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Old 04-06-2018, 06:33 AM #1
ACDF_ Advice ACDF_ Advice is offline
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Anyone have ACDF with own bone graph in Calgary Alberta?
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Old 09-15-2013, 12:24 PM #2
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Quote:
Originally Posted by kean View Post
Can anyone point me to any literature/studies showing that people who have had surgeries/fusions get NO better results than people who have had physical therapy? My wife is contemplating recommendations for 3 level acdf c4-7 with a bulging discs at c3. We are concerned this could be the first of potentially many surgery if we agree to have this first one.
Hi Kean, Welcome.

IMO your concerns are valid & well-founded/justified.

While not directly related, in looking/searching for answers to your query I came across the best answer I've ever read to one of the most common questions we get on this forum—"Should I get surgery?"—in the form of a study abstract. It is, IMO, SO good that I'm going to quote it here and save it for future reference.
Quote:
Cervical spondylotic myelopathy and radiculopathy are common disorders which can lead to significant clinical morbidity. Conservative management, such as physical therapy, cervical immobilisation, or anti-inflammatory medications, is the preferred and often only required intervention. Surgical intervention is reserved for those patients who have intractable pain or progressive neurological symptoms. The goals of surgical treatment are decompression of the spinal cord and nerve roots and deformity prevention by maintaining or supplementing spinal stability and alleviating pain. Numerous surgical techniques exist to alleviate symptoms, which are achieved through anterior, posterior, or circumferential approaches. Under most circumstances, one approach will produce optimal results. It is important that the surgical plan is tailored to address each individual's unique clinical circumstance.
http://www.hindawi.com/journals/aop/2012/919153/
Now back to the original question, I found this article: Physical Therapy or Neck Surgery?

This is the study referenced in the above article: Surgery Versus Nonsurgical Treatment of Cervical Radiculopathy: A Prospective, Randomized Study Comparing Surgery Plus Physiotherapy With Physiotherapy Alone With a 2-Year Follow-up.

http://www.ncbi.nlm.nih.gov/pubmed/23778373
Quote:
CONCLUSION.: In this prospective, randomized study of patients with cervical radiculopathy, it was shown that surgery with physiotherapy resulted in a more rapid improvement during the first postoperative year, with significantly greater improvement in neck pain and the patient's global assessment than physiotherapy alone, but the differences between the groups decreased after 2 years. Structured physiotherapy should be tried before surgery is chosen. Level of Evidence: 2.
Others may be cited in posts here—try Searching the archives—on PubMed, the various medical journals (JAMA, BMJ, The Lancet, etc.) and elsewhere. On Goggle, it sometimes helps to preface search criteria with the words "scholarly" or "study".

Hope this helps,

Doc
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Old 11-16-2013, 09:35 PM #3
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Hi,
I'm new to this forum.
I'm currently discussing a two-level ACDF surgery, C4 through C6, with my surgeon. My nerves are pinched pretty tight and would prefer to do this now than risk potential permanent nerve damage by putting it off.

I'm looking for post op stories. People that have had the double D&F and can tell me what it was like after waking from surgery through the recovery. And how they are doing today.

What were the biggest challenges and changes. Good or bad.
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Old 11-17-2013, 09:24 AM #4
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Default Hi Btbullet
Hello and welcome to Neuro Talk. I have had this surgery. C3-7, more levels. If you have done all other therapies and nothing worked, you are right it is time to do something about it. Just make sure you have more than one opinion with a good neuro surgeon.
My surgery turned out good. I am very much better than what I was. However it is not 100%. Pain exists but is tolerable. I take tramadol for the most part.
It took several weeks of really being uncomfortable before I started to mend.
I wish you all the best. ginnie
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