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



Spinal Cord Disorders Message Board

  • ACDF - 3-level. No Pain only weekness

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 02-27-2014, 08:55 AM   #1
    kravan
    Newbie
    (male)
     
    Join Date: Feb 2014
    Posts: 3
    kravan HB User
    ACDF - 3-level. No Pain only weekness

    NS recommended 3 level ACDF based on my MRI findings, but I am torn whether to go for the surgery or not. I do not have any pain in my neck or in my arms. My only symptoms/issues are weak right arm and occasional neck spasms. I am more worried about the consequence of not having the surgery immediately and how long can it be postponed. I am in mid 30's so concerned having surgery so early and the impact it would have down the line...

    Thanks and appreciate your inputs.

    --- Here are the results from my MRI, any help is appreciated.---

    Findings: There is loss of normal cervical lordosis. Multi-level degenerative disk disease superimposed upon what appears to be congenitally narrowed spinal canal. No focal cord is abnormality is demonstrated. No cerebellar tonsillar herniation. No prevertebreal soft tissue swelling is demonstrated.

    C2-3: Broad-based disk bulge is present. There is superimposed right paracentral component with likely a posterior annular tear. There is effacement of the anterior CSF space just right of midline. The AP diameter of the spinal canal measures 0.8 cm. There is narrowing of the inferior bilateral neural foramina. The more superior bilateral neural foramina are patent.

    C3-4: Broad-based disk-osteophyte complex is eccentric to the right. There is right foraminal component with likely a posterior annular tear. There is partial effacement of the anterior CSF space. There is moderate to severe right-sided formanial narrowing demonstrated. The AP diameter of the spinal canal is narrowed to between 0.8 and 0.9 cm.

    C4-5: Left eccentric disk-osteophyte complex impresses upon the left anterior cervical cord. There is narrowing of the inferior bilateral neural foramina. The more superior bilateral neural foramina are patent. AP diameter of the spinal canal is narrowed to 0.7 cm.

    C5-6: Left eccentric disk-osteophyte complex impresses upon the left anterior cervical cord. There is mild right and moderate left-sided foraminal narrowing demonstrated. The AP diameter of the spinal canal is narrowed to 0.6 cm.

    C6-7: Broad-based disk bulge is present. There is superimposed disk protrusion. There is mild to moderate left-sided foraminal narrowing. The AP diameter of the spinal canal is narrowed to 0.7 cm.

    C7-T1: Minimal broad-based disk bulge is present. There is no overall significant central stenosis or foraminal narrowing demonstrated.

     
    Sponsors Lightbulb
       
    Old 04-11-2014, 10:16 PM   #2
    ChuckStr
    Veteran
    (male)
     
    Join Date: Apr 2014
    Location: seattle wa USA
    Posts: 406
    ChuckStr HB UserChuckStr HB UserChuckStr HB UserChuckStr HB UserChuckStr HB UserChuckStr HB UserChuckStr HB UserChuckStr HB UserChuckStr HB UserChuckStr HB UserChuckStr HB User
    Re: ACDF - 3-level. No Pain only weekness

    Hi Kravan I hope you are doing ok. What levels were they intending to decompress? It looks like you have some pretty significant narrowing of your spinal canal at more levels than 3. I'm not a doctor so can't diagnose anything but if you look up myelopathy you can see some of the dangers of waiting too long to decompress the spinal cord. They include persistent weakness, pain, gait difficulties etc. In talking with my surgeon about this very issue, he mentioned that the course is difficult to predict but most people have advancement of symptoms followed by a leveling off that overall leads to progressive decline. I don't mean to scare you but 1 suggestion I have is to try to find a spine specialist (ns, or ortho) that is known to be conservative and see what they say. Good luck.

     
    Old 04-14-2014, 01:48 PM   #3
    BOB825
    Junior Member
    (male)
     
    Join Date: Sep 2004
    Posts: 32
    BOB825 HB User
    Re: ACDF - 3-level. No Pain only weekness

    Quote:
    Originally Posted by kravan View Post
    NS recommended 3 level ACDF based on my MRI findings, but I am torn whether to go for the surgery or not. I do not have any pain in my neck or in my arms. My only symptoms/issues are weak right arm and occasional neck spasms. I am more worried about the consequence of not having the surgery immediately and how long can it be postponed. I am in mid 30's so concerned having surgery so early and the impact it would have down the line...

    Thanks and appreciate your inputs.

    --- Here are the results from my MRI, any help is appreciated.---

    Findings: There is loss of normal cervical lordosis. Multi-level degenerative disk disease superimposed upon what appears to be congenitally narrowed spinal canal. No focal cord is abnormality is demonstrated. No cerebellar tonsillar herniation. No prevertebreal soft tissue swelling is demonstrated.

    C2-3: Broad-based disk bulge is present. There is superimposed right paracentral component with likely a posterior annular tear. There is effacement of the anterior CSF space just right of midline. The AP diameter of the spinal canal measures 0.8 cm. There is narrowing of the inferior bilateral neural foramina. The more superior bilateral neural foramina are patent.

    C3-4: Broad-based disk-osteophyte complex is eccentric to the right. There is right foraminal component with likely a posterior annular tear. There is partial effacement of the anterior CSF space. There is moderate to severe right-sided formanial narrowing demonstrated. The AP diameter of the spinal canal is narrowed to between 0.8 and 0.9 cm.

