meni learnParticipantFebruary 26, 2022 at 3:40 pmPost count: 205
“potential long-term risks of instability and kyphosis. The posterior structures resist flexion and these are removed with surgery”
I m know that (the nuchal ligament it is very important to keep head in neutral position and i read this ligament contact mostly to c1 to c7
So by doing laminectomy in level of c4 or c4 and c5 you not need to damage this ligament.(one surgeon say me this very clearly in ZOOM meeting .
Post laminectomy kiposis Risk high when you doing multi level laminectomy or remove c7 (then you need laminectomy and Fusion.
Also important to see the xr alignment if lordosis (you can enter from posterior)
The second problem of instability ,why this Risk high ?
Because by remove the ligament flavum respond to stability of spine in cervical region.
** What the risk not to do surgery :
Developed more weakness in legs,arms, maybe myelopathy will come
,hard to walking in the future
Conclusions: losses more cells in the cord.
I think cervical central canal stenosis symptomatic quick need to be treat
(You don’t think so also ?(off course u don’t do me Physical examination
So you don’t see this side .
Menimeni learnParticipantFebruary 26, 2022 at 3:46 pmPost count: 205
Dr corenman i share with you the new MRI OF MY cervical spine 24.2.22
To salvina link ,can you see him
And i need your opinion , what do you think with the New one
He is not confused clear images.
and i m also needed to ask you think you can contact me via salvina.
Menimeni learnParticipantFebruary 27, 2022 at 12:01 pmPost count: 205
What a bout laminoplasty (it is option for the ligament flavum buckling?
This low the risk of potential problems
Instability and kyphosis?
MeniDonald Corenman, MD, DCModeratorFebruary 27, 2022 at 1:47 pmPost count: 8409
Laminoplasty can be effective and protective but there is need to disrupt posterior structures to “swing the door open” which can be defeating for the safety of the procedure regarding kyphosis.
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.
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.meni learnParticipantFebruary 28, 2022 at 3:50 amPost count: 205
I want you see my new MRI of the c spine,see if you think with the new scan you think this causes the symptoms.
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