Doctor insights on:
Anterior Cervical Discectomy Infusion
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 moreSee 1 more doctor answer
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
Depends: For a standard cervical discectomy and fusion for radiculopathy it's 8-12 weeks. You could return to work more quickly depending on what you do. The hospital stay is typically overnight, though some surgeons do the procedure outpatient. If someone is very myelopathic, then the recovery/rehab is longer. For an artificial disc the recovery time is shorter since no fusion is expected. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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
The approach: Anterior lumbar fusions utilize an approach through the abdomen called a retro peritoneal approach. This approach actually never enters the cavity containing the intestines, rather goes around it. This approach will allow access to the lumbar spine for fusion. The approach carries risks because the large veins and arteries need to be moved. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
If it is you!: It depends on one's perspective and really on how healthy you are and how severe the disc herniation is and if any other associated pathology or if there was any other prior surgery or treatment(radiation) through the surgical approach that may complicate the surgery or if you are a smoker, obese, diabetic, have an existing chronic remote infection, renal disease etc. ...Read moreSee 2 more doctor answers
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
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
Are headaches after undergoing a anterior cervical discectomy plus spinal fusion significant or common?
They can be: Headaches are tricky, sometimes they are primarily caused by cervical spine problems, often times they are exacerbated by them, but it is difficult to predict whether surgery will ever help them, except in the case of an obvious c34 disc and radiculopathy with occipital nerve type pain which is mechanical. ...Read moreSee 1 more doctor answer
It is very common.: Transforaminal interbody fusion, or tlif, is a common spinal procedure. It is just one of many tools used in spine surgery. It's important that the decision for surgery be made carefully, and that the particular combination of procedures be individualized for a person's anatomy and symptoms. ...Read more
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
What would cause cervical spondylosis, central canal stenosis, disc osteophyte complexes, mild cord impingement, cervical straightening in 43 y/o?
3 months: Assuming a proper work-up has been done and conservative care has failed, most patients do very well from a single level cervical fusion. Average time for a complete recovery is 3 months. Although there are risks with any surgery, most patients do very well. Check out spine health.Com. ...Read moreSee 2 more doctor answers
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
Yes!: The surgery is major, though generally well tolerated. The surgery is near the spinal cord and many nerves. It requires moving the esophagus, the muscular tube where food passes to your stomach. The windpipe and voice box are also moved. Any of these can be injured or work less well after surgery (temporarily or permanently). Risk depends on many factors, so talk to your surgeon. ...Read moreSee 2 more doctor answers
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