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  • Posterior Foraminotomy - C5-C6

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    Old 03-06-2012, 02:40 PM   #1
    miraarim
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    Posterior Foraminotomy - C5-C6

    Hello, I'm relatively new to this board. For the past several months my doc has recommended a disckectomy due to disc herniations at C5-C6 and C6-C7 with moderate cervical stenosis. I read on this post someone had this procedure done plus fusion (a few years ago) without hardware. Is this standard practice now. I've also read without fusion at the time of the first surgery, the neck vertebrae may eventually become unstable and a fusion will be the inevitable.

    I think hardware freaks me out the most. I haven't read much research on this, but I wonder as a female would I be at risk for surgical failure in the years to come due to bone resorption, diminished estrogen, etc?

    Thank you for your input.

    Last edited by miraarim; 03-06-2012 at 02:41 PM. Reason: grammer

     
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    Old 03-06-2012, 03:43 PM   #2
    Chitown2012
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    Re: Posterior Foraminotomy - C5-C6

    Miraarim,

    Chitown2012 here, on Feb 1 I had a Posterior Cervical Laminectomy from C3 to C7 and Fusion with rods and screws from C3 through T2. So far the only complaints I have is having to wear the brace for 3 months and tightness between my shoulder blades. I also still have my preop left hand weakness and postoperative right upper arm weakness. Get the best neurosurgeon you can.

     
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    Old 03-06-2012, 04:15 PM   #3
    miraarim
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    Re: Posterior Foraminotomy - C5-C6

    Quote:
    Originally Posted by Chitown2012 View Post
    Miraarim,

    Chitown2012 here, on Feb 1 I had a Posterior Cervical Laminectomy from C3 to C7 and Fusion with rods and screws from C3 through T2. So far the only complaints I have is having to wear the brace for 3 months and tightness between my shoulder blades. I also still have my preop left hand weakness and postoperative right upper arm weakness. Get the best neurosurgeon you can.
    Hugs right back you. Thanks for sharing your story. In addition to the surgery, its the recovery part I fear the most. My neurologist stated that spine specialists have the best outcomes. However, I would agree with you...That a neurosurgeon is the way to go.

     
    Old 03-06-2012, 05:38 PM   #4
    jennybyc
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    Re: Posterior Foraminotomy - C5-C6

    Hi. You have a couple of options. You can do a standard ACDF where they remove the disks and then fuse the vertebrae with hardware(pretty standard to use hardware now) or you could find a surgeon who does a "laminoplasty" where they rebuild the bone over the back of the spine that allows the spinal cord to move away from the disk and at the same time, enlarge the holes for the nerves to allow them to move away from the disk as well. No fusion is done or needed but the do add a strip of titanium to stabilize the neck if several levels are done. Both myself and Webdozer have had it done successfully.

    The trick is finding a spine surgeon who does laminoplasties as they are fairly new in this country but done all over the world.

    Very few surgeons would do a fusion without hardware due to the resorption problem you mentioned.

    Hope this helps........Jenny

     
    Old 03-07-2012, 06:34 AM   #5
    miraarim
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    Re: Posterior Foraminotomy - C5-C6

    Thats awesome you responded well to the surgery. Did you experience a high level of scarring?

     
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