POST OP HARDWARE PROBLEMS

///POST OP HARDWARE PROBLEMS
POST OP HARDWARE PROBLEMS
Viewing 5 posts - 7 through 11 (of 11 total)
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  • AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7005

    To recap your history: “So i had the ACDF on C5,6,7 like i was told i needed. It did not give me any feeling back in my legs or feet! I found that all i could feel was big time pain in my arms and hands. I couldn’t hold anything without dropping it. I was still having incontinence. I was a mess. The Dr didn’t care to answer my questions. 2 days after the surgrey after my brother felt my left legg, he freaked out because it was ice cold. He told my nurse and they sent me to have a ultra sound on the leg. I had a DVT in my calf AND a pulmonary embolism in both lungs! Still paralyzed”. I am unclear why you lost sensation and strength in your leg but the cord could have been compressed causing myelopathy”. See this: https://neckandback.com/conditions/cervical-central-stenosis-and-myelopathy/

    “93 days in the hospital then to inpatient rehabilitation to try and learn to walk again”. I assume a rehab hospital.

    “In May 2017 i had my 2nd ACDF” and “My pcp ordered a MRI. It showed a large broad based disc ( bone spur ) stabbed right between my spine and C3..After this surgery, it was way wrong immediately after surgery”.

    “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”. It sounds like you have had a non-union of C3-4 with instrumentation failure (not uncommon).

    “I go back and he tells me that the last fusion didn’t work”. He sounds correct.

    Your new MRI notes; “The cord has normal signal. C3-C4: A broad-based diffuse posterior disc-osteophyle complex present. This causes narrowing of the neural foram1na particularly on the nght Mild to Moderate cord nattenlng is present. C4-C5: Mild postenor 061eophyte lormabon is present and causes mild cord attenuabon antEt,or1y”. C5-6 and C6-7 sound to be fused and “OK”.

    You then note; “He did call and tell me that i still needed to have him remove HW, REDO C3-4 ACDF and he still needed to go in posterior as well as anterior in order to make sure the plate is fastened down properly in order to hopefully obtain a successful fusion”. With the screw protruding and the level not fused, one of the ways to gain a successful fusion is to go in front and back to get enough fixation to get this level to fuse.

    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

    Dr i seem to be missing your comments regarding the info and questions i sent you? I recieved an email showing you had recently viewed my message . I’ve been dying to hear from you about my situation. Once i clicked on our conversations i didn’t see anything new from you except giving me a link to read about mylopathy.. Im certain you didn’t just send me that link after reading my current medical status im in and in dire need to find out the answers i asked you.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7005

    I not only replied to your original post (see above) but you posted again on another thread the same post that I again answered to.

    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

    Well i didn’t mean to make you mad Dr. I really didn’t see your responses in your reply post.
    I seen your email showing you had replied to my post and when once i logged in i started reading it. Problem was my eyes are really bad. I wear glasses but i misplaced and had to try and read things without them. I just read your reply and wanted to thank you .
    I’m very sorry sir.
    If you don’t mind can you please tell me what cord flattening is and how it’s fixed.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7005

    The spinal cord is typically shaped like a kidney bean. When the canal becomes narrowed, the cord becomes flattened. This may or may not cause symptoms which are typically that of myelopathy. Pain due to cord deformity is typically not painful as the cord really does not have pain receptors in it. “Fixing’ cord flatting that is symptomatic consists of either decompressing the canal from the back (laminectomy or laminoplasty) or fusion from the front.

    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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