It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Spinal Cord Disorders Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 12-09-2010, 03:54 PM   #1
Senior Member
(female)
 
Join Date: Mar 2007
Location: USA
Posts: 172
poopoopadoop HB User
MRI Results - 3 years after ACDF c5-6

Hi, Everyone,

I am 3 years post ACDF C5-6 (donor bone). My last MRI was almost 3 years ago (6mos after surg). I've been having some more numbness in my hand and possibly my foot and weakness. Some pain in my neck, spasms -- not terrible, but nagging. I decided to go back to the doctor and here are my new MRI results:

C4-5there is a mild disc ridge complex which partially effaces the ventral fluid column. A discrete disc herniation is not identified.

C5-6 there is a posterior ridge. There is effacement of the ventral fluid column and flattening of the vental aspect of the spinal cord. There is narrowing of the AP diameter of the central canal. These findings are unchanged (same as last MRI in 2007/6 months POST fusion at this level).

C6-7 there is a moderate to large right paracentral disc herniation, increased compared to the prior examination in 2007. This disc herniation flattens the right ventral aspect of the spinal cord. It narrows the AP diameter of the central canal, particularly on the right. There is a disc ridge complex.

IMPRESSION:
Right paracentral disc herniation at C6-7, increased compared to 2007.
Status post anterior fusion C5-6.
Disc ridge complexes at C4-5 and C6-7.

I have not yet spoken with the orthopedist. Any thoughts? Do you think I'll need more surgery?!?!? Flipping out a little here

Thanks everyone,
Lisa

 
Sponsors Lightbulb
   
Old 12-09-2010, 04:51 PM   #2
Inactive
(female)
 
Join Date: Feb 2009
Posts: 3,894
Blog Entries: 12
jennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB User
Re: MRI Results - 3 years after ACDF c5-6

Once they do a fusion, even a small one, it puts pressure on the disc below and sets you up for more trouble down the road. That is why they are working on non-fusion surgeries for these problems.

You could end up with a lengthening of your fusion to include C7 depending on how long your doc thinks you can wait. I am 4 years out from C3 to T1 and have moderate compression of the nerves at C4 inside my fusion and trouble developing at T1-2 similar to yours but I will wait as long as I can. As my doc put it, this can become a "never ending story"!

See what your doc thinks and then decide if you can wait a while or do some PT and see if that helps or try something other than surgery. You know you always have that as a back up if nothing else works.

sorry and hugs.............Jenny

 
Sponsors Lightbulb
   
Old 12-10-2010, 07:38 PM   #3
Senior Member
(female)
 
Join Date: Mar 2007
Location: USA
Posts: 172
poopoopadoop HB User
Re: MRI Results - 3 years after ACDF c5-6

Hi, Jenny,

I know that having a fusion puts stress on other levels. The other levels weren't so great back in 2007, but the surgeon only wanted to do one level (the others were good enough).

I am not sure if "Cord Flattening" is very serious and would require a surgical consult/surgery. I know the signal is normal. Before my ACDF in 2007, I had spinal cord compression at C5-6 with myelomalacia. That sounds more serious than this MRI, but I don't know. Has anyone had surgery with "Cord Flattening"?

Thanks,
Lisa

 
Old 12-12-2010, 08:27 PM   #4
Facilitator
(female)
 
SpineAZ's Avatar
 
Join Date: Oct 2005
Location: Wisconsin
Posts: 5,106
SpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB User
Re: MRI Results - 3 years after ACDF c5-6

I had a C5-C6-C7 ACDF in 06 and then a posterior foraminotomy in 08. I now have signs and MRI/CT/x-ray findings that show C4 has a problem, C6 is loose and there is some developing problems at other levels. Surgery is an option but my excellent orth spine surgeon and I have had ongoing discussions about what to do and when. Age plays a large part in this. Being 44 my surgeon doesn't want to fix what he sees and then I need more work in 3-5 years. He said if I was in my 60's he'd fix all the stuff right now. So it may be a very personal decision as what to do and when. I hope to see if the can do anything minor to fix some of the more prevalent problems but unfortunately the neck is not like the knee. I've had some minor repairs on my knee becuase they can use an arthroscope and get a good diagnostic view of the joint, that just can't be done in the spine.
__________________
Rt thumb fusion '13. R&L thumb arthroplasty '12 ; RT TKR & Bilat CTS' 11. Fusions: L5-S1('87), L4-S1('93), C5-C7('06), L3-S1('10), C4-C5('13). C5-C7 foraminotomy '08

