A member asked:

2 level adr in2010. having mild myelopathy. mri shows severe spinal stenosis c3-4. doc. suggests conversion to fusion c3-c8 posterior. how's this done?

2 doctors weighed in across 2 answers

Cervical stenosis : Narrowing of the cervical spine or spinal stenosis is often caused by a combination of congenital narrowing with progressive arthritis or spondylosis. In general, the operation to relieve the stenosis can be performed from the front (anterior) or the back (posterior) of the neck. Sometimes in combination. The approach is dictated by the predominant area of narrowing and prior surgery.

Answered 3/27/2014

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Back of neck: Given your prior surgery from the front of your neck, the approach from the back will avoid the scarring associated with the prior surgery. The surgery will require an incision and the muscles will be separated to expose the bones covering back of the spine. The bone will be removed to take pressure off the spinal cord. How much bone removed is determined by the narrowed levels where pressure is.

Answered 9/28/2016

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