Viewing 6 posts - 1 through 6 (of 11 total)
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  • fresan99
    Participant
    Post count: 10

    Hi

    I had 3 herniated discs c3-c6
    C3-c4 was not that bad at first.
    So I had a ACDF c4-c6 30 nov 2011.
    With a plate infront and that is solid now with good fusion.

    2 years later 24 aug 2018 I had to do c3-c4. Now I had a X-ray to see if it’s fused and there was a movement of 13 mm between the spinous processors.

    I have muscle pain scalene and levator and the has been more pressure on the nerves on that level.

    Do you think a new surgery is a must?
    The surgeon told me if I have pain from the nerves we can do the surgery but the lack of fusion is not really the case of pain. Is that really true?
    Thanks
    Fredrik

    fresan99
    Participant
    Post count: 10

    Just wanna add that the implant in c3-c4 is ok and screws are in place but still motion in that level.
    So the surgeon talked about posterior surgery to lock down the level fully.

    fresan99
    Participant
    Post count: 10

    My surgery could be done 12/12 so hoping for answer
    Thank you ??

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    Pseudoarthrosis (lack of solid fusion) in the cervical spine is not uncommon. Almost 1/2 of the pseudoarthroses are not painful. If they are stable (don’t move much on stress X-rays), and don’t cause any nerve impingement, they can be left alone.

    However, 50% of the pseudoarthroses are painful (either neck pain or shoulder/arm pain) and do have to be dealt with. Depending upon how the surgical site looks, either a front procedure (ACDF) or a back procedure (posterior fusion) can be effective. Occasionally, both procedures need to be performed at one surgery.

    Dr. Corenman

    fresan99
    Participant
    Post count: 10

    Thanks for the reply.
    In my case I have muscle pain in neck at the scalenes ( all of them) and levator scapulae.
    Bonespurrs that has grown and put some pressure on the nerves due to the non-fusion and can keep growing if there is pseduarthrosis.
    Do you believe e revision surgery would help the muscle tightness and my symptoms I have.

    fresan99
    Participant
    Post count: 10

    Thanks for the reply.
    In my case I have muscle pain in neck at the scalenes ( all of them) and levator scapulae.
    Bonespurrs that has grown and put some pressure on the nerves due to the non-fusion and can keep growing if there is pseduarthrosis.
    Do you believe e revision surgery would help the muscle tightness and my symptoms I have.

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