Hello Dr. Corenman,
I have received some great advice from you previously and went through with a c5-c7 ACDF. Everything was great until I was t-boned at an intersection. A CT showed pseudoarthrosis at c5-c6. I’ve been dealing with symptoms at the pain center for years with no relief. I have the pseudoarthrosis that is jagged with scar tissue and the CT from 8 months ago showed the hardware was stable. The CT also is showing bone spurs forming on the front under the plate. Because of continuing symptoms and bone spurs would you conclude that there is indeed movement? I did use my own hip bone so I’m not sure why I didn’t fuse. Thank you for your time.
You can have a pseudoarthrosis of the cervical spine and it can be so stable that you would not know it. Along comes a force greater than the pseudoarthrosis can withstand (an impact with another vehicle) and it becomes painful.
Bone spurs that are new are an indication of motion.
I am not sure why you did not fuse as your own bone has a much higher fusion rate but even autograft (your own bone) occasionally does not fuse.
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.