MRI & CT SCAN RESULTS. ADVICE ON REVISON SURGERY

///MRI & CT SCAN RESULTS. ADVICE ON REVISON SURGERY
MRI & CT SCAN RESULTS. ADVICE ON REVISON SURGERY
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  • Avatartrenee
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    Post count: 15

    DR THESE ARE TEST RESULTS POST OP ACDF ON C34 OCT 10, 2018.
    I HAD COMPLICATIONS IMMEDIATELY FOLLOWING THE SURGERY I INFORMED MY SURGEON OF ALARMING PROBLEMS I WAS HAVING.
    SYMPTOMS INCLUDING EXTREME PAIN IN LEFT SHOULDER AND SWELLING ON TOP OF LEFT SHOULDER. LUMP STARTING UNDER CHIN ON MY CHEST
    CONSTANT HEADACHE
    TINGLING ON LEFT SIDE OF FACE
    SHARP CONTRAST STABBING PAIN IN MY LEFT SHOULDER
    SWALLOWING PROBS & HOARSE VOICE
    RANDOM ELECTRIC SHOCK TYPEN PAIN AT BASE OF SKULL AND NECK
    PAIN IN BOTH KNEES CAUSING EXTREME PAIN TRYING TO STAND
    CONSTANTLY DROPPING THINGS
    PAIN BEHIND BOTH BUTT CHECKS RADIATING DOWN BACK OF BOTH THIGHS

    ALL PROBLEMS I DIDN’T HAVE PRIOR TO SURGERY. HE DISMISSED SHOULDER PAIN AND SWELLING AS MUSCLE SPASMS & ALL OTHER PROBS AS ” normal after three procedure ACDF symptoms “.
    Problems i had prior to surgery INCREASED such as arm weakness both sides, biceps burning and hard to raise arms, wrist weakness, top of hands burning and red in color on all joints.
    FINALLY ALMOST A YEAR AFTER 2018 ACDF HE ORDERED CT & MRI. NOW HE SAYS I NEED A Anterior & Posterior Surgery immediately to do remove HW, REDO the ACDF on C3-4 due to lack of fusion and hardware failure
    Also needs to Decompress my spine due to cord flattening and narrowing of foramina at C4-C5.
    Should i not have concerns about him doing this surgery? Is the failed acdf something that is common or possibly mistakes made by surgeon?
    Please advice on any optima i may have and break down test results to me

    EXAM: 08101/19 TIME OF EXAM: 1500 Report t: 0801-0329 Exam CPT: 70491 CT soft tissue neci< Hiato,y: R22.1. lu”l)lell ahoulder. Cnokea when eating or drinking. Neck pain and left facial r..mbnesa. CompenS0n: 8/5/2015 CT cer,ical apine. Spiral Slices we,-e ottained from the sl<ull base tlYough the thoracic inlet following intravenous cortrast The skull base and visualized paranasal sinuses are clear. Nasopharynx and orophar,nx are urvemarkable. Par01id and submandibular glands are normal size and density. The valecua and ~form sil’IU$8$ are reasonatlly symmelric, La,ynx is normal. Thyroid is nOI enlarged a.nd has no dominant maois. Visualized lungs and upper mediastinum are unremarkable. Previous discectomy and fusion at the ~ and CS-7 inle,spaces, -.lh inlei\lal additional discectomy and alte~ed fusion at the C3-4 and C4-5 int-paces. Alignmett 1& stabilized by a ventral plate and two screws at each level Mild 1,ancy arooo<I the C3 screws and lack of rusion across the disc inters pace. The rigl’lt C3 screw head has partially backed out of the fene8trated plate compered to the left. Shght bone erosion at the anteoor-inlenor margin of C3 vertellral body. The C4-5 level shows complete fusion and no loosening. CIYonic fusion at the C5-6 and C6-7 inte,space;, unchanged. No obVious hardWare failure. A marker placed at the top of left chest indicates and area of swelling or fullness according to the patient No soft tissue mass. edema or obvious lipoma at lhis lellel. IMPRESSION: Previ<lU6 anterior cervical discectomy and fusion at C3-4 through CS-7 intE<Spaces. M<lle recent aurge,y at the upper two levets, with lack or fusion at the C3-4 interspaoe and loosening along the &crew&. The right side screw has backed out ol the plate slightly. other levels show adequale bony fusion. No cervical soil tissue mass or lympl’ladenopathy. This CT exam wa!> pelfooued using one or more of the follCM1ing dose reduction techniques: 1 l Automated expo641’8 control. 2) Adj,..,lment ol thP. mA and kV “””°’ding to body Jl”rf and p,,liP.nt size, and/or 3) Use ol ije,ative reconstruction technique, when available.

    MRI RESULTS
    DATE OF EXAM: 09123/19 TIME OF EXAM: 1500 Report#: 0923-0391 Exam CPT: 72141 MRI cervical spine W11holt contrast HISTORY Cervical pan Pnor surgery COMPARISOO 7/Zl/2015 TECHNIQUE Mulhplanar MRI sequences were performed through the ce,vical sp,ne withou intravenous administrabon of gadol,nium. FINDINGS· Mildlmode<ale roobon artifact ,s pr-nt on some sequences despite repeal attempts A metallic plate and mutiple screws are present extending from C3 through C7 consistert with prior ACDF. There is good algwnent The oord has normal signal. C1-C2: No significant at,, IOI niality. C2-C3: No significant abnonnality. C3-C4: A broad-based diffuse posterior disc-osteophyle complex present. This causes narrowing of the neural foram1na particularly on the nght Mild cord nattenlng is present. C4-C5: Mild postenor 061eophyte lormabon is present and causes mild cord attenuabon antEt,or1y C5-C6: No significant at,, IOI mality. C6-C7: No significant abl IOI mality. C7-T1. nosig,ificart abnormality. IMPRFSSION 1 D,sc.ogteophyte cxmplex at the 3-4 ,nterspace as noted above This narrows the neU’al foramina particularly on lhe r’l1!1. 2 Prior SU’ge,y

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7005

    I think I looked at this and commented on this previously on another post. I apologize if I have not but if this is a repost on a new thread, please stick with the previous thread so I don’t duplicate work.

    “Previous discectomy and fusion at the ~ and CS-7 inle,spaces, -.lh inlei\lal additional discectomy and alte~ed fusion at the C3-4 and C4-5 int-paces…Mild 1,ancy arooo<I the C3 screws and lack of rusion across the disc inters pace. The rigl’lt C3 screw head has partially backed out of the fene8trated plate compered to the left…The C4-5 level shows complete fusion and no loosening. CIYonic fusion at the C5-6 and C6-7 inte,space;, unchanged. No obVious hardWare failure.

    I think this means that you have a pseudoarthrosis of C3-4 and the other levels are fused (C4-7). The right C3 screw has backed out somewhat.

    “The Cord has normal signal…narrowing of the neural foram1na particularly on the nght Mild cord nattenlng is present. C4-C5: Mild postenor 061eophyte lormabon is present and causes mild cord attenuabon antEt,or1y”. Hard to know if there is cord compression as it not defined by the radiologist.

    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.
    Avatartrenee
    Participant
    Post count: 15

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