POST OP HARDWARE PROBLEMS

///POST OP HARDWARE PROBLEMS
POST OP HARDWARE PROBLEMS
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  • Avatartrenee
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    Post count: 9

    I had a 3rd ACDF last Oct. Had increased pain immediately following. The pain started toward the back of my neck and shoulder blade on the left side. I informed my Dr what was going on at my 1st follow up and he told me it was normal due to how bad my neck was. Abou5 4 weeks into my “recovery” the pain increased and i noticed a lump on the shoulder blade on the left side. I also noticed swelling in the front part of my neck (chest area ). I loose my voice all the time and have major swallowing trouble. A recent CT with contrast shows hardware problems. A screw I the right side is backing out of the plate. Will i have to under go surgrey again to fix this

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6907

    You note three prior ACDFs. Were they all at the same level or were they different levels? You should not have increased left shoulder pain after an ACDF but could have temporary increased “between the shoulder blades” pain due to restoring the collapsed disc height.

    “Losing your voice” (dysphonia) can occur with the surgical approach, especially if the approach was performed on the right side. The recurrent laryngeal nerve (RLN) is susceptible to retraction injury on that side. Normally recovery occurs within 6 months and you are now 10 months out. Maybe a visit to the EMT doctor for a consultation could be considered.

    Dysphagia (swallowing difficulty) also can occur and is generally also temporary however, with a screw that is backing out, this can put pressure on the esophagus and cause further swallowing problems. This is another reason to visit an ENT and possibly get a barium swallowing study to look for screw irritation.

    The screw that is backing out is also an indication that you are not going on to fuse this level. A CT scan of the neck would be a good next study to determine fusion status.

    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
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    Post count: 9

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    CT, NECK, SOFT TISSUE, W/ CONTRAST (#55797341, 08/01/2019 12:00am)

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    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6907

    Had to delete the hyperlinks and your name as this site is anonymous.

    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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