carolnsParticipantMay 15, 2013 at 7:50 pmPost count: 88
Dr.Corenman, What is the operation called for fusion on the neck please?
thanks CarolDonald Corenman, MD, DCModeratorMay 15, 2013 at 8:24 pmPost count: 8508
A fusion of the cervical spine can be performed through the front or the back of the neck. The front fusion is called an ACDF and you can find information on this website. The posterior fusion is called a just that. The ACDF heals faster than the posterior fusion so I prefer the anterior fusion in treatment of C2-3 instability.
Dr. CorenmancarolnsParticipantMay 15, 2013 at 8:52 pmPost count: 88
I asked him and he said the back. I am waiting to see what my flexion test says. I just can’t rush into this as I want to know what he plans on doing and he doesn’t think it will take the pain away. I am to call him if I get worse. Is there many people who have this fusion in their neck and is the success rate good? I am so scared. thanks carolDonald Corenman, MD, DCModeratorMay 18, 2013 at 12:02 amPost count: 8508
There are two issues you have; instability of C2-3 and neck pain. They may be related but without a full workup, the association between the two is just speculative.
With the reported instability of C2-3 and the apparent jeopardy to the cord according to your surgeon, it appears that you will most likely need that fusion. The fusion will stabilize that level. The bonus is that you will find out how much neck pain is generated by C2-3 as the fusion will take away any pain that is generated by C2-3.
You have to go with what your surgeon is most comfortable with for your fusion. Posterior fusion is a time honored technique and works well. Success rate for posterior fusion should be quite high.
Dr. CorenmancarolnsParticipantMay 30, 2013 at 3:14 amPost count: 88
MRI CERVICAL SPINE
MAGNETIC RESONANCE IMAGING
PRODUCTURE(S) c-spine ne with 1 pul seq-vc
Anterolisthesis of c2 c3
Findings…Sagittal t1 flair were obtained through the cervical spine. Axial gradient echo sequences were obtained rfom c2 and c3
Comparrisons 8/9/2012 CT
Their is no Chiari 1 malformation. No cord signal abormality is seen.There is reversal of of the normal cervical lordosis. There is a multilevel degeneration disc disease with severe degenerative disc disease from C4 -. C7
There is multilevel bilateral facet oa
c2-c3…There is a 5mm anterolisthesis of c2 on c3 unchanged causing mild to moderate spinal canal stenosis. There is associated didc bulge containing the cervical cord but no cord signal abormamality. There is to .
mild to moderate right neural foramen narrowing secondary to osteophyte.
The Posterior longitudinal ligament appears intact.
Can’t make out c3 and c4 from printer
c4 c5There is posterior osteophyte contacting the cord. Mild to moderate spinal canal stenosis There is is moderate left neural from narrowing and mild to moderate right neual foramen narrowing.
c5 c6There is left paracentral/lateral recess disc osteophyte complex contracting the cord.No cord signial
abnormality. T here is moderate spinal canal stenosis. There is moderate left neural foremen narrowing, and mild right neural foramen narrowing.
c6 c7 Small disc osteophyte complex. N osignificent spinal canal stenosis.There is mild left neural foremaen narrowing.
There is a 5m anterolistheses of c2=c3 associated with mild to moderate spinal canal stenosis. Fusion of of the left c3-c4 facet which may be the cause of for the hypomobile of the upper cervical spine at c2-c3 causing anterolisthesis. F lexion/extension xrays may be helpful to assess for stability.
There is moderate spinal canal stenosis at c5 c6. There is mild to moderate spinal canal stenosis at c4-c5 Multilevel degenerative disease.
I typed this with one finger on note and put on word by word. Hope it make sense and Dr Coleman can tell me what it means please. Carol
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