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Even with no fusion would there be any indication of a bone graft material in the disc space?
Promise this will be the last question. I have copies of my X-Ray, MRI, and CT-scan myleogram. If I was looking at them what would be a indicator of a bone graft? Also the reports say no fusion, but I’m afraid to say that you wouldn’t have a fusion if you didn’t have a bone graft placed in the space. I had a neurosurgeon from Tulane look at the CT-Scan and say in his report that he did not see a good fusion across the fused area. Also stated there is no evidence of good bony formation in between the vertebral body at the site of the discectomy. Curious of should there be some type of bony formation even if the fusion did not take?
There is compression of the nerves and a osteophyte left behind having a mass effect on the C6-7 Nerve root. I guess I was trying to figure out if there was a foraminotomy actually done. It doesn’t appear to be the case. Which I guess would bring up my last question of the leaving out the bone graft and just trying to clean out the disc and hoping the Plate and screws stabilize the C5-7 area. The question I would pose is if there is anyway to see a bone graft on a MRI or X-Ray even if it didn’t fuse?
One more question. Is it possible to put a bone graft in one disc space and leave the second one without any bone graft? Then stabalize it with the screws and metal plate? Just curious.
Thanks again
I had a ACDF of C5-6 & C6-7 the post-operative report say’s that he preformed a foraminotomy and that all nerve roots and Dura were well-decompressed. What I can’t understand is that the fusion was preformed and he also stated that he did a foraminotomy as well. I’m still having pain and numbness in both arms, but more so in the right arm and fingers. The thing I cannot understand is that is it normal to have Extensive stenosis or severe stenosis after a procedure like this? I have had 2 post-Surgery MRI’s that both indicate extensive stenosis,severe stenosis, and moderate stenosis in the level where the surgery was preformed.
Thanks for any input and sorry about the confussion
The procedure was a ACDF of C5-6 & C6-7. On the Post-operative report it states that he did a foraminotomy at those levels.
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