 
Old 12-13-2010, 05:38 PM   #5
Senior Member
(female)
 
Join Date: Mar 2007
Location: USA
Posts: 172
poopoopadoop HB User
Re: MRI Results - 3 years after ACDF c5-6

Quote:
Originally Posted by SpineAZ View Post
I had a C5-C6-C7 ACDF in 06 and then a posterior foraminotomy in 08. I now have signs and MRI/CT/x-ray findings that show C4 has a problem, C6 is loose and there is some developing problems at other levels. Surgery is an option but my excellent orth spine surgeon and I have had ongoing discussions about what to do and when. Age plays a large part in this. Being 44 my surgeon doesn't want to fix what he sees and then I need more work in 3-5 years. He said if I was in my 60's he'd fix all the stuff right now. So it may be a very personal decision as what to do and when. I hope to see if the can do anything minor to fix some of the more prevalent problems but unfortunately the neck is not like the knee. I've had some minor repairs on my knee becuase they can use an arthroscope and get a good diagnostic view of the joint, that just can't be done in the spine.
Hi, Spine,

Thanks for the reply. Wow, you (and others on this board) have had a lot of problems --how are you doing now? How was your multi-level ACDF? What are your current problems w C4 and C6 is loose (even though fused)?

I am in my late 30s, so I worry about having to have one surgery after another at my age. I am not sure whether to try to avoid surgery with "cord flattening" or consider a consult with my prior neurosurgeon (who did my ACDF C5-6 in 2007). I am going for a CT scan and x-rays tomorrow and then will follow up with the orthopedist. I wonder whether he will recommend a surgery consult with the neurosurgeon, epidural injections, ?

I have some minor weakness (but noticeable) and a little clumsyness in my L hand. I think I also notice numbness in my L foot. I can "live" with it, but am wondering if I should or not. I am able to work, run 6 miles/week, be active. I only use a lidoderm patch, no other meds (although I could use some).

Lisa

 
Old 12-13-2010, 06:04 PM   #6
Facilitator
(female)
 
SpineAZ's Avatar
 
Join Date: Oct 2005
Location: Wisconsin
Posts: 5,106
SpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB UserSpineAZ HB User
Re: MRI Results - 3 years after ACDF c5-6

I have a history of lax ligaments and tendons so joints (including spine) tend to move too much and thus I've had additional spine levels that don't do well. Same reason I've had a bunch of knee surgeries and a few foot surgeries as well and I've started to experience pain in both thumbs.

I knew the C5-C6-C7 fusion had not worked well and my former orthopedic spine surgeon ignored my concerns, I later changed to a new doc who has been able to clearly see what levels in my spine have difficulty and match it pretty well to the symptoms I experience. Thank goodness for spine surgeons that will take on the "difficult" cases or those who didn't have a successful outcome before. And I have a wonderful pain management doctor as well.
__________________
Rt thumb fusion '13. R&L thumb arthroplasty '12 ; RT TKR & Bilat CTS' 11. Fusions: L5-S1('87), L4-S1('93), C5-C7('06), L3-S1('10), C4-C5('13). C5-C7 foraminotomy '08

Last edited by SpineAZ; 12-13-2010 at 06:06 PM.

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
cervical mri results ???? braccine Spinal Cord Disorders 5 09-03-2010 02:42 PM
Problems 2 years post-ACDF C5-6 kgwoz Spinal Cord Disorders 0 12-29-2008 12:10 PM
Help needed reading CT results (3 years post ACDF) shacker06 Spinal Cord Disorders 0 07-19-2008 02:28 PM
FINALLY, MRI RESULTS - Can you guys give me some input? poopoopadoop Spinal Cord Disorders 7 11-11-2007 12:18 PM
Had the MRI and X-rays today -?? about results poopoopadoop Spinal Cord Disorders 4 11-08-2007 11:04 AM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 03:54 AM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!