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Doctor insights on: Anterior Vs Posterior Cervical Fusion

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Ct neck shows scattered subcm short axis dimension lymph nodes anterior posterior cervical chains bilat. 2 x triple neg breast cancer surv. Biopsy?

Ct neck shows scattered subcm short axis dimension lymph nodes anterior posterior cervical chains bilat. 2 x triple neg breast cancer surv. Biopsy?

Imaging/biopsy: You have been through a lot. Imaging with ct scan provides information and helps guide next steps, but is not diagnostic. A biopsy obtains tissue for pathology to make the diagnose of lymph node. The timing of biopsy in relation to your overall health will be best addressed between you and your doc. Take family or friend with you. ...Read more

Dr. Thomas Dowling
1,119 Doctors shared insights

Spinal Fusion (Definition)

Surgery to cause two or more spine segments to be joined together through a growth of bone initiated by the placement of bone tissue or graft taken from the patient or from a donor source or even a manufactured source which could include: bone growth proteins and particulate structures that act as scaffolds for bone to grow on and may include implants or instrumentation ...Read more


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I will be having 5 level posterior and anterior cervical fusion. Any thoughts negative or positive?

I will be having 5 level posterior and anterior cervical fusion. Any thoughts negative or positive?

Big operation: These two operations, performed as one or two separate procedures, are very involved. There is high chance of having prolonged difficulty swallowing just from the muscle retraction during the anterior fusion. Both are painful. Fusion rate is lower with multiple levels being fused.

There is always a risk to benefit ratio with surgery. Make sure the benefits outweigh the risks in your case. ...Read more

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I have a osteophytes on C5 & c6, occluding right neural foramen 50 %. Neurosurgeon suggest cervical fusion. Can it be done posterior?

I have a osteophytes on C5 & c6, occluding right neural foramen 50 %. Neurosurgeon suggest cervical fusion. Can it be done posterior?

Not as well: A posterior approach is an option. However, based on your description, an anterior approach would be better. Check out spine-health. Com. ...Read more

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Posterior cervical fusion which resulted in misplaced screw abutting vetebral artery. Surgeons recommend not to remove, may cause bleeding.

Posterior cervical fusion which resulted in misplaced screw abutting vetebral artery. Surgeons recommend not to remove, may cause bleeding.

Complex descicion: Removing may very well be riskier than leaving it bleeding from the vert can be life threatening and of course stroke is ever present danger. Cerebral endovascular work has made recent great advancements you might ask interventionslist on the stroke team esp if there is a neuro surgeon on the team with cerebral endovascular experience if they have ...Read more

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I had a t2-l1 posterior spinal fusion 5 years ago. I having been experiencing pain in my cervical and lumbar spine. Is this due to degeneration?

I had a t2-l1 posterior spinal fusion 5 years ago. I having been experiencing pain in my cervical and lumbar spine. Is this due to degeneration?

Possibly: At your age, the reason why you had the spinal fusion is important as degenerative disease is uncommon without underlying trauma or other arthropathy. Pain in the lumbar region that is due to muscle spasm can transmit/radiate to neck and neck pain can transmit/radiate to the lower back. Need to discuss the discomfort with your physician. ...Read more

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On going pain after 1 year status post posterior cervical fusion at C5 and C6 levels. Headaches, right arm tingling. No decompression was done prior to procedure. Inflammation found at back of skull?

Pain after PSIF neck: Not normal. Could be related to screw against nerve, pseudoarthrosis, incomplete decompression, nerve damage that didn't heal, missed or new problem. I would start with ct to see if bone healed and decompressed, and find out exactly where screws are. If negative, MRI to identify new or different problem. Get a diagnosis and it will help treatment. ...Read more

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How risky is anterior cervical fusion?

How risky is anterior cervical fusion?

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 more

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Anybody ever had anterior cervical fusion with plate?

Anybody ever had anterior cervical fusion with plate?

Routine: An anterior cervical discectomy with fusion (acdf) is a commonly performed procedure for cervical disc herniation pathology. The results are usually above 95% for healing of the fusion and for the resolution of arm weakness/pain in the appropriately indicated patient. Sometimes a plate is not necessary, depending on the pathology/surgeon/implants used. ...Read more

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What kind of complications might happen from an anterior cervical fusion?

What kind of complications might happen from an anterior cervical fusion?

See the list: Here are the risks: infection, bleeding, nerve damage, paralysis, loss of voice, ongoing numbness and tingling, failure to improve, failure of fusion, failure of instrumentation, stroke, heart attack, coma, damage to the trachea, esophagus, carotid or jugular vein,
worsening of pain, need for further surgery, spinal fluid leak, or even death. ...Read more

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Regards to a posterial cervical fusion this is my 3rd cervical surgery 1st 2 were anterior I am concerned what are the risks w/this surgery?

Regards to a posterial cervical fusion this is my 3rd cervical surgery 1st 2 were anterior I am concerned what are the risks w/this surgery?

