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in reply to: RADICULOPATHY #22088
My 2 level ACDF was done on Wednesday. After I went home, my neck started to swell. By Friday, it had become enormous. I emailed my surgeon a picture of my neck and he told me to come to the ER. When he saw the neck swelling, he was afraid that it would compromise my airway. He had called ahead to the hospita and I was fast tracked. While waiting for the spine surgeon to arrive,an ENT had scoped me and did a swallow study which were normal. Both the spine doctot and ENT drained and cleaned out the neck. The eusophagus was examined by the ENT and looked fine. The doctors think that I developed an enormous hematoma which had just started to become infected. When I got to the ER, I was running a temperature and my neck was warm and red. Infectious disease has me on UV antibiotics while the culture is growing out. So far, After 2 1/2 days, the culture continues to be negative. The despite negative findings for the eusophagus, the ENT has me NPO and receiving bonus feeds as a precaution. I am frustrated as the tube is very uncomfortable and there is no evidence that the eusophagus had ever been compromised. The spine surgeon came by yesterday. He said that there were so many massive spurs that it looked like a mountain range. In all of his years of doing this kind of surgery, mine was one of the worse he has seen. He said that it usually takes a few minutes to smooth out the surface where the plate will go. It took an hour to smooth mine out. The bone were so thick that he had to drill some of the areas. I will be in the hospital through Tuesday Wednesday.
in reply to: RADICULOPATHY #22021Thank you for that explanation with my facet disease, osteophites and collapsed discs, it is clearly contraindicated it is scary that one spinal surgeon wanted to do two consecutive artificial discs. I followed my instinct that they were of questionable ethics. I am scheduled for a 2 level ACDF.my neurological symptoms are slowly worsening. I am still functioning nut I am seeing the progressive slow decline. The surgeon came highly recconendrd by 2 doctors. He is a board certified spinal surgeon who is also fellowship trained in neurosurgery(Cleaveland Clinic and Biometric Orthipedics from a top rated NY orthopedic
hospital.
in reply to: RADICULOPATHY #22001What are the pros/cons of a 2 level ACDF vs 2 level artificial disc?
in reply to: RADICULOPATHY #21994The reduced sensation was in the upper right arm. When the neurosurgeon looked at he MRI, the left was worse than the right but most of the symptons are on the right side. Additionally, brisk reflexes were on both sides. The doctor said that he felt that the results of the examination were not consistent with the XRays and MRI. He felt that the mylogram would provide more conclusive information. He feels that in addition to problems with the facet joints and nerves coming from the neural foramen, there may also be central chird compression. The doctor is concerned that the symptons are progressing- especially reduced sensation, mild balance problems and brisk reflexes which were not evident a week ago. He said when I see the results of the mylogram, it will be obvious where the compression is and will dictate surgical approaches. The doctor felt that the facet joints are the source of the headaches and a lot of the pain
in reply to: RADICULOPATHY #21989Thank you for your response. I saw a neurosurgeon this past Thursday. For the first time, I had diminished sensation in my right arm. This tone, when my reflexes were tested, they were brisk in three areas. When I put my head back, I experience tinnitus and dizziness. The neurosurgeon said the flex XRays concerned him as I have a reverse lordosis which doesn’t change with flexing. Like you, he said that the MRI doesn’t match with my symptoms. He is ordering a mylogram which he said will provide an accurate picture of where the compression is. The doctor said that 97% if the time. an MRI is sufficient bit occasionally, the MRI does not match the physical findings. He feels that in a mylogram will help to determine the best surgical approach.
in reply to: RADICULOPATHY #21964For the past few weeks, I have been experiencing frequent headaches. This is atypical for me as normally, I get one or two headaches a year. Could the headaches be caused by my worsening stenosis?
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