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  • AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7831

    Please call my office and I will set you up with a thoracic spine surgeon. I do thoracic fracture and deformity work but not this mid-thoracic foraminal work.

    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.
    Avatarcindy2836
    Participant
    Post count: 12

    Hello again Doctor, I had a new CT on Jan 12 2020 of my spine. I met with OSU neurosurgeon Dr. Andrew Grossbach who did recommend surgery. I would like to copy paste here my CT results. He proposes to leave current S1-T10 fusion and an add an extenton bar to it up to T4.
    Electronically Signed By: Joel Fritz, MD on 1/12/2021 5:03 PM

    Narrative
    EXAM: CT THORACO-LUMBAR SPINE WITHOUT CONTRAST, 01/12/2021 12:57 PM

    COMPARISON: No prior studies available for comparison.

    CLINICAL INDICATIONS:67 years Female Cord compression; Disease of spinal cord,
    unspecified; Abnormal posture; proximal junctional failure R/O;

    RELEVANT CLINICAL HISTORY: R29.3:Posture abnormality
    G95.20:Unspecified cord compression
    G95.9:Disease of spinal cord
    stealth;

    TECHNIQUE: A series of transaxial multislice computerized tomographic images
    of the thoracic and lumbar spine are obtained with helical technique without
    intravenous contrast. Reformats: Axial 3 mm, Sagittal and Coronal.

    FINDINGS:

    Postoperative changes are partially visualized in the lower cervical spine.
    There is subtle lucency involving the right C7 screw. The left C7 screw is
    backed out, with component anterior to the fixation plate measuring 1 cm.

    Postoperative changes from posterior fixation extending from T10 through S1
    with bilateral pedicle screws. Bone graft cage is noted at L5-S1. Laminectomy
    extending from L1-L5. There is lucency surrounding the right T10 pedicle
    screw, now extending to the disc space. No evidence of hardware fracture. The
    left T12 pedicle screw extends through the lateral aspect of the spinal canal.

    Mild dextroconvex curvature of the midthoracic spine.

    Disc height loss and vacuum disc phenomenon is noted at T8-9 and T9-10.
    Degenerative endplate changes and small Schmorl’s nodes are noted at several
    levels, with minor superior endplate concavity at T12. Sclerosis is noted at
    the anterior aspect of the T8-9 endplates

    Vertebral bodies are normal in height.

    No severe central spinal canal stenosis.

    Paraspinal soft tissues are within normal limits.
    Also in scholiosis xrays said 22 degrees

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7831

    “Postoperative changes are partially visualized in the lower cervical spine. There is subtle lucency involving the right C7 screw. The left C7 screw is backed out”. This probably means you have a pseudoarthrosis in the lower part of your cervical fusion. This may or may not be symptomatic.

    “There is lucency surrounding the right T10 pedicle screw, now extending to the disc space. No evidence of hardware fracture. The left T12 pedicle screw extends through the lateral aspect of the spinal canal”. I assume you have no symptoms here from the pedicle screw in the canal as many times, they don’t bother the nerve roots.

    “Disc height loss and vacuum disc phenomenon is noted at T8-9 and T9-10. Degenerative endplate changes and small Schmorl’s nodes are noted at several levels, with minor superior endplate concavity at T12. Sclerosis is noted at the anterior aspect of the T8-9 endplate”. You have significant degeneration which can be painful and could indicate the need for a fusion. You dn=ont indicate where your scoliosis is located.

    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 3 posts - 7 through 9 (of 9 total)
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