Hello Dr. Just an update I got in with another practice. Saw PA who reviewed films and stated He sees very little fusion contrary to original surgeons comments. He is ordering another scan and set appointment with surgeon after scan. I know everyone is different but at 10 months I assume I should be more than a little fused. Can some fusions just take longer? Thank you.
Met with new surgeon, after reviewing scans and flexion/extension xrays (old surgeon never did these), he states he see some fusion bridge at C3-4, but nothing at C4-5 and nothing in the expandable cage. He also stated there is enlarging spurs at 4/5 since last indicating motion. 5/6 looked ok, moderate foraminal stenosis. The 6/7 disc is still pressing on the nerve even post-foraminotomy. Wants to do a couple of diagnostic injections but feels the fix would be posterior fusion c-3 to c-7 to take care of all issues. He stated this is a tough recovery and advised to tough it out as long as I could, however if major weakness appears that would move up the timeline. I know every case is different, but in general what limitations would a c-3 to 7 posterior fusion place on an individual? Is this a career-ender? (I am a Chief Fire Marshal for a large fire service)? I guess I am asking what is a typical recovery/future restrictions like for this type of surgery. Thank you sir.