PattiDParticipantOctober 6, 2020 at 1:26 pmPost count: 1
In Aug 2019 I had ACDF C4-C6 because I was having pain and loss of strength in my arm and hand. Recovery went pretty well although I had some swallowing problems for about 3 months (it did help me lose 25 lbs though). I’ve been walking 1.5-4 miles a day and felt good until June 2020 when I started having severe shoulder blade, neck, arm, and forearm pain. PT including dry needling, gentle manual traction, and strengthening helped for about 3 weeks. One day I woke up with neck pain again and the inability to do any of the strengthening exercises for my arm/shoulder without increased pain.
Physiatrist took xrays including extension and flexion where he saw movement with C6 and what looks like lack of bone. He referred to it as a nonunion and mentioned that a bone stimulator might help but wanted to order MRI and check C7 status.
Updated MRI results are below:
C1-C2: The atlantodental interval and lateral atlantoaxial articulations are normal.
C2-C3: No evidence of disc herniation. Mild bilateral facet arthrosis. No central stenosis or neural foraminal narrowing.
C3-C4: Disc bulge with desiccation. The bulge produces mild central stenosis, narrowing the anteroposterior dimension of thecal sac to 9 mm. Mild bilateral facet arthropathy and uncovertebral hypertrophy produce mild bilateral neural foraminal narrowing, right greater than the left.
C4-C5: Surgical level. No central stenosis. Hypertrophic changes of the facets produce mild to moderate bilateral neural foraminal narrowing.
C5-C6: Surgical level. No central stenosis. Hypertrophic changes of the facets produce mild neural foraminal narrowing.
C6-C7: Right paracentral disc protrusion with disc desiccation. The extrusion produces central stenosis, narrowing the anteroposterior dimension of the thecal sac to 7 mm. Moderate bilateral facet arthropathy and uncovertebral hypertrophy produce moderate bilateral neural foraminal narrowing.
C7-T1: No evidence of disc herniation. Mild bilateral facet arthosis. No central stenosis or neural foraminal narrowing.
1. Can bone grow after 14 months? Is it likely?
2. If surgery is recommended, what needs to be addressed?
3. Are there different ways of addressing the issues surgically?
4. Can you see a nonunion on an MRI?
Thank you so much for your site and for helping people understand their spine issues so they can make informed decisions.
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