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Old 04-24-2010, 07:59 PM   #1
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Not Again Please 2 yr Post ACDF

Ok in 2008 had cervical fusion with metal plate at c4-5 and c6-7. Well been having problems and below is new Mri report I go to Neuro on Tuesday but can anyone help here. A little more info in 2008 I had impingement on spinal cord at c5-6-7hence the fusion. Mri done yesterday here is what it says.
thre is discogenic endplate change see at c3-4 as well as degenerative change and spondylosis. (What is discongenic endplate changes???)

Findings suggest a disc protrusion at C4-5 the signal in the visualized portion of the central nervous system appears within normal limits.

C2-3 there is a central disc protrusion producing mild central stenosis, but no impingement on cord.

C3-4 there is a broad based disc protrusion more pominent focally with near complete effacement of the tecal sac, but no definite impingement on the cord producing mild to moderate central stenosis. There is bilateral facet arthropathy, and there is evidence of mild righ sided neural foraminal stenosis.

C4-5 there is a large central dis protrusion with essentially complete effacement of thecal sac. Mild impingement on the anterior surface of the spinal cord suggested. Thee is facet arthropathy seen and there is mild left sides neural foraminal stenosis.

C6-7 findings suggest a right pracentral disc protrusion producing mild to moderate central canal stenosis with near complete effacement of the thecal sac. There is no definte foramminal stenosis. Why would I have this if I had the ACDF don't they remove the disc????

Post Contrast images deomonstrates that het fusion in 2008 seen is new in the interval. Degree of stenosis seen at C3-4 appears to be slightly greater than on the previous exam.

Increased spinal stenosis at c4-5 compare to the previous study in 2008 there is also somewhat more prominent discogenic endplate changes seen at c3-4. (Again what is discogenic endplate changes???)

Can anyone please help me my appt is Tues with Nuero My doc in 2008 was an ortho but he has moved so this is a new doc. Now this new MRI states suggest spinal cord anterior at C4-5 another question does it matter if it is anterior or other location???? Just trying to figure out am I headed back for another surgery because of the suggested spinal cord involvement. My neck does hurt stiff it gets stuck and then pops yesterday when this happened I actually seen stars and white spots. Tingling and numbness from upper back all the way up on top of my head, and dizziness, headaches and it seems that my hands have a bit trouble with fine motor skills, like it takes me forever to put on my necklaces, and my earrings, seems to be with more tideous motor skills, can all this be caused from the neck..

if anyone can please help me that would be great or at least help me understand this report better or questions to ask Nuero Sorry this is soo long but just really frustrated. Thanks in advance..

 
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Old 04-25-2010, 03:29 AM   #2
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Re: Not Again Please 2 yr Post ACDF

I would strongly suggest you get a copy of the operative report from your hospital record - for both yourself and your new doc. If the previous surgeon has moved, do you know what happened to his office files? You should also get the copy of the original MRI and report from your first surgery. Since appt with neuro is so soon, you might enlist his help with getting some of these records - you would need to sign a release. Good luck and report back. You have some very valid questions!

 
Old 04-25-2010, 04:53 AM   #3
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Re: Not Again Please 2 yr Post ACDF

84 life thanks I didn't think I was crazy.. I thought it was standard that during a fusion with plate and screws they would remove the disc involved. Lucky I have a friend that works and the office where my orth worked so I can probably get my medical records and good idea on getting films done in 2008 at least he can compare the films himself. Have you ever heard of ones neck being so stiff and then kind of gets stuck then pops causing you to see white spots when it pops. When it pops it scares me because it almost feels like my head is going to fall off... Thanks for the information.

 
Old 04-25-2010, 09:38 PM   #4
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Re: Not Again Please 2 yr Post ACDF

They don't always remove the entire disc. Although the term "discectomy" is used that can mean partial disc removal. I had an C5-C7 ACDF in 2006 and believe I may need to have C4 added, hope to find out soon.
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Old 05-01-2010, 06:22 PM   #5
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Re: Not Again Please 2 yr Post ACDF

Welcome to my world. I was fused twice, once in 03 and once in 08. Had a brain MRI the other day only to discover a new hernation at c3-c4 (which is supposedly fused already) Your MIR sounds much like just what a simple brain mri revealed. Will be going in for a new cervical one soon to see how much real damage is there.

You should be able to get a copy of your records without issue by contacting the hospital where you had the surgery.

If your previous doctor was in a shared office they should still have your records as they are required by law to keep them for a period of time. If not, the records may have been transferred to a local hospital.
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Old 05-01-2010, 07:44 PM   #6
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Re: Not Again Please 2 yr Post ACDF

Hi Tamter,

I had a two level fusion in January 2008. I was released to go back to work in April 2008. My last appointments xray showed my neuro that the fusion was successfully healed and the surrounding bones were healty.

About 2 weeks ago, first pain in shoulder, next day tingling, burning uncomfortable numbing in my left arm. Called my primary next day and saw him same day. He did the routine tests and scheduled a nerve assessment. He listened intently to my symtoms as he did initially 2 years ago. Next day I had same in right arm. He ordered an MRI. Findings were a bulge at c3 and c7-t1. Nerve test found no significant damage. About 2 days ago, I began having lower back pain at the tail bone. Also neck pain is now involved. I saw my neurosurgeon yesterday - he doesn't think I need surgery at this point and took several neck xrays in his office. He listened to my symtoms and is scheduling a pain specialist to come to his office to give me an injection to "calm the inflamation". Also, he is scheduling an MRI on my back - I've never had that before.

I have experienced some vision blurring, forgetting words, my typing is horrible, I'm having trouble writting after the first few minutes. And I feel a popping in my neck and also my back. Also, while lying or sitting, it feels like I am having muscle spasms in my right leg. They aren't painful, just strange feeling. I also have some tingling in my feet occassionally. I'm sure I'll be finding out more as things progress in this process.

I feel for you having to go to a new doctor. I like that my neurosurgeon knows my history, and took extremely good care of me in 2008. I also am very happy that my primary dr. moved quickly and referred me to the neuro who got me in within 24 hours.
I am calmer after seeing my neuro yesterday. At least the ball is rolling.

Hope everything works out for you.

 
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