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in reply to: 2 Years Post 2 Level ACDF With New Type of Pain #11423
The pain, numbness and tingling is in the left neck/shoulder region. It starts around just below my jaw area and goes to the shoulder, about to the top portion of my arm (about 1/3 of the way down). The pain symptoms are intermittent and the pain is of a shooting type. The pain seems to occur more when turning head to the left or bending head back. The nurse said my knee reflexes were “brisk”.
I have not found anything in the reports to state “solid fusion”. Here is the findings in the X-Ray report:
The cervical vertebral bodies are normally aligned, except for minimal retrolisthesis of C3 on C4, no fractures are identified. There is a metallic plate with screws anteriorly from C4- C7, and the disc spaces are fused. No prevertebral soft tissue swelling. There is moderate disc space narrowing at C3-4 which is new from previous exam with small posterior osteophytes. No instability with flexion or extension.
Impression: Intact cervical fusion. No instability. Degenerative disc space narrowing at c3-4.The MRI findings: Patient has undergone anterior cervical discectomy and fusion at C4-5 and C5-6. Vertebral bodies are of normal height and alignment. No cord lesions identified. Visualized structures within the posterior fossa and brainstem appear unremarkable. Spondylosis is present in the upper cervical spine with degenerative changes at C2-3, 3-4, 4-5, and 5-6. No areas of contrast enhancement are identified. On review of the axial images: At C2-3 there is no significant spinal stenosis or foraminal narrowing. There is a small broad-based posterior disc bulge.
At C3-4 there is a small broad-based posterior spondolytic disc bulge. No significant spinal stenosis. There is mild right and moderate left foraminal narrowing.
At C4-5 mild facet hypertrophy is present without spinal stenosis or foraminal narrowing.
At C5-6 there is mild bilateral facet hypertrophy. There is mild left neural foraminal narrowing. No significant right foraminal narrowing or spinal stenosis.
At C6-7 o spinal stenosis or foraminal narrowing is present
C7-T1 appears unremarkable.
T1-2 appears unremarkable.Based on these reports, what do you think should happen in my case? My primary provider has prescribed Lyrica and Celebrex until I can be seen by the Neurosurgeon in mid November (soonest available appointment). These symptoms affect everything form work to driving and even sleeping.
I appreciate any input you can provide.
in reply to: 2 Years Post 2 Level ACDF With New Type of Pain #11409Hi Dr. Corenman,
I have just returned from my primary provider after completing an MRI and cervical spine x-rays and here are the results:
MRI: Impression:
Abnormal MRI cervical spine with and without contrast with the findings as follows:
1. Postsurgical changes are present including anterior cervical discectomy and fusion at C4-5 and 5-6.
2. There is multilevel facet hypertrophy. At C3-4 there is mild right and moderate left neural foraminal narrowing. There is mild left neural foraminal narrowing at 5-6.X-Ray Cervical spine: Impression:
Intact cervical fusion, no instability. Degenerative disc space narrowing at C3-4 (which is new from previous exam).I am awaiting a call from the neurosurgeon for the next step, however, I am in some serious pain with numbness and tingling. Please let me know your thoughts on my case.
Thank You!
in reply to: 2 Years Post 2 Level ACDF With New Type of Pain #11295Thank You! I will update with the findings in a few weeks.
in reply to: 2 Years Post 2 Level ACDF With New Type of Pain #11287Dr. Corenman,
I am seeking your opinion of my new symptoms. I had ACDF surgery in October 2012 for C4-C6, allograft and titanium plate and screws were used, and I have been symptom free until a few weeks ago. Currently, I am experiencing the same symptoms of numbness, tingling and pain in my left anterior neck and arm. These recurrence of symptoms have me greatly concerned. I have an appointment at the surgeon’s office (V Brain and Spine) in a few weeks to see what is going on. I will first see the nurse practitioner who will do an exam and order studies. I am worried that something may be going on with the previously treated areas or maybe even the adjacent tissues. Any insight you could provide would be greatly appreciated.
Thank You!
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