degenerative disc disease ( uper neck)

Tagged: ddd in neck also head trauma effect facet over time life with ddd

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meni learn
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August 15, 2021 at 10:50 am

Post count: 236

#34287

this is see more compared in a closer distance of (i use mr and xr to see ) years a bout c s alignment compared (-xr 10 mr 16 mr 18 )
https://www.youtube.com/watch?v=sdjc1aB1nNU

Meni

meni learn
Participant

August 15, 2021 at 11:33 am

Post count: 236

#34288

dr corenman
my worry is from if its going or could to develop myelopathy (i read and ear its cause
degeneration (disc collapse) it cause stenosis( i m not worry its happend in one year or 2 , but i m not expert to know how much time its go (also who is expert see my mr 16 know where is going (see disc d in thin disc level 2-5 )
degeneration disc lead to degenerative joint disase (its very sense ).
myelopathy is big problem.
not think if i was little hydration in disc 2-4 its really effect on mr after 2 year and the surgeon see the 2 disc also (2016 full and also mr in 2018 and the comment is little hydration 2-4
what do u think
thanks

Meni

Donald Corenman, MD, DC
Moderator

August 15, 2021 at 4:13 pm

Post count: 8660

#34289

That was an interesting way to send images. Your neck looks relatively normal from the images I reviewed. If you have continued neck pain, I would advise the facet pathway I previously recommended. I see no chance of myelopathy from your current images.

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.

meni learn
Participant

August 16, 2021 at 6:03 am

Post count: 236

#34290

Yes, I m learn this before not long time. “Your neck looks relatively normal from the images I reviewed”
U see the compared of 10,16,18,
Or also xr 10,20,21
I know on xr your neck not to be flexion or extension
And the image of xr I share its this.
From the comparerd xr with mri, you he (mri not matter laying down really not matter
The curve (shape, what u like to call alignment
) change u see that?
” If you have continued neck pain, I would advise the facet pathway I previously recommended(yes its facet cartilage broken very fast with degeneration of disc we see in mr uper level 2-4
The pain in my neck is really in back of head in facet 2-4 level
The pain I feel but more important is what to do with this problem in all not just pain. (I m not pressure the wigth of head on my neck so I do streaches and some thin tuck, or walk with good posture, but laying down in other time (this is I do in last week start new astertgy. (to limit the gravity also when pain its very help but stael streaches and flexibele (hysomtic exercises)
Disc degeneration lead more work on the joint and facet joint, its broken the cartilage very fast with this. (ADR maybe will very help in mr in after 16 or even 18 to lean the presser on the joint, and also the curve need to change.
“see no chance of myelopathy from your current images”
I m not talking to develop some stenosis in 1 year or 5 year, I m talking from 8 to be 15 years?
Also now its not easily to do things with the head and neck
The neck often stuf but I m do streaches very important and I m learning what good from care medical.
Thanks

Meni

meni learn
Participant

August 18, 2021 at 1:25 am

Post count: 236

#34292

i read on the website this topic https://neckandback.com/conditions/cervical-degenerative-disc-disease/
and also on the end of read (when surgery option the q for ADR ?
“Artificial discs can be used if there is still reasonable motion of the segment and there is not too much collapse of the disc. If the segment is too degenerative, artificial discs will normally not be useful here”.
what image indicate for surgeon to know if ADR is going to work (just with mri the surgeon know if its ok or he need to dee also xr of the front of neck ?
thanks for the reference

Meni

meni learn
Participant

August 28, 2021 at 2:50 pm

Post count: 236

#34311

i need ask a nother q i neef to open new topic ?
a bout disc and facet tissue soft

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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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