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  • What to look for in Cervical Surgery - Anyone know about Jho Institute in Pittsburgh?

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    Old 03-11-2003, 04:40 PM   #1
    odog
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    Question What to look for in Cervical Surgery - Anyone know about Jho Institute in Pittsburgh?

    Just got back from physical thearpy. The PT say's she thinks I'll need surgery.

    While looking for minimal invasive surgery I found
    the jho institute for minimal invasive surgery in
    Pittsburgh. Has anyone had this cervical spine surgery done by this Jho Institute and if so would you recommend it and why?
    [url="http://www.drjho.com/cervical_stenosis_surgery.htm"]http://www.drjho.com/cervical_stenosis_surgery.htm[/url]


    Have a cervical spine x-ray. Result - C2,3 osteophyte sinus processes posteriorly. Disc degeneration with space narrowing C5,6,7. Disc vacuum phenomenon C6,7. Alignment of the cervical vertebrade is maintained. Mild bony foraminal narrowin on the left & right at C4,5,6,7. Conclusion: Disc degeneration at C4,5,6,7 with associated bony foraminal narrowing.


    Have a cervical spine x-ray. Result - C2,3 osteophyte sinus processes posteriorly. Disc degeneration with space narrowing C5,6,7. Disc vacuum phenomenon C6,7. Alignment of the cervical vertebrade is maintained. Mild bony foraminal narrowin on the left & right at C4,5,6,7. Conclusion: Disc degeneration at C4,5,6,7 with associated bony foraminal narrowing.

     
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    Old 03-11-2003, 07:56 PM   #2
    winged phantom
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    Hi odog,
    IMHO I think you need an MRI to tell exactly what is going on in your neck. It will tell much much more than the x-ray. You also will need a neurosurgeon or orthopedic surgeon to recommend whether surgery is really the way to go. And for many people, there are probably stops along the way with neurologists, pain management doctors and clinics, etc., and various other tests to tell exactly where the pain and problems are coming from if it's not clear-cut from the films. (Somebody correct me if I'm wrong, because I know I skipped a lot of those steps in the past 14 years.)

    I saw the Jho website last week while I was surfing, and I could not really tell what the diagrams were trying to illustrate. Other than that, I know nothing about Jho.

    Good luck in diagnosing the problem. Most of us are tethered to our computers in some way; they are a lifeline!
    wr
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    • 12/29/89 C5-6 Microdiskectomy (no fusion)
    • 4/9/03 ACDF C4-7 with plating and donor bone

     
    Old 03-12-2003, 05:27 AM   #3
    ChristinaD
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    I currently doctor in Pittsburgh at UPMC orthopedic spine specialists. I have never heard of Jho but would like to know what you know about it. What do they specialize in?

    Christina
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    27 years old
    1993: T1 to L1 fusion due to scoliosis at age 17
    2000: Tore and ruptured L4 L5 & L5 S1-it finally got better after about a year. Did really well for about a year.
    June 2002: Had a relapse and tore/ruptured disc again.
    Now I'm 14 months into it and the pain is still there.
    Can't deal with it anymore so I'm having a discectomy in Sept. Hoping and praying that it takes care of my problems!!

     
    Old 03-12-2003, 03:31 PM   #4
    BWL
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    I know of one person that went to Jho and he improved about 30%. I find it troubling that Jho's website lists only Jho's own articles as references. A little medical community validation would make me feel better. If it were me, I'd go with the mainstream techniques rather than this newer school of thought

    Good luck
    BWL

    ------------------
    ACDF with plating and donor bone C6-7 (1/29/03)
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    ACDF with plating and donor bone C6-7 (1/29/03)

     
    Old 03-12-2003, 06:30 PM   #5
    KeithEugeneW
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    Odog,

    I agree with Wingedphantom. My primary care provider had x-rays taken of my neck after I complained several times about the pain in my neck, which later spread to my shoulder and arm. I assumed it was carpal tunnerl syndrome until my arm started feeling like it weighed 50 lbs and my shoulder hurt all the time too. The x-ray showed severe disc degeneration at C5-6 and C6-7, with spurs, foraminal narrowing, osteoarthritis, etc. I saw the x-rays and it was plain to see that there wasn't much disc left at those 2 levels, while the others all looked good. He asked me if I wanted a referral to an orthapedic surgeon for a consultation and I specified one a friend told me about in Syracuse. The first thing the surgeon did was have me get an MRI that day. The next week I came back and he showed me the details on the MRI. His opening remarks to me when he walked into the room with the pictures were "You've got a screwed up neck!". He's got a good sense of humor as well, which was comforting considering how nervous I was. The MRI showed not only the vertical collapsing that was going on, but the discs bulging into and compressing my spinal cord significantly, which never showed on the x-ray. A side view of the spinal cord made that effect very obvious, as the shape was more like a road with two very sharp and narrow bends in them instead of a long steady slope. It made me a believer in the utility of the MRI and helped me (and him) understand what the true problems were. I'm going through the obligatory set of 3 cortisone shots by the pain management doctor now (one more left), which so far have not done much other than stop the pain in a very localized spot on my shoulder, around the rotator cuff. If the 3rd one doesn't perform a miracle, the orthapedic surgeon said it is highly likely we're doing surgery (2 level ACDF) very soon. I see him April 10th, and my guess is that he'll probably do another MRI to see if any changes have taken place, good or bad, and discuss surgery. I used to be quite nervous (OK, scared) about the surgery, but after reading the experiences of people here on this board, I'm actually looking forward to it, and getting back to a somewhat normal life again. While I'm a desk jockey at work, I love to work on my hobby farm, hunt, fish and build things on my free time, and that has been severely hindered the past year or so. I built my house in 2001, and it was getting to be barely manageable at that time, there's no way I could have done it the way things are now. One common theme I have picked up here is to get a surgeon who you trust and respect, and who explains things to you, and don't be afraid to get a 2nd opinion before surgery. If you have doubts about a surgeon or institution, I wouldn't recommend just taking a chance and seeing how it works out, because this is serious stuff here. I sure wouldn't want to be going under with anesthesia with doubts still in my head.

     
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