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  • ashley
    Member
    Post count: 25

    Hi Dr,

    It has been 10 months now since my acdf of c6/c7. I am female and 40 yrs of age just to refresh your memory. I have had no issues except stiff neck once in a while.

    2 months ago (when I was 8 months post fusion)my dr put me on 200 mgs a day of spironolactone and the bcp for acne and hair loss.

    I know certain things like nsaids aren’t supposed to be taken after a spinal fusion. And I know spiro is a loop diuretic that causes the body to excrete calcium.

    Is it okay for me to be taking spiro while my fusion is still healing? Would taking it prevent a union or cause further issues?

    Thanks for all your help.

    ashley
    Member
    Post count: 25

    I notice this hasn’t been answered. Do I have it in the right category?

    I have asked my own gp this question and she doesn’t know the effect of spironolactone on bone growth/loss and my neurosurgeon has me refer to my gp at this point.

    Thank you.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    You are now eight months out from your ACDF. This level should be fully fused by now and medications should not affect the success of this fusion. You can take whatever medications you need and not worry about this level (assuming a solid fusion).

    My typical waiting time prior to taking medications like NSAIDs and Spironolactone after a lumbar fusion (which takes much longer to heal than a cervical fusion) is three months.

    Dr. Corenman

    ashley
    Member
    Post count: 25

    Thanks. That’s good to know. The reason I had asked that is because the other morning I woke up with a sore neck. It’s been 3 days now and it’s still bothering me.

    I went on a vacation with my husband when I was 7 months post fusion (beginning of Feb) and when getting off the trolley cart lost my footing and fell. Face first. Damn flip flops. Anyway, not sure if that would cause any damage to my fusion so long after it was done?

    At the time I fell I was fine, no neck symptoms. And I have a plate and screws for fixation.

    Maybe I am just having a flare up of some sort. I have done nothing to reinjure myself since that time.

    How would one know the difference between a flare and re herniation?

    I have pain and stiffness at the base of my neck. Where the big bone is at the base of my neck if that makes any sense.

    But it’s not severe excrutiating pain like when I herniated it. It is annoying pain. And there is no radiculopathy extending to my hand either. More like a soreness or stiffness when I turn my head from side to side. I notice that when I turn my head to the right there is a small grinding or clicking noise.

    Thank you again for all your time and knowledge Dr Corenman.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    Once the fusion is solid, there is really no way to injure the level. The plate and screws are superfluous after the fusion is complete.

    A new fall with resultant neck pain can cause three potential pain generators. One could be that the fusion did not fully take and there is a pseudoarthrosis present (non-fusion). This is easily diagnosed by an X-ray and possible CT scan.

    The other two possibilities are injury to the disc or facets at another level. If the pain is tolerable, a good physical therapy program is called for.

    Dr. Corenman

    ashley
    Member
    Post count: 25

    Hi Dr,

    But the fall happened over 3 months ago and I have had no symptoms until now.

    Do flare ups or inflammation happen after an acdf? Is there a way to tell if its just a flare up or inflammation as opposed to injuring a facet or disc? How are the symptoms different?

    The bone where my c6/c7 was done is sore to touch at the back of my neck. I will go for an xray.

    Thanks.

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