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Old 03-01-2007, 01:06 AM   #1
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Question Confusing MRI results

I had surgery in october. I had 3 discs replaced - C4/5, C5/6 and C6/7 -and fused with the plate and screws (sorry its late and I can't think of the correct terminology).

The headaches never totally went away and were becoming worse. I had an MRI done today. Since I have had 6 MRI's done at this imaging center, the radiologist knows me by sight lol. I asked him afterwards if everything looked good and this was just "part of the healing process". He showed me on the MRI where one of the discs that was done (c5/6) looked "ruptured". I also have another disc above the 3 that were fused (c2/3) that has ruptured. At this rate, I only have my first and last cervical disc that won't be replaced and fused.

What exactly is a failed fusion? How is it fixed? More surgery that can go bad?

Thanks for any input.

Jami in TN

Last edited by hugg724; 03-06-2007 at 02:26 AM. Reason: additional information

 
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Old 03-01-2007, 04:24 AM   #2
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Re: Failed fusion?

Quote:
Originally Posted by hugg724 View Post
I had surgery in october. I had 3 discs replaced - C4/5, C5/6 and C6/7 -and fused with the plate and screws (sorry its late and I can't think of the correct terminology).

The headaches never totally went away and were becoming worse. I had an MRI done today. Since I have had 6 MRI's done at this imaging center, the radiologist knows me by sight lol. I asked him afterwards if everything looked good and this was just "part of the healing process". He showed me on the MRI where one of the discs that was done (c5/6) looked "ruptured". I also have another disc above the 3 that were fused (c2/3) that has ruptured. At this rate, I only have my first and last cervical disc that won't be replaced and fused.

What exactly is a failed fusion? How is it fixed? More surgery that can go bad?

Thanks for any input.

Jami in TN
that sounds really terrible. regarding the c5/c6 one - it doesn't seem to make sense that a disc that was fused would rupture because that level should be fused without a disc any more. If its due to non-fusion, I've heard of posterior surgeries to correct non-fusions (they do a posterior fusion instead). If you have to have even more levels done you might want to look into cervical ADR (artificial discs) as an alternative as well. Good luck with it sounds like a difficult situation.

 
Old 03-01-2007, 07:31 AM   #3
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Re: Failed fusion?

I am a little confused how can it be "ruptured" if it was taken out and fused?? Maybe he/she just meant that it was a non-fusion and things were unstable?? If you had mri's/xray before since October did they show any fusion?? bdancer

 
Old 03-05-2007, 03:51 PM   #4
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Confusing MRI results

I have a copy of my MRI results. Any help with what this means would be appreciated. My surgeon told me that other than another bulging disc that we would keep an eye on, everything looks "in line" with my surgery 4 months ago. This doesn't sound too in line to me, especially when I am still having pain and headaches.

At the C3-C4 level, there is disc desiccation and moderate decreased height with right paracentral disc protrusion/spu. There is moderate narrowing of the right C3-C4 neural foramen.

These are the discs that were replaced with bone, screws and a plate:

At the C4-5 level, there is high signal and enhancement within the posterior disc which may be related to surgery.

At the C5-6 level, there is similar finding of posterior disc enhancement. Endplates do not appear abnormal. Left uncovertebral hypertrophy with moderate narrowing of the left C5-6 neural forament identified.

At the C6-C7 level, moderate disc enhancement is noted. Broad-based posterior disc bulging/spurring is identified, greater on the left with moderate neural foraminal narrowing. No frank central stenosis.

At the C7-T1 level, no focal disc protrusion or extrusion. Central canal and neural formina are patent.

Thanks!

Jami in TN

Last edited by hugg724; 03-06-2007 at 02:31 AM. Reason: additional information

 
Old 03-05-2007, 07:39 PM   #5
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Re: Failed fusion? - more info

My first question would be : If you had an ACDF (which includes a discectomy which is removal of the disc) how can there be herniation at those levels? My ACDF was C5-C7 and I am at risk for disc problems at C4-C5and C7-T1 - but C5-6 and C6-7 are gone (discectomy). Is there a chance they fused but didn't remove the discs?
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L3-S1 fusion '10; L4-S1 fusion '93; L5-S1 fusion '87
C5-C7 PCIF & foraminotomy '08; C5-C7 ACDF '06
LT/RT knee surg '82 to present

Last edited by SpineAZ; 03-05-2007 at 07:39 PM.

 
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