Sorry-I forgot to mention that MRI shows severe bilateral stenosis at C4/5 that is new/increased since the corpectomy surgery.
Good Morning Sir-
I am 2 years post-op from C3-C5 anterior fusion with C-4 corpectomy using expandable cage as well as left c6/7 posterior formainotomy. Continued symptoms of bilateral trapezius & deltoid pain, radiculipathy down left arm into 2nd and 3rd digits with pain and numbness, tricep weakness and spasms.
Diagnosis of pseudoarthorsis (C4/5) and C7 radiculopathy due to disc osteophyte complex. There is 3.5 mm motion between the lamina in flexion and extension at C4-5, bone scan showed increase uptake in cervical spine and CT showed no evidence of solid fusion.
Initial plan is to do C5/6 and C6/7 anterior fusion with zero profile devices and then possibly C-3-5 posterior fusion at a later date to address the pseudoatrhosis. I asked if while we we doing the anterior if we could not go ahead and just do a revision on the corpectomy and avoid the posterior fusion. Doctor advised as long as there was not a lot of scar tissue that could be possible but if too much tissue it would require too much “chisling” and prove difficult. I am also concerned about what additional load the zero profile devices would put on the non-fused segments above it.
Any suggestions would be appreciated or do you feel we are on the right path?
As always-thank you for your service on this forum!
Kindest regards sir!
