Donald Corenman, MD, DC
Post count: 8506

If you already have a fusion from C3 to C7 and another fusion from T4 to the sacrum with a failure of the T4 vertebra, the the proper procedure is to fuse C7 to T4, especially if you have osteoporosis. You could still try the facet blocks and RFA prior to committing to the fusion.

Dr. Corenman