (shovel and wheelbarrow!) to fix our water main, pulled roots from the yard, moved several "portable" (these are HUGE) air conditioners up several flights of stairs my myself, and lifted weights. I now run 2 miles (3.2 KM) several times weekly with a hard 100 meter dash in the middle. I bend deeply before each run I go on, with no spine slippage. My spine feels amazing. I can bend over to do exercise, or real word tasks, with no risk of spine slippage.

My sincere thanks to God, Dr. Donald Corenman, Lori Fugate, Ehrich Bean, Eric Strauch, and the Steadman Clinic, as well as the Canadian spine surgeon who offered me excellent post-operative care back in Canada. You have all given me a new lease on life.

Sincerely,
Eric S

Robert S

May 11, 2021

by Robert S on Donald Corenman, MD, DC

Back Fusion Surgery

I had my entire lumbar spine fused in November of 2018. I had scoliosis , with pinched nerves that were so painful I could hardly walk - and standing for more than a few minutes was impossible. Even sitting was painful.
The fusion surgery produced immediate relief! And the recovery was much easier than I expected.
To this day I can do all the activities I love from hiking, to standing in a stream fly fishing to riding my bike long distances - or just walking down the street with my wife.
Kudos to Dr. Corenman and his staff, (including the two Erics) for taking such good care of me!

Leslie R

Jul 9, 2020

by Leslie R on Donald Corenman, MD, DC

TLIF

I had my TLIF surgery on 6/24/2020 by Dr. Corenman, I can not say enough good things about the Dr or his staff. I was always treated with respect and explained everything throughly, that made it easy for everyone to understand. I highly recommend Dr. Corenman and the Steadman Clinic.

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