puckguyMemberMay 16, 2011 at 11:33 pmPost count: 1
I will be undergoing disc replacement between my C5/C6 and a fusion from C6 onto the C7. I have two stenosis’ and three compressed vertabrae and was told that the surgery should help but that my range of motion may be restricted. What could I be looking at as far as lifelong problems after my surgery?Donald Corenman, MD, DCModeratorMay 17, 2011 at 3:51 amPost count: 8614
You most likely have significant degenerative changes between C5-6 and C6-7 compressing the cord and/or nerve roots. The surgery you describe is a reasonable alternative to the standard C5-7 ACDF. You are having an ACDF at C6-7 (see website for description of that surgery) and an artificial disc at C5-6 (again- see website). The question then boils down to how does the artificial disc differ from the ACDF?
The artificial disc replacement (ADR) was designed to allow motion of the surgical segment. The motion of the ADR is not normal but close to normal. The ADR will not absorb shock like the normal human disc will. There are two problems with the ADR. One is that it will wear out eventually and need to be replaced. This obviously requires another surgery. The second is that if there is a significant component of neck pain complaints, this ADR may not relieve the neck pain.
Even with regard to the above two problems, I think this disc replacement is a good surgery and is reasonable in the right individual.
Dr. CorenmanPLEASE 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.
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