Doctor insights on:
Cervical Vs Thoracic
Cord compression due: To disc issue in the neck region usually with degenerative disc disease ; a small spinal canal diameter. Prior history of neck injury can accelerate degenerative changes ; smokers accelerate this rate 4x over a nonsmoker. A herniated large disc can cause a myelopathy which is cord compression but it is most often associated with degeneration leading to a too narrow spinal canal for the cord. ...Read more
Semantics: A ruptured disc is indicative of a tear in the annulus fibrosis which contains a gelatinous substance, and the rupture sticks out beyond a few mm. If the disc rupture is large enough, it could contact nerve roots or even the spinal cord, and as it gets closer, it is termed encroachment. ...Read more
What would cause cervical spondylosis, central canal stenosis, disc osteophyte complexes, mild cord impingement, cervical straightening in 43 y/o?
Encroachment: Any condition limiting space for the nerves causes encroachment. A herniated disc would cause encroachment. A bone spur would also cause. Encroachment does not imply pressure, or severity, or the presence of symptoms. ...Read more
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
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
I have lumbosacral spondylosis without myelopathy, spinal stenosis other than cervical, lumbar region with neurogenic claudication and thoracic radiculitis. What should I do?
Can cervical radiculopathy and intervertebral disc disorder with myelopathy, cervical region cause bladder problems?"
Is a thoracic disc herniation usually more painful than of cervical or lumbar spine? Any harder 2 remove?
Thoracic Disk: Pain is too subjective to answer, but to answer the second part of your questions, yes. Unlike the cervical spine, where the disk is pretty close to the skin, we can't easily remove a thoracic disk from the front, the heart and lungs are in the way. Unlike the lumbar spine, where the spinal cord has ended, the thoracic spine still contains the spinal cord. More risky and more difficult to remove. ...Read moreSee 1 more doctor answer
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