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  • AvatarOswaldOtte
    Participant
    Post count: 6

    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

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7481

    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.
    AvatarOswaldOtte
    Participant
    Post count: 6

    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

    • This reply was modified 2 months ago by AvatarOswaldOtte.
    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7481

    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.
    AvatarOswaldOtte
    Participant
    Post count: 6

    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

    AvatarOswaldOtte
    Participant
    Post count: 6

    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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