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  • failedACDF
    Participant
    Post count: 30

    Thanks again Dr. Corenman.

    It sounds like posterior laminotomy and forinatomy is almost as effective as the much more invasive laminectomy and forinatomy, with of course the anterior revision being most effective.

    I really respect your views and feel that I could be in the best hands having you involved in my surgery. If I was to come to Vail, I am not sure how the post-op would be handled in NY. Do you work with NYC doctors?

    Thanks

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    Posterior laminotomy and foraminotomy in your case will be just as effective as the more invasive laminectomy and foraminotomy.

    I see patients from all over the country and you can travel back safely to NYC after surgery is that is what you desire. I prefer to do follow-up myself but you don’t have to be in the office for that. Typically, your family doctor can see you, obtain X-rays which you will Fedex to me. My PA or I will call for follow-up discussions and send you the requisite PT prescriptions.

    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.
    failedACDF
    Participant
    Post count: 30

    Thanks again for a lot of food for thought.

    I wonder whether it might be prudent for me to wait a little longer and see if I fuse and if so try the less invasive posterior laminotomy and forinatomy knowing that the odds may be 70% as compared to the revision anterior with a 95% chance of success, but also the accompanying hip pain from the autograft.

    If I did fuse, would revision anterior surgery be harder?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    Do not worry about hip pain from an autograft. I did an unpublished study about 5 years ago. Out of 150 individuals in this study, there was a 2% hip discomfort rate at six months and their “pain” was a 1-2 on a 0-10 scale.

    You certainly can wait and see if you develop a solid fusion. Then, if the pain does not subside, you can then have a posterior decompression.

    If you did fuse, anterior surgery is harder but not significantly harder.

    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.
    failedACDF
    Participant
    Post count: 30

    Thanks very much.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    Please keep in touch regarding your progress and decisions.

    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.
Viewing 6 posts - 7 through 12 (of 50 total)
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