Page 7 » Donald Corenman MD DC | Spine Surgeon Colorado

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meni learn
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August 9, 2022 at 12:33 pm

Post count: 236

in reply to: Myeomalcia (change signal in the cord) #35212

“I can’t easily connect the lig flavum buckling to the head impact except to say it’s possible” if this not see in early MRI years after the trauma (so its very hard to say this happened in time of the injury .
buckling ligament also connection to degeneration of the disc (also loss disc high ) you can confirm this information that mechanically (question :loss high of the disc affect on the ligament flavun to buckling .?for example also if the ligament flavum buckling after cumulative time this is in general result off loss disc high and degeneration of the disc ?
for your what you see in my IMAGES i have arthritis in the neck ?
i have degeneration disc ?
if we take out the problem what “compression on the cord” (symptoms of gait i have not yet or falling this is not happened (just 2 times before 8 months )
but neck pain i have a lot of years after the injury what causes my chronic neck pain?
” I cannot connect your symptoms to your neck.” you mean to the symptoms of gait problem (normal gait in but weakness in lower and falling ?(

Meni

meni learn
Participant

August 8, 2022 at 5:16 am

Post count: 236

in reply to: Myeomalcia (change signal in the cord) #35210

but when you look to the MRI on the past also in neutral position supine the didn’t show any buckling of this ligamentum
” Maybe when you hit your head, this caused injury to the ligamentum” if you mean to the buckling of what see this was not see in MRI of 2016 (even 6 years after the injury ) so how can say this injury cause the ligament flavum to buckling
.when you take a injury of what happened to me ,and from your experience what this injury (head hit on a wall ) can do to cervical spine ?
thanks

Meni

meni learn
Participant

August 5, 2022 at 7:35 am

Post count: 236

in reply to: Myeomalcia (change signal in the cord) #35206

“There is some effacement of the cord” so you accepted that in the MRI last show some contact between the ligament flavum or else make a contact with the grey matter (this is you don’t call pressere on the cord and also does not call stenosis .
1.but what you have to say a bout that the images of past MRI doesn’t show any contact of the ligament flavum with the csf and the cord .
and in the past doesn’t was any issue with walking fast ,falling after severe weakness to some time and falling .
2.what is the mechanism cause the ligament flavum to buckling ?

Meni

meni learn
Participant

August 4, 2022 at 1:47 pm

Post count: 236

in reply to: Myeomalcia (change signal in the cord) #35204

you know i was have in history trauma of head (and this affected on neck also ) .
now in the medical world the most common reason for problem with the legs and arms it is cervical stenosis ,average happen in people over 50-60 years at least .
now in my MRI last one we see very small area of buckling ligament flavum in the back of area of c3-4 level .
but when i m looked to the MRI view of the neck of 2016 or 2020 i don’t see any sign of buckling of ligament flavum . so i suspected that it is possible this little buckling of ligament flavum that statred to contact with spinal cord even this not pressere but make contact little to cord and contact with cord (cause the symptoms of impossible/hard to walking fast ,even falling two times after weakness in the lower limbs.
off course you have the experience of more 30 years spine surgeon ,and you see my images listen to my symptoms ,and with that information you conclusion that the images don’t support on the my symptoms .
1.what you have to say a bout that the images of past MRI don’t show any pressre of the ligament flavum ?
2.what is make the ligament flavum to buckling in cervical spine ?
thanks .

Meni

meni learn
Participant

July 28, 2022 at 9:22 pm

Post count: 236

in reply to: Myeomalcia (change signal in the cord) #35179

ok.
but what a bout the weakness in the legs .
falling (it was also but in first time before 8 mounts and the falling come after severe weakness in legs )
but from January 2022 it is not happen again (but weaknesses havein legs ) numbness have from time to time (one time in week average but also new this very not unusual before in my life .
I do with u service of “long consult ” before a couple of months.
what u can recommended me to do from this point .

Meni

meni learn
Participant

July 25, 2022 at 12:29 pm

Post count: 236

in reply to: Myeomalcia (change signal in the cord) #35171

hello.
Dr. Corenman.
i know that i don’t write all introductions.
I m discussed with you before some months.
I was do A mri of the brain before SOME months and go to neurologic dr with result and he say me that : the MRI of brain and c spine does not show any neurologic problem ,he say and write that i have some positive test reflexes but he doesn’t found the reason to that .
current symptoms: it is some weakness in the legs but not drastic,and some times (from one time in two week one legs or two falling asleep” (tingling but very feel that and hard to move all legs for 10-30 second .
what do you think the reason for my symptoms and some positive reflexes .
thanks meni

Meni
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Viewing 6 posts - 37 through 42 (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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