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Doctor insights on:
3 Level Anterior Cervical Discectomy And Fusion
1
Anterior discectomy & fusion of cervical spine, what to do?
Common procedure: An anterior cervical discectomy and fusion with instrumentation is a common procedure to address cervical disc herniations, degenerative spondylosis and occasional to treat instability from trauma. A fusion will eliminate the motion at the involved joint segments. Most patients do well. For very good information and videos, check out spine-health.Com. ...Read more
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Fusion (Definition)
A fusion gets rid of a joint or disk between to bones, getting the bones to join together with bone between them. If successful, it eliminates almost all the motion between the bones. Sometimes fusion simply occur as a result of disease, rarely from aging. Most of the time ...Read more
2
What are the pros/cons of a 3 level cervical laminectomy w/o fusion vs a keyhole endoscopic decompression for stenosis(disc &spurs compressing nerves?
Complex: It is a little complex to fully discuss in such a forum; but a for amounting would be appropriate if you are just having symptoms of foraminal stenosis causing pain in the arm, where a laminectomy may be needed if you have problems related to central cord compression. Definitely would need to discuss face to face with your surgeon. ...Read more
3
What is status post-lower cervical spine fusion and diskectomy?
A term meaning that: Someone had a spine surgery involving the neck most typically from anterior or front approach involving removal of cervical disc and filling the disc space with either bone or a cage & bone as well as possibly some spine instrumentation or hardware in the lower part of the neck or cervical spine. The disc spaces range from c2-3, c3-4, c4-5, c5-6, c6-7 & c7-t1. The lower 3 would be one of them. ...Read more
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4
What would generally contraindicate surgery to repair lumbar HNP with bilat radiculopathy? Total of 4 thoracic and 3 lumbar discs DDD, L4L5 the worst
Poor result: The biggest contraindication to spine surgery would be if it was felt you would have a poor result. For example if your symptoms don't correlate with your MRI or you had too many levels involved, surgery may not help. Another contraindication would be if you had medical problems that would make it unsafe to have surgery. ...Read more
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5
How is anterior cervical discectomy with allgraft and fusion on c-5 to t1?
Common surgery: Anterior cervical fusion is a common surgery. Check out soine-health.Com for videos and information on the procedure. Good luck. ...Read more
6
Heavy neck pain continuous & on 03.03.2012 cervical laminectomy (c6-7) with disectomy.Mri 08-04-2013central and left paracentral disc herniation c6-7?
Neurosugery : In situations where there was a laminectomy and continued pain with new MRI findings you need to see a neurosurgeon. The doctor will confirm by exam and maybe nerve testing that your symptoms correlate to new MRI findings and then may recommend fusion. ...Read more
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7
What is posterior spinal fusion with instrumentation surgery?
A type of spine : Surgery where implants which are usually several screws that attach to the bones of the spine and are then interconnected over one or more levels with usually a pair of metal rods -this is the instrumentation. A fusion is a healing together of two or more spine bones or vertebra with the use of bone material or synthetic substitutes. ...Read more
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8
Doctor suggests an anterior cervical discectomy plus spinal fusion. What is invovled in this?
Disc removed & fuse: The cervical disc is removed from the front thru the neck anteriorly along with any bony ridges compressing nerve tissue & the disc space is filled with a piece of bone from a cadaver or from another area in your body(iliac crest) or with a metal or plastic-like spacer(peek) filled with bone with screws thru these devices holding them in or with or without a plate and screws fitted to the spine ...Read more
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9
Impressions: 1) broad based central disc protusion at l4-l5 level. 2) mild degeneration changes in cervical and lower lumbar spine.
Not unusual: What you have listed under the impressions seems to be a report from an MRI scan or ct scan of the spine. In a 26 year old, these are not unusual findings. The disc bulge refers to an outpouching of the l4-5 disc. It is not frankly ruptured or herniated. This goes along with the degenerative changes you mention, which are often referred to also as arthritic changes of the spine. ...Read more
10
Impression:
status post cervical fusion at c5-c6-c7. Prominent anterior osteophytes are noted at the nonfused
upper cervical levels.
What it m?
