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  • OPLL in C3-C6

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    Old 04-27-2013, 08:20 AM   #1
    AJNovaro
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    OPLL in C3-C6

    Hi,
    I was recently diagnosed with the OPLL in C3-C6.
    I approached 3 Neurosurgeons and one of them was Dr. Jho. One local surgeon in Dallas told me to go for a posterial Laminectomy & fusion and another one for Laminoplasty to relieve the pressure off the spine.

    Dr. Jho recommended " Endoscopic Posterior Cervical Foraminotomy" which is typically done for the herniated disk issues but this is what he is planning to do in the Mid May.

    I read few of the Pros/Cons about his approach/bed side manners etc. but curious to know, has any one on this board had a "Endoscopic Posterior Cervical Foraminotomy" surgery for OPLL? Thanks for the responses.

    My age is 48, I was diagnosed with OPLL during a MRI scan on 2/26/2013 and the finding were:

    1) Loss of cervical lordosis
    2) Extensive OPLL extending from C3 to C6 level indenting anterior thecal sac and causing moderate to severe spinal canal compromise from C3-C6 level along with spinal cord indentation from C3 to C6 level. But no evidence of cord myelomalacia.

    C3-C4 level left paracentral protrusion indenting anterior thecal sac causing left neural foraminal compromise.
    C7-D1 level diffuse disc bulge indenting anterior thecal sac causing relative spinal canal compromise.

    Symptoms include numbness of the arms, spastic weakness, clumsiness in walking or running, difficulty in balance, and disorders in bowel or bladder control.

     
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    Old 04-28-2013, 10:59 AM   #2
    WebDozer
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    Re: OPLL in C3-C6

    I've had an ACDF (1996), foraminotmy (2004) and laminoplasty (2011). As foraminotomies are designed to open up the foramina - on the sides of the spine - I don't really see how they get at OPLL and centrally-protruding disks. I suppose they can, though.

    I think that laminoplasty makes a lot of sense, but I guess you could have the foraminotomies done and then later the laminoplasty if necessary.

     
    Old 08-14-2013, 11:29 AM   #3
    SurelyHopeful
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    Re: OPLL in C3-C6

    I was diagnosed with OPLL C3-C6 a year ago. My neuro told me that it was minimal and he wanted to check me every year. I have been scared s**tless after reading on how the medical community is divided on when and how to treat the condition and timing for the surgery. My symptoms have been mostly neck and shoulder pain. I have been able to manage without pain killers and occassional taking Nabumetone (500 mg). Recently I started experiencing weakness with my right arm and it usually runs from my elbow to the ring and pinky fingers. In addition, I have buring feet and toe numbness. I went for a second MRI as a proactive measure so they can compare it to last year and awaiting results. I have a scheduled appointment later this month with my neuro. I would really appreciate information of a spine center or a neurosuregon that specializes in treating OPLL.

    Quote:
    Originally Posted by AJNovaro View Post
    Hi,
    I was recently diagnosed with the OPLL in C3-C6.
    I approached 3 Neurosurgeons and one of them was Dr. Jho. One local surgeon in Dallas told me to go for a posterial Laminectomy & fusion and another one for Laminoplasty to relieve the pressure off the spine.

    Dr. Jho recommended " Endoscopic Posterior Cervical Foraminotomy" which is typically done for the herniated disk issues but this is what he is planning to do in the Mid May.

    I read few of the Pros/Cons about his approach/bed side manners etc. but curious to know, has any one on this board had a "Endoscopic Posterior Cervical Foraminotomy" surgery for OPLL? Thanks for the responses.

    My age is 48, I was diagnosed with OPLL during a MRI scan on 2/26/2013 and the finding were:

    1) Loss of cervical lordosis
    2) Extensive OPLL extending from C3 to C6 level indenting anterior thecal sac and causing moderate to severe spinal canal compromise from C3-C6 level along with spinal cord indentation from C3 to C6 level. But no evidence of cord myelomalacia.

    C3-C4 level left paracentral protrusion indenting anterior thecal sac causing left neural foraminal compromise.
    C7-D1 level diffuse disc bulge indenting anterior thecal sac causing relative spinal canal compromise.

    Symptoms include numbness of the arms, spastic weakness, clumsiness in walking or running, difficulty in balance, and disorders in bowel or bladder control.

     
    Old 08-14-2013, 11:42 AM   #4
    SurelyHopeful
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    (male)
     
    Join Date: Aug 2013
    Posts: 2
    SurelyHopeful HB User
    Re: OPLL in C3-C6

    I was diagnosed with OPLL C3-C6 a year ago. My neuro told me that it was minimal and he wanted to check me every year. I have been scared s**tless after reading on how the medical community is divided on when and how to treat the condition and timing for the surgery. My symptoms have been mostly neck and shoulder pain. I have been able to manage without pain killers and occassional taking Nabumetone (500 mg). Recently I started experiencing weakness with my right arm and it usually runs from my elbow to the ring and pinky fingers. In addition, I have buring feet and toe numbness. I went for a second MRI as a proactive measure so they can compare it to last year and awaiting results. I have a scheduled appointment later this month with my neuro. I would really appreciate information of a spine center or a neurosuregon that specializes in treating OPLL.

    Quote:
    Originally Posted by AJNovaro View Post
    Hi,
    I was recently diagnosed with the OPLL in C3-C6.
    I approached 3 Neurosurgeons and one of them was Dr. Jho. One local surgeon in Dallas told me to go for a posterial Laminectomy & fusion and another one for Laminoplasty to relieve the pressure off the spine.

    Dr. Jho recommended " Endoscopic Posterior Cervical Foraminotomy" which is typically done for the herniated disk issues but this is what he is planning to do in the Mid May.

    I read few of the Pros/Cons about his approach/bed side manners etc. but curious to know, has any one on this board had a "Endoscopic Posterior Cervical Foraminotomy" surgery for OPLL? Thanks for the responses.

    My age is 48, I was diagnosed with OPLL during a MRI scan on 2/26/2013 and the finding were:

    1) Loss of cervical lordosis
    2) Extensive OPLL extending from C3 to C6 level indenting anterior thecal sac and causing moderate to severe spinal canal compromise from C3-C6 level along with spinal cord indentation from C3 to C6 level. But no evidence of cord myelomalacia.

    C3-C4 level left paracentral protrusion indenting anterior thecal sac causing left neural foraminal compromise.
    C7-D1 level diffuse disc bulge indenting anterior thecal sac causing relative spinal canal compromise.

    Symptoms include numbness of the arms, spastic weakness, clumsiness in walking or running, difficulty in balance, and disorders in bowel or bladder control.

     
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