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  • Donald Corenman
    Keymaster
    Post count: 52

    In 2004 a had a acdf and in 2006 had 3 injections to no avail my condition has deteriorated I suffer from pain in the neck, right arm pain, finger pain, dizziness, migraines, diffulculty walking and dropping things. I have seen an orthopeadic surgeon and he explained I had a failed fusion spondylosysis bone spurs ddd and wants to do a laminoplasty wih anthor acdf useing bmp what is your theory on bmp and do you have an office closer to Denver? I have read you are one of the best surgeons out there. Thank you.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8378

    You underwent an ACDF (anterior cervical decompression and fusion) in 2004. You do not note the reason for this surgery. Was it for arm pain and weakness? Did you initially have good results?

    You have some symptoms that could be from cord compression and myelopathy (see website)- difficulty walking and dropping things. You have some symptoms that could originate from nerve compression- neck and arm pain.

    The surgeon who consulted with you noted a failure of fusion of the old ACDF surgery and wants to repeat the ACDF with BMP and perform a laminoplasty.

    BMP is not indicated for use in the anterior (front) of the neck as cases of significant neck swelling have been noted after surgery. If the level previously fused has not gone on to fusion, a repair of this level might be called for if it is causing neck pain or compressing nerves or spinal cord. The laminoplasty would be indicated if the spinal canal is narrowed compressing the spinal cord and your neck is lordotic (curved the normal way and not a reversed curve).

    Sorry, but I don’t have a closer office to Denver.

    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.
    Reddington
    Member
    Post count: 7

    You have hit everything on the nose the first fusion was done for weakness and arm and neck pain. Now everything has progressed to this level I forgot to tell you I have pain right below the shoulders on both arms do you know of any surgeons in englewood or littleton that you would recommend to do this type of surgery. They have done the tests and shows signs of c5 and c6 mylopathy stenosis there is so much I just don’t know I have avoided surgery and after reviewing bmp could you give me the name of another surgeon so I can have a second opinion thank you for the insight on bmp that’s what I have read in already frightened by this other surgery and then find that out

    Donald Corenman, MD, DC
    Moderator
    Post count: 8378

    I generally do not recommend individuals on this site. I think it does pay to have a second opinion if you have concerns about the surgical plan.

    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.
    Reddington
    Member
    Post count: 7

    Dr Corenman if I can figure the computer out would you be willing to look at my MRI and ct scan and give me some advice I would love to get some hind of life back and my last post had said stenosis it’s in there somewhere but it would be c5 and c6 radioclapathy or some thing like that but as I understand it the spondylitis can only be seen on an Xray it is at the top of the fusion

    Donald Corenman, MD, DC
    Moderator
    Post count: 8378

    You can get the images on a CD or DVD from the imaging center that performed these and Fed Ex the discs up to the clinic. Call (970) 476-1100 and ask for DIana or Sarah. They will give you details for shipping.

    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.
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