Bone spur: They are describing bone spurs on the front part of the cervical spine. Common finding. Usually seen at a level of degenerative changes from spondylosis. Check out Spine-health.com. ...Read more
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11
Spondylolisthesis with flexion. Extension level 3.55 mm of anterolisthesis.flexion is 5.99, neutral 3.77 mm, mod central stenosis. l4-5 anterolisthes?
Spondylolisthesis: This is an MRI report of the low back which shows moderate narrowing of the spinal canal at the lumbar 4/5 level. In addition, there is a small slip with instability at the lumbar 4/5 level. This is arthritis which often causes pain in the low back with bending and stooping. The pain may radiate into the calf, ankle or big toe. There may be numbness too. See a neurosurgeon for treatment. ...Read more
12
What could cause anterior discectomy with fusion c5-c6 to significantly protrude 3 months after surgery?
Consult your surgeon: I recommend you consult your surgeon about the expectations of the surgery. ...Read more
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13
What are the long term outcomes of posterior cervical foramenectomy and ACDF For cervical RADICULOPATHY from foraminal/spinal stenosis C4 thru C7?
ACDF outcomes: Even a surgeon can not answer that question. Long term can be pain relief all the way to more pain. I would say if you haven't found a good interventional pain specialist to consult with prior do so now and see what other options there are besides surgery. This is if it is just for pain, if you are having any neurological deficits surgery might be your option. ...Read more
14
Which is better for?A herniated disc --- ?Discectomy or fusion?
Spine Pain Options: This pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read more
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15
MRI result: smooth reversal of cervical lordosis. Minor disc osteophyte bulge is effacing the CSF anterior to the cord C5-C6. Would I require surgery?
No surgery: Straightening of cervical spine can be due to muscle spasm from whiplash, but can also be a normal finding. Osteophytes are the result of spine degeneration and usually do not need surgical correction. Effacement of the CSF anterior to the cervical cord is usually benign and asymptomatic. ...Read more
16
Is a laminectomy or minimally invasive foramenectomy w/o fusion better for mixed foraminal and spinal cervical stenosis?
Ask your surgeon(s): They'll review your imaging with you and discuss your options. But before further surgeries, you mention physical therapy and cymbalta, (duloxetine) but there may be other non-surgical options including other medications, pain psychology and interventional pain procedures that may be helpful for your condition. Good luck! ...Read more
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What hospital is renowned for anterior cervical discectomy and fusion surgery?
Hard to say: It is such a uniformally successful, fairly simple surgery that it would be difficult to say if any particular hospital would be best; we often even do them as outpatient procedures at our surgery center. The are rating sites for hospitals in spinal surgery, it is just a lot of times that has more significance for someone requiring a complex spine procedure. ...Read more
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What is the prognosis for lumbar stenosis with bulging discs at l4/l5 and l3/l4 with spinal cord effacement and bilateral facet joint hypertrophy.
Mixed: Facet hypertrophy is a common change as people age; the amount of joint enlargement is more important than the fact that it is present. Stenosis is an issue if it is symptomatic. Weight control and exercise can help. Surgery can help in cases that don't respond to other treatment. The spinal cord usually ends at l1-2, so if it truly goes down to l5, there are other issues that need to be addressed. ...Read more
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Mri results. Degenerative disc disease with spinal stenosis 3 bulging discs 2mml 5 mml and 7mml on left forminial 3 bone spurs annular tear debilitati?
Abnormal MRI?: Mri results mean absolutely nothing in the absence of symptoms. You can have every finding you've described with zero symptoms. So with the info provided, your problem? Too many birthday cakes! typical MRI for age. ...Read more
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What is osseous bridging after cervical fusion ?
Fused c3-c4
Bone between two dis: This means there is an osseous (a bone) connection between the two vertebrae you had surgery on. Since the two are connected, have bone growth into it and attached it is called a bone bridge ...Read more
Discectomy (Definition)
Discectomy is the a surgical procedure in which the ruptured portion of a ruptured spinal disc (the pad between two vertebrae) is removed. Disc tissue near the rupture may also be removed, but usually most of the disc is saved. If a spinal fusion is needed, a more ...Read more
Diskectomy (Definition)
The term discectomy refers to an excision of all or part of a disc. The disc itself is a cartilage structure that is located between two vertebral bodies. Disectomies are typically performed to improve pain and/or function in a patient that had ...Read more
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