    C4-5: Left eccentric disk-osteophyte complex impresses upon the left anterior cervical cord. There is narrowing of the inferior bilateral neural foramina. The more superior bilateral neural foramina are patent. AP diameter of the spinal canal is narrowed to 0.7 cm.

    C5-6: Left eccentric disk-osteophyte complex impresses upon the left anterior cervical cord. There is mild right and moderate left-sided foraminal narrowing demonstrated. The AP diameter of the spinal canal is narrowed to 0.6 cm.

    C6-7: Broad-based disk bulge is present. There is superimposed disk protrusion. There is mild to moderate left-sided foraminal narrowing. The AP diameter of the spinal canal is narrowed to 0.7 cm.

    C7-T1: Minimal broad-based disk bulge is present. There is no overall significant central stenosis or foraminal narrowing demonstrated.
    No pain No surgery imho

    you can work on your weakness

    Try this

    Heat & Ice 6 times a day

    Get some Capsaicin Cream use twice a day

    Buy some glucosamine chondroitin

    You should feel better within 6 weeks.

    If not you can try shots. DONT DO SURGERY if you don't have pain.

     
    Old 04-21-2014, 10:48 AM   #4
    CT06405
    Veteran
    (female)
     
    Join Date: Aug 2009
    Location: Branford, CT USA
    Posts: 372
    CT06405 HB UserCT06405 HB UserCT06405 HB UserCT06405 HB UserCT06405 HB User
    Re: ACDF - 3-level. No Pain only weekness

    It looks like you do have some spinal cord compression, which is when doctors recommend surgery. The downside of not having it could be serious if it gets worse as you get older; progressive weakness in arms, legs, hands, etc.

    The good news is that since you don't have painful nerves now, you may have an easier recovery than many from a pain standpoint.

     
    Old 04-21-2014, 11:33 PM   #5
    choco2013
    Newbie
    (female)
     
    Join Date: Apr 2014
    Posts: 8
    choco2013 HB User
    Re: ACDF - 3-level. No Pain only weekness

    Hey there..
    I am not a doctor either but this is what i can advice, try seek for 2nd and 3rd doctor advise and make sure they are the best doctor in your country. You can google their reference
    And avoid the medicine without doctor prescription.
    Yes seems like you were having a narrow compression to your spinal cord and it cause difficulty in walking, be careful on this...once the nerve is permanently damage, it will be super difficult to the nerve to be back to normal again and yes it is big possiblity to be paralized, I am not scarying you, but this is a fact

    I had this symptom too and due to gait issues i was in the wheel chair for a few weeks..but I also had continous pain around my neck, that's why I decided to have surgery 6 months ago as the surgery was the only option I had. And thanks God the surgery was successfull.

    My walking was back to normal again about 3 weeks after the surgery..

    Hope you can decide what is good for you..

     
    Old 04-21-2014, 11:50 PM   #6
    julie10
    Senior Member
    (female)
     
    Join Date: Feb 2007
    Location: Michigan
    Posts: 273
    julie10 HB Userjulie10 HB Userjulie10 HB User
    Re: ACDF - 3-level. No Pain only weekness

    Surprised your NS is recommending surgery with mild to moderate compression and no pain. Surgeons do surgery, so at one level, it's no surprise that's the recommendation.

    I would consider getting a second opinion, and wait as long as you are comfortable, weighing the risks.

    I had ACDF at C5-6 and 6-7, but I had severe spinal cord compression, with numbness, weakness in my arms, and some pain in my neck. My NS told me not to get in a car accident, or slip and fall, as I could be paralyzed (while waiting on surgery over the Christmas holiday).

    The surgery was successful in virtually every way. EXCEPT, I developed neuropathy in my feet and lower legs. Ended up at Mayo, where they couldn't make sense of that. A year after my neck surgery, I did slip and fall on the ice, and three months after that, I was diagnosed with Fibromyalgia. I have been disabled ever since.

    One more thought: the surgery is not a cure, and you won't hope back to the way you were before the degeneration started. It will prevent further damage.

    Take your time, get another opinion. If you proceed with surgery, my two best friends were a recliner and bendy straws!

    Best Wishes.

     
    Old 04-22-2014, 01:14 AM   #7
    choco2013
    Newbie
    (female)
     
    Join Date: Apr 2014
    Posts: 8
    choco2013 HB User
    Re: ACDF - 3-level. No Pain only weekness

    Dear Julie..what a shocking story of yours..sorry to hear that..
    One of my friend also told me that once you have done the ACDF surgery..don't ever get fall down, it might broke the bone in your neck. And it's scare me to death. But at that time I dont have any option...the only option to get my normal life back was..surgery.
    May I know how old are you now ?

     
    Old 04-22-2014, 11:19 PM   #8
    julie10
    Senior Member
    (female)
     
    Join Date: Feb 2007
    Location: Michigan
    Posts: 273
    julie10 HB Userjulie10 HB Userjulie10 HB User
    Re: ACDF - 3-level. No Pain only weekness

    Thank you, choco...I am confident that if I fell now, my neck would be okay, it was only while I was waiting for surgery that I was at risk.

    I am 51 years old.

     
    Old 04-29-2014, 11:10 PM   #9
    choco2013
    Newbie
    (female)
     
    Join Date: Apr 2014
    Posts: 8
    choco2013 HB User
    Re: ACDF - 3-level. No Pain only weekness

    Dear Julie10, may I know when you had the surgery ? And if i am not missunderstood that you did fall down on ice and now you're disabled ? Sorry for my lack of grammar

     
    Closed Thread




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    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 04:50 PM.





    2019 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!