Page 16 » Donald Corenman MD DC | Spine Surgeon Colorado

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meni learn
Participant

January 10, 2022 at 4:45 am

Post count: 236

in reply to: Cervical stenosis and losses dysfunction ( my symptoms are very worsen in short #34710

.

Meni

meni learn
Participant

January 9, 2022 at 10:25 am

Post count: 236

in reply to: Cervical stenosis and losses dysfunction ( my symptoms are very worsen in short #34709

I FIND ONE SPINE SURGEON DIAGNOSTIC ME with probably cervical myelopathy (he write posterior stenosis with ?( i know that(you can see all my post I write early in this forum ) but not just now find the surgeon who confirms what i m say for two months probable myelopathy (after seeing my MRI and some physicals emanation
he recommended surgery (laminectomy)
but i needed to decide what to do (i hear of the significant problem with this surgery (post laminectomy kyphosis ) and significant pain after the operation, loss of life style
but i not have some more option ( probably it is goping to injured the cord more and more losses dysfunction.

Meni

meni learn
Participant

December 15, 2021 at 5:16 pm

Post count: 236

in reply to: dysfunction spinal cord (in cervical spine) #34679

“Compression of the cord is called spinal cord compression. Compression of 30% of the canal can cause myelopathy but not always. I have seen myelopathy with only 10% cord compression and no myelopathy with 50% compression. Nonetheless,I would be concerned with a 30% canal compression for both myelopathy and the chance of a central cord injury.”
i m understand this what u say (of course i have not see cases of this )
myelopathy it is cord damage (it is problem )myelopathy cause the big problem with spinal cord injury
very important question to ask is (to the sentence i know from your topic (cervical central canal stenosis )
and also from other website .that myelopathy it is indication very clear to surgery (in the most opinion surgeon (probably most of them the good surgeon )
but i m very read that why u need to wait and let is going to happen
but cervical central canal stenosis it is the most common cause of stenosis (u write in the topic
in some cases that central canal stenosis start (probably presser the cord by 30 % dysfunction of the spinal cord start (myelopathy it is the result )
and if u ask me a bout the video i send to you personality and not know how this is not arrived to your clinic.i

Meni

meni learn
Participant

December 10, 2021 at 6:48 pm

Post count: 236

in reply to: what is call cervical stenosis (10-11 mm u can call this #34675

Dr corenman
I wait for responde from you ,my package not arrived to your office.
I need your consultant.
*(I have significant nerologic symptoms in for the entire last month *(difficulty to walking fast and trouble with walking normal like I never have time before in my life )
and also one time fall(after feel severe needles in legs and feet .(needles started before 40-45 days )
I can share u that the canal in area of c4 level (the spinal cord narrow by 20-30 % in Posterior and left lateral
(Area involved is at least 5 mm )
The area range from 10 mm to 11 in left side center to 13-14 mm in right side (diameter when u measurements the area involved)
I m also do thoracic spine .

Thanks

Meni

meni learn
Participant

November 25, 2021 at 12:07 am

Post count: 236

in reply to: my symptoms are very developed before 8 days to today (very dramatic) #34659

We have shared as much information as we can have from this forum. I will need to see your films and have a personal conversation with you.
I send the all scanner and Paper
But (i get message from steadman clinic them accepted the (my delivery)
But them write me u r retired.
(THE delivery not arrived to your office?

Meni

meni learn
Participant

November 20, 2021 at 1:24 pm

Post count: 236

in reply to: my symptoms are very developed before 8 days to today (very dramatic) #34654

them on the way
also 11 paper fully (then need to arrived with 24 hour but them late (i buy the service express 24 hour transfer)
but i will do MRI C S OF 3 TESLA (U CAN confirmed this better images to diagnostic then 1.5 t ?
the 3 tesla i need to send u just tomorrow because i do MRI 3 TESLA just in the evening of Thursday but i send to u mri 1.5 tesla i do in this month .
i share with u little video i m take a look if u can see if their is somethings pinch on spinal cord
https://www.youtube.com/watch?v=758r08TLiks

Meni
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Viewing 6 posts - 91 through 96 (of 199 total)

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Donald Corenman, MD, DC

Average rating:

81 reviews

Eric S

Sep 26, 2021

by Eric S on Donald Corenman, MD, DC

Successful pars repair at 46 years old

Back in November of 2018 (at 46 years old) I came from Vancouver BC to have a pars repair done with Dr. Donald Corenman at the Steadman Clinic in Vail Colorado. I'm finally posting this review nearly three years later in late 2021. The reason I waited so long was I wanted to know the final result before I posted my review. Unfortunately in that time Dr. Corenman has retired. Nevertheless, I want to post this review of Dr. Corenman and his staff at the Steadman Clinic in their excellent treatment of my L5 pars interarticularis.

