Tagged: Disc replacement vs fusion
Cuckoo96ParticipantAugust 8, 2017 at 6:51 pmPost count: 1
Hi Dr Corenman,
I had disc replacement Oct 11,2016. I’m having a second surgery Sept 5, 2017. I’m having a difficult time deciding if this is the right thing to do. Sometimes thinking I’m just not healed all the way yet. However my x rays and MRI report are not so good. And I’m in a decent amount of pain. Sometimes manageable and sometimes I’m ready to go to the ER. My surgeon is at NYU Langone and seems to be good. However I’m not sure if I’m with the best surgeon I could be with for the procedure I’m having. I do feel like I was a bit of a guniea pig. I had a new type of disc placed in my neck and a rep from the company was ever present during my surgery.
It looks to me like the disc was way to large as the vertebra doesn’t cover it completely. It’s at c5c6. The surgeon wants to remove the disc and do a two level fusion. The disc above became quickly compromised. As you know disc replacement is suppose to do the complete opposite and hopefully preserve the adjacent discs. I really need a second opinion. Other surgeons don’t really want to see me right now because I’m still under the care of my current surgeon. And surgery is all scheduled. If I have to have the surgery I’d much rather do it now then when we are close to or in winter here in NY. I am a horse trainer and cometetor (competed at Olympic level) that can no longer ride but still teach. Working in the cold was horrible after my last surgery.
So time is of the essence for me to get a second opinion and get it fast.
I have serious loss of lordasis and stenosis.
And the ones do not look aligned. Looks like one is try to go over another. I asked my surgeon about this regarding fusion. If he will straighten this out or dose it crocked. He said he will fuse it the way it is. I would think that will cause more problems with other discs. I’m not even sure the disc replacement should come out. Maybe leave it and fuse the one above. He said that he wouldn’t do that beicase it’s the movement that’s causing the stenosis and I’d be better off taking it out and fusing both. I’m also concerned with how much taking the disc out will damage the bone. Making a fusion even more difficult. I’d like to precede to find or how to get your advice. Thanks in advance for any thing you can tell me. I just want to get back to a pain free life. Sorry for any typos I’m on my iPhone and it’s tiny.
Dr. CorenmanModeratorAugust 9, 2017 at 2:33 pmPost count: 5468
- This topic was modified 2 months ago by Cuckoo96.
A failed disc replacement is not atypical. IF the artificial disc was sized too large, it can overhang the edge of the vertebral body and also distract the disc space which will stretch the vertebral ligaments and cause some pain. It sounds like the level above has become degenerative too which is also not uncommon. These artificial disc replacements (ADR) have a slightly better record of preventing adjacent segment disease (breakdown of the level above or below) but the problem of breakdown is not solved by an ADR.
The level adjacent to the ADR sounds like a degenerative spondylolisthesis (“Looks like one is try to go over another”) and may need to be addressed surgically.
If your neck pain did not improve or became worse after the ADR, then the ADR did not work and should be replaced. That is unless the initial diagnosis was incorrect and the level of the ADR was not the level of the pain generation.
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.If this forum has helped you, please let Dr. Corenman know!
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