Viewing 6 posts - 13 through 18 (of 33 total)
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  • Avatarwestie10801
    Participant
    Post count: 79

    Dr Corenman,

    As always thank you so much! Wishing you a Happy Father’s Day

    Avatarwestie10801
    Participant
    Post count: 79

    Good evening Dr. Corenman,

    I had a consultation today with my surgeon and a flexion-extension x-ray was performed and my CT scan was reviewed. The x-ray showed movement at T1 and T2 and CT scan showed non union. So he wants to perform a fusion revision and add rods and screws at this level posteriorly. In addition he would like to fuse C2/C3 with rods and screws. My question is, how would a C2/C3 impact my range of motion? Thanks

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7569

    The T1-T2 posterior fusion due to pseudoarthrosis sounds appropriate. The last conversation we had was that you had a fusion of C3-T2. Why does he feel that C2-3 needs to be fused? Do you have base of the skull pain? Do you have instability?

    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.
    Avatarwestie10801
    Participant
    Post count: 79

    Good Morning Dr Corenman,

    That is correct, I do have base of skull pain. I’m not aware of any instability, however I’m told that there’s a large bone spur on facet at this level C2-C3. My last MRI states “at the C2/C3 disc space level, disc herniation is noted deforming the thecal sac abutting the spinal cord contributing to mild central spinal stenosis in conjunction with posterior ligamentous hypertrophy. There is no evidence of neural foraminal stenosis. Loss of disc signal is noted with preservation of disc space height”. Why a fusion is warranted at this level is confusing to me and I’m not willing to lose more range of motion.

    I have two opinions at this point, first surgeon wants to perform a revision to T3 (hardware from C5 to T3), the second is revision to T2 (hardware T1 and T2) and C2/C3 fusion (hardware C2/C3). Thanks in advance

    Avatarwestie10801
    Participant
    Post count: 79

    Per my reading from others on this forum, C2-C3 base of skull pain and headaches, usually are treated and diagnosed with facet blocks and if one gets relief the next step would be RFA? Surgery at this level is usually reserved for instability, fractures, etc. So for me I think it would be wise just to have The T1-T2 posterior fusion due to pseudoarthrosis? Thanks always in advance

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7569

    Your above assessment is correct. If there is no neurological danger at that level, then facet blocks and RFA are the way to go. You have “mild” central stenosis. I assume you do not engage in impact or contact sports.

    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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