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  • jr999
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    Post count: 5

    I am scheduled to meet the Neurosurgeon on the 18th.

    Meanwhile the pain and tingling is 95% gone.

    My grip is still just as weak. My small daughter can easily grab a can out of my right hand but not my left.

    And there is a slight tendency of my right foot to want to walk on tipotoe.

    jr999
    Participant
    Post count: 5

    1. I am considering 3 NYC doctors who are all in network. All three are 40-something year old neurosurgeons who specialize in spinal surgery including ACDF, foraminectomy and even minimally invasive surgery. Unfortunately I could not find older (i.e. more experienced) doctors who take my insurance. Two of these surgeons come highly recommended by my physiatrist and the third was a Castle Connoly Top Doctor a few years ago.

    2. The other question for me is: autograft or allograft.

    jr999
    Participant
    Post count: 5

    Thank you very much Dr. Corenman. That is quickest, most detailed response I have got from anyone till date including my NYC physiatrist whom I like and respect. I will bear your advice in mind as I conduct my search.

    jr999
    Participant
    Post count: 5

    FYI: Radiologist report
    MRI CERVICAL SPINE W/O CONTRAST

    Age: 45 yrs

    Sex: M

    Exam Date: 05/27/2017

    Clinical statement: 2 weeks of right arm numbness and tingling

    Technique: An MRI examination of the cervical spine was performed without intravenous contrast. The examination consists of sagittal T1, sagittal and axial T2, sagittal STIR, and axial 3-D gradient echo sequences.

    Comparison: None available

    Findings: There is straightening of the normal cervical lordosis. There is no cervical spondylolisthesis. The cervical vertebral body heights are maintained. No destructive osseous lesion is identified. Multilevel cervical degenerative changes as detailed below.

    C2-C3: There is minimal left uncovertebral hypertrophy. There is no canal or foraminal stenosis.

    C3-C4: There is mild bilateral uncovertebral hypertrophy. There is mild left foraminal narrowing. There is no canal or right foraminal stenosis.

    C4-C5: There is a disc osteophyte complex, mildly eccentric to the right. There is mild canal stenosis. There is minimal left foraminal narrowing. There is no right foraminal stenosis.

    C5-C6: There is a disc osteophyte complex, with an eccentric right foraminal component consisting of both a disc protrusion and associated osteophytic ridging. There is severe right foraminal stenosis. There is mild canal stenosis. There is no left foraminal stenosis.

    C6-C7: There is no canal or foraminal stenosis.

    C7-T1: There is no canal or foraminal stenosis.

    T1-T2: There is a left central disc protrusion. There is no high-grade canal or foraminal stenosis.

    The cervical cord is normal in morphology and signal characteristics.

    No epidural collection or mass is identified.

    Impression: Multilevel cervical degenerative changes as detailed above. Findings are most pronounced at C5-C6, where a disc osteophyte complex with an eccentric right foraminal component contributes to severe right foraminal stenosis and mild canal stenosis.

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