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in reply to: ACDF Post-operative Concerns with CT-Scan results #22385
Out of curiosity why would there be any cord compression or dislocation or spinal cord deforming after a ACDF? I have spoken to a Neurosurgeon who said that I have and had a small spinal cord to start with. So I asked him what was the best procedure for relieving the cord compression from the beginning and he said that going in from the back would have been the safest and best results because they would have removed some of the vertebrae to open up the canal. Then after looking at the MRI after the surgery he noticed that there was a Osteophyte pressing against the cord and I asked him since that wasn’t there before surgery why would it be there now. He said please don’t make me choose side’s but that was in the area where it should have been removed. I’m just trying to get a straight answer and the pain is awful, but I’m very skeptical about having any further procedures done after this. I appreciate any input.
in reply to: ACDF Post-operative Concerns with CT-Scan results #22377The CT-Scan states the following:
At C5-6 there is posterior spondylotic change with osyeophyte encroaching upon the right half of the spinal canal and abutting and deforming the spinal cord. The spinal cord on the right is displaced posteriorly. There is no foraminal narrowing.
At C6-7 there is uncovertebral facet hypertrophy n the right narrowing the right foramina. There is no canal stenosis.
Impression: Cervical myelogram demonstrates prior anterior cervical fusion from C5 TO C7. At C5-6 there is posterior spondylotic change with osteophyte including upon on the right side of the spinal cord and abutting and deforming the spinal cord. There is a kink in the glenohumeral spinal canal.
This CT-Scan was taken on the 6/9/2016. So it is the most recent test preformed.
in reply to: ACDF Post-operative Concerns with CT-Scan results #22376Hello Dr. Corenman,
Bill asked me to type this for him. He said that the CT-SCAN results were in the opening statement. If you need it again he can get the paperwork and have me retype it.
Thanks for all the input.
Bill
in reply to: ACDF Post-operative Concerns with CT-Scan results #22371Also before the surgery took place the MRI stated this at those 2 levels where the surgery took place.
C5-6: Moderate posterior disc osteophyte complex asymetric to the right. Central canal stenosis with residual AP canal diameter of 7 mm. Right greater than left uncovertebral joint facet joint degenerate spurring with bilateral neural foraminal stenosis.
C6-7: Large posterior disc osteophyte complex with central canal stenosis and cord compression. There is complete effacement of the surronding cerebrospinal fluid. The residual AP canal diameter is approximately 6.5 mm. Bilateral uncovertebral joint facet degenerate spurring with bilateral neural foraminal stenosis.
This MRI was taken before the surgery the last comment was done last month and the first results in the conversation was a CT-Scan done last week.
As for the symptoms the pain level has actually increased since the surgery and the weakness in the arms has gotten worse. Any additional input would be greatly appreciated.
in reply to: ACDF Post-operative Concerns with CT-Scan results #22368Hello again,
Symptoms before surgery where burning, tingling, and some weakness in both arms. Current symptoms are burning in the arms and tingling also in the shoulder blades, which wasn’t present before the surgery. Also I wish I could sen you a copy of the photo from the MRI.As for MRI results as of 25th April, 2016:
this
C5-6: Endplate spurring is noted most pronounced at the right subarticular zone producing mild cord flattening. The AP diameter of the spinal canal is mild stenotic A.-9mm. Mild to moderate right foraminal stenosis is noted. The left foramen is mildly narrowed.C6-7: Subarticular endplate spurring is noted. The midline diameter of the canal is mildly stenotic at 9mm. Slight cord flattening worse on right Extensive right foraminal stenosis is again seen. The left foramenis at least moderately stenotic.
Hopefully, this bit of information will be helpful. As for myelopathy symptoms. I’m glad you had a description on your site of this I would have not known that some of my symptoms are or could be that. I’m diabetic and before surgery I never had a problem with the nureopathy in the legs, but about 5 weeks post-surgery the pins and needles started firing up in my calf area. Just thought it was diabetes kicking in. I thought it was odd since my blood-sugar levels where pretty good. So I would have to say those conditions that are related to myelopathy probably started around 3 to 4 weeks post surgery.
Dr. Corenman,
After the surgery The symptom’s have gotten worse plus headache’s and muscle spasm’s have also started in the left arm. Especially when I lie down to sleep at night. I have a appointment with a neurologist December 2. My PCP has looked over the MRI’s as well and indicated that I need to get back to the neurosurgeon who saw me twice after surgery and then said to try a epidural shot. I never heard back from him after that meeting and since then I had the shot and have seen another neurosurgeon who indicated that he would not have done the surgery to begin with since there wasn’t any cord compression. I’m having mixed opinion’s and thought you might be able to give me a better direction. Thank you for any further input.
Bill
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