Viewing 5 posts - 25 through 29 (of 29 total)
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  • AvatarCalista
    Participant
    Post count: 17

    Well, surprisingly my CT Myelogram has not been canceled. I will let you know the results and try to persuade the radiologist to review with me. Fortunately one needs to inject contrast, so have the opportunity to ask directly.

    The NCS will be repeated. Previous test results were consistent/correlated with MRI findings. But it is a simple test to redo.

    Thank you again, will let you know when I know the results. Not sure how things will work with COVID-19 restrictions, surgeon offered telehealth for review of issues and results. He already has examined me and viewed MRI – and CT is supposed to resolve concerns over potential artifact that can obscure results. Hopefully I will have less questions and more answers soon.

    Thank you!

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7481

    Keep in touch!

    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.
    AvatarCalista
    Participant
    Post count: 17

    Hi. My CT Myelogram was canceled due to COVID19, with 427 cases, mostly north of where I live. So rescheduled for 3wks later, with 50k reported cases…makes sense? So have CD, uploaded to my surgeon, but have not seen the report yet.

    I have been trying to read it, however my eyes hurt, the resolution on preview is poor, had to use a very old laptop that had a CD drive to upload.

    I may see report Monday, if not have call scheduled with the surgeon on Tuesday. I will add here the radiology report and surgeon’s opinion when available.

    Thx!

    • This reply was modified 1 month ago by AvatarCalista.
    AvatarCalista
    Participant
    Post count: 17

    Spoke with surgeon today, I do not have solid fusions at L3-5, and L3/4 hardware is loose and level moves on flexion/extension, plus confirmed bilateral foraminal stenosis, both levels, worse at L3/4 – with residual disc.

    He recommends a posterior full decompression with revision fusion and me taking bone density drugs in addition to using BMP. The logistics of removal of hardware is the concern, versus augmenting what is in place, due to small size of pedicles.

    Need to have in person consult to review particulars. So now just waiting until in person office visit & when elective surgeries can be performed in NJ.

    • This reply was modified 1 month ago by AvatarCalista.
    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7481

    If you have a painful pseudoarthrosis at L3-5, then you do need a revision surgery. I can’t comment on the required revision techniques at it depends upon what the fusion failure looks like and how it failed. You would need to revise the hardware as a loose screw cavitates (erodes the bone around it). Bone density drugs might be helpful.

    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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