Multiple: In an otherwise healthy person, a posterior cervical surgery is relatively safe; but potential complications can include infection, blood loss requiring transfusion, nerve injury, excessive scarring, and worsening in your pain to name a few. I would definitely discuss in detail with your surgeon. ...Read more

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Is anterior cervical fusion recommended in young people? If internal fixation is done, am I very likely to suffer from it as I get old like in my 50s

Depends: Anterior cervical decompression and fusion (acdf) is common for cervical disk herniation unimproved after non-operative or conservative care.
The fusion will put more stress on the level above and below the fusion, but the plate and fusion are highly unlikely to cause other future problems. ...Read more

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I just had an anterior cervical fusion and decompression/ what can I expect now?

I just had an anterior cervical fusion and decompression/ what can I expect now?

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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When neurosurgeon says Necessity of a corpectomy and anterior cervical fusion, but not urgent, how do I interpret what he means? Wait as long I want?

When neurosurgeon says Necessity of a corpectomy and anterior cervical fusion, but not urgent, how do I interpret what he means? Wait as long I want?

Annoying!: Your doctor cannot have it both ways. Is there really any reason that he/she makes you wait so long while you are worrying?
Hard to believe. If you are uncomfortable with this doctor, please ask your Primary doctor to refer you to a different Neurosurgeon.

Hope all goes well! ...Read more

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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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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 more

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I am having terrible headaches after a anterior cervical discectomy plus spinal fusion. Related?

Collar: If you are wearing a c collar after surgery, take it off. These often keep the neck in a very uncomfortable position that may cause spasms and headache. Narcotics may also result in muscle tension headaches: Percocet is bad about this. Wean pain meds or try different one (no nsaids as they block bony healing). Some gentle stretching may also help. Discuss with your surgeon if not better. ...Read more

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I am having terrible headaches after undergoing a anterior cervical discectomy plus spinal fusion? What should I do

If upper level: Fusions, find an interventional pain dr and discuss the possibility of trying some interventional techniques from trigger points to greater and third occipital nerve blocks which may help greatly with these headaches. Headaches after these surgeries can also be related to cervical paraspinal spasms, so make sure your muscles are not contributing and consider further physical therapy. Best of luck! ...Read more

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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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I am getting surgery on my neck called an anterior cervical discectomy plus spinal fusion?

I am getting surgery on my neck called an anterior cervical discectomy plus spinal fusion?

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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How long does the anterior posterior spinal fusion take?

How long does the anterior posterior spinal fusion take?

4hours: Varies quite a bit on surgeon and team experience how many levels use vascular surgeon for anterior exposurewill speed things up alot. ...Read more

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Is there any pain involved in an anterior posterior spinal fusion?

Yes: In any major spinal operation, pain is expected during the initial week or two after the surgery. There is no difference in having pain with an anterior/posterior (360 degree) fusion. The major difference is that there are two major incisions on the body, so there could be abdominal discomfort in addition to requiring medications for pain. ...Read more

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Can a 4 disc cervical fusion be reversed?

????: Why did it not go well. Cannot be reversed perhaps revised by be careful may make it worse ...Read more

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How do screws break in a cervical fusion?

How do screws break in a cervical fusion?

Hardware failure: Screws, like any other material, have a failure point. Mechanical load, both static and dynamic, ultimately lead to failure once a critical threshold has occurred. For a successful spinal fusion, the bone needs to grow between the fused levels. Hardware just serves as a brace until this is achieved. ...Read more

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What is the healing time for a c 5-6 cervical fusion?

Wound - bone: Wound heals up in 2-3 weeks. The bone healing takes about 2-3 months. ...Read more

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If a cervical spinal fusion been determined to fused properly should the neck hardware be removed?

Usually not unless: The hardware or instrumentation poses or is causing an issue such as displacement or loosening which would be rare with a fusion achieved. ...Read more

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I had a cervical fusion at 4-5 and 5-6, three years ago. Istill experience pain and spasms. I have a plate, 6 screws and 2 spacers. What should I do?

Pain after ACDF: Understand, 80% of these surgeries are successful. Therefore, occasions exist when pain does not improve.
Considerations: 1) new problem above or below the fusion (pain free interval after surgery, different symptoms) 2) failure of the fusion to heal properly (symptoms, better then recurred) 3) problem unaddressed by surgery (never better)
best thing to do is be evaluated by your operating md. ...Read more

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Gain heathly weight, aprx10-15lbs. I'm 54 & aprx, 95lbs, (range, low 92-96 now) lost after 8 cervical fusion, surgerys, + LOW blood P. wat be norm 4 me?

Healthy weight: Depends on your height. If your weight range is within your ideal body weight then gaining weight is not healthy. Generally gaining weight incLudeman increasing calories, weight lifting and if indicated protein shakes ...Read more

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What to do if I had a cervical fusion a few years ago just a few days ago my neck started to hurt on the left side with a headache I wake up with this?

Time: Hopefully, you just have a cervical strain. If the symptoms persist, them see your Dr. For an evaluation. Good luck. ...Read more

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


Cervical (Definition)

Cervical relates to the first seven vertebra of the spine. It is related it the neck. Also it refers to the muscular opening/exit of ...Read more