I fractured my pars at age 42 back in 2014 when rolling on the gym floor, and was denied treatment by the Canadian healthcare system, probably due to my age. First my GP told me there was no surgical option for a pars defect, which was quite incorrect! I tried to live with it, but the symptoms worsened (periodic random spine slippage and weeks of resultant pain after just bending over to tie my shoe, so I eventually learned to mostly squat and hardly bend). When I finally consulted with Canadian spine surgeons, I was told they believed my pars defect had been congenital (since birth). This was absurd, considering I had done extreme martial arts (including jiu jitsu) for years prior, as well as 5 years of reinforcing steel full time in my 20s, probably the hardest job on the back you can find. No pars defect like mine would possibly have allowed this--ergo it was impossible that I had had the defect since birth. I did however have an asymptomatic congenital spina bifida occulta that made me more susceptible to a pars fracture. In 2014 in one instant, I went from having the strongest back people I knew said they'd ever seen, to being unable to safely bend over and tie my shoe without a non-negligible risk of my spine slipping randomly (which would lead to weeks of pain after each occurrence). This was due to the unilateral L5 pars defect, otherwise known as spondylolysis. It was when lying in pain on the floor 4 years later after maybe the 6th spine slippage event post injury, that I had had enough, and resolved to have surgery. If Canada's "universal health care" said no, I would make lemonade from lemons, and find the very best surgeon in the world at pars repairs. That was Dr. Donald Corenman. Dr. Corenman back in 2018 ran a website https://neckandback.com/ that dedicated many pages to the science of every aspect of pars repairs, from eligibility (good discs on MRI), to best surgical techniques (minimal open compared to minimally invasive), best imaging to use (i.e., O-Arm with Stealth imaging vs. older fluoroscopy), the ideal amount of BMP to use and why not use too much or too little, and much more, all to do with pars repairs, pages upon pages of his site just on the pars, with scientific references and his own extensive expert opinion. As a health research statistician, I was very impressed with this. It was in stark contrast to the websites of other spine surgeons which barely gave the pars a word or two, focusing almost exclusively on fusions. I had found the best surgeon in the world for pars repairs, and so after Dr. Corenman personally screened my MRI to ensure my discs were healthy, I booked the surgery.

Being 46 years old at the time of surgery in 2018, with a 4-year-old pars fracture from 2014 combined with a congenital SBO meant my pars fragment was somewhat atrophied, but it was "very solid", said Dr. Corenman in the operative report. Nevertheless, it was challenging with two things to fix, the pars and SBO, and OR time was around 4 hours. Recovery over the following months was guided by a very clear "Spine binder" from the Steadman Clinic with strict rules of "no BLT" (no bending, lifting or twisting), and illustrated physiotherapy guidelines. They even warned patients to avoid fish oil supplements, which could excessively dampen inflammation and hence slow bone healing. They answered many questions I had during months of recovery, with responses coming from the very supportive Lori Fugate (then director of Dr. Corenman's practice), and Ehrich Bean (then physician's assistant at the practice), as well as a couple calls with Dr. Corenman himself after two of the CT scans. Ehrich Bean offered great advice for taking the spine binder conservatively due to the nature of pars repairs vs. fusions. The final post-op CT scan I had was a couple weeks ago at 34 months post-op, and Dr. Corenman had retired, but I got a very positive and informative call from Eric Strauch (current PA at the Steadman Clinic under Dr. Corenman's replacement there, and who had also worked with Dr. Corenman previously). The staff at the Steadman Clinic were extremely supportive all the way through the process. I should mention, the local Canadian spine surgeon did offer me very good post-operative support including antibiotics as needed to deal with a mild surface incision-site infection early on, booking numerous x-rays when I felt something was amiss, as well as booking all four of my post-op CT scans. I am very grateful for that support also.

My final result shows plenty of solid bone across the pars and a healed SBO, with my vertebral body now a solid bone ring instead of being broken at two places as it was pre-op. Does my spine hold up in the real world? You bet! I have recently dug and moved several yards of dirt and sand and gravel by myself (shovel and wheelbarrow!) to fix our water main, pulled roots from the yard, moved several "portable" (these are HUGE) air conditioners up several flights of stairs my myself, and lifted weights. I now run 2 miles (3.2 KM) several times weekly with a hard 100 meter dash in the middle. I bend deeply before each run I go on, with no spine slippage. My spine feels amazing. I can bend over to do exercise, or real word tasks, with no risk of spine slippage.

My sincere thanks to God, Dr. Donald Corenman, Lori Fugate, Ehrich Bean, Eric Strauch, and the Steadman Clinic, as well as the Canadian spine surgeon who offered me excellent post-operative care back in Canada. You have all given me a new lease on life.

Sincerely,
Eric S

Robert S

May 11, 2021

by Robert S on Donald Corenman, MD, DC

Back Fusion Surgery

I had my entire lumbar spine fused in November of 2018. I had scoliosis , with pinched nerves that were so painful I could hardly walk - and standing for more than a few minutes was impossible. Even sitting was painful.
The fusion surgery produced immediate relief! And the recovery was much easier than I expected.
To this day I can do all the activities I love from hiking, to standing in a stream fly fishing to riding my bike long distances - or just walking down the street with my wife.
Kudos to Dr. Corenman and his staff, (including the two Erics) for taking such good care of me!

Leslie R

Jul 9, 2020

by Leslie R on Donald Corenman, MD, DC

TLIF

I had my TLIF surgery on 6/24/2020 by Dr. Corenman, I can not say enough good things about the Dr or his staff. I was always treated with respect and explained everything throughly, that made it easy for everyone to understand. I highly recommend Dr. Corenman and the Steadman Clinic.

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meni learn

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