Spinal Disorders & Back Pain For discussion of all spinal cord injuries, spinal issues, back-related pain or problems.


advertisement
Reply
 
Thread Tools Display Modes
Old 01-23-2017, 09:04 AM #1
kimheng kimheng is offline
Junior Member
 
Join Date: Jan 2017
Posts: 6
5 yr Member
kimheng kimheng is offline
Junior Member
 
Join Date: Jan 2017
Posts: 6
5 yr Member
Smile 4 level ACDF or 2 level ACDF? After 1 year of conservative management.

Dear Admins, Moderators and Members,
Please advice whether I need 4 level ACDF or 2 level ACDF?
Below are my MRI reports taken on 02-OCT-2015 and 08-DEC-2016.

HISTORY
C Sondylosis
MRI, Cervical Spine of 02-OCT-2015:
Sagittal Me2D, T1w and T2w and axial Me2D images of the cervical spine from C2-3 to C7-T1 were obtained. Radiographs performed previously.
The cervical spinal alignment is preserved. The cervical vertebrae return a normal signal. The cervical cord show normal signal.
No significant spinal canal stenosis at C2-3.
At C3-4, there is a mild osteochondral bar which is effacing the anterior CSF space without significant canal stenosis.
At C4-5, there is a large central osteochondral bar which is indenting the cord centrally. There is bilateral exit foraminal stenosis due to uncovertebral hypertrophy.
At C5-6, there is a moderate-sized osteochondral bar which is contacting cord and causing mild canal narrowing. There is also bilateral exit foraminal stenosis. Cord returns normal signal.
At C6-7, there is a small osteochondral bar which is effacing the anterior CSF space without significant canal stenosis. There is bilateral exit foraminal stenosis due to uncovertebral hypertrophy.
The C7-T1 disc space is unremarkable.
There is no prevertebral soft tissue swelling and craniocervical junction appears unremarkable.
IMPRESSION
Severe canal stenosis with central cord indentation at C4-5. No evidence of cord edema or gliosis.

MRI, Cervical Spine of 08-DEC-2016:
HISTORY: Known cervical spondylosis on conservative management. Now with worsening neck pain.
TECHNIQUE:
Sagittal T1W, T2W and GRE; and axial T2w and GRE sequences of the cervical spine were obtained. Comparison was made with the prior MRI study date 02 Oct 2015.
FINDINGS:
There is normal alignment of the cervical spine. The craniocervical junction and cervical cord are normal in appearance. Several osteophytes are note.
At the level of C2-3, no significant stenosis is noted.
At the level of C3-4, there is a left paracentral dice bulge narrowing the spinal canal. The disc abuts the cord, but the adjacent cord signal is normal. There is mild narrowing of the left neural foramen.
At the level of C4-5, there is a central disc protrusion with thickening of posterior longitudinal ligament. This disc-ligamentous complex impinges the cervical cord (Se4/13). The cord is not atrophied and no abnormal cord signal is seen. The neural foramina are narrowed by the bilateral uncovertebral hypertrophy.
At the level of C5-6, there is a broad-based left paracentral disc protrusion. Together with osteophytes the disc osteophyte complex results in severe asymmetric left sided spinal canal narrowing. This appears more severe than in the last study. The cord is deformed with no visible surrounding CSF space. However, no abnormal cord signal is noted. Both neural foramina are preserved.
At the level of C6-7, there is a broadbased central disc bulge. The disc-osteophyte complex causes mild narrowing of the spinal canal. The cord is spared. The neural foramina are preserved.
IMPRESSION:
Spinal canal stenosis at C4-5 and C5-6 levels, appearing to have progressed.
No evidence of cord edema or myelomalacia.

Thanks and Best Regards,
kimheng
kimheng is offline   Reply With QuoteReply With Quote

advertisement
Old 01-24-2017, 01:16 PM #2
kimheng kimheng is offline
Junior Member
 
Join Date: Jan 2017
Posts: 6
5 yr Member
kimheng kimheng is offline
Junior Member
 
Join Date: Jan 2017
Posts: 6
5 yr Member
Smile

Dear all,
I had decided to go for 4 level ACDf, my main concern is about the range of motion.
Anyone had 4 level of ACDF from C3 to C7 and have good results?
Thanks,
kimheng
kimheng is offline   Reply With QuoteReply With Quote
Old 01-25-2017, 02:05 PM #3
kimheng kimheng is offline
Junior Member
 
Join Date: Jan 2017
Posts: 6
5 yr Member
kimheng kimheng is offline
Junior Member
 
Join Date: Jan 2017
Posts: 6
5 yr Member
Thumbs up

Dear all,
I need some support for my decision of operation, cos the 4 level ACDF is I request the surgeon to operate for me, cos I don't want come back in 1 or 2 years time.
Thanks,
kimheng
kimheng is offline   Reply With QuoteReply With Quote
Old 01-27-2017, 11:31 PM #4
KatherineLB KatherineLB is offline
Junior Member
 
Join Date: Jan 2017
Location: Australia
Posts: 12
5 yr Member
KatherineLB KatherineLB is offline
Junior Member
 
Join Date: Jan 2017
Location: Australia
Posts: 12
5 yr Member
Default

Quote:
Originally Posted by kimheng View Post
Dear all,
I need some support for my decision of operation, cos the 4 level ACDF is I request the surgeon to operate for me, cos I don't want come back in 1 or 2 years time.
Thanks,
kimheng
Hi KimHeng

Although I can't provide you with any information regarding your results or questions, I wanted to let you know that I really feel for you!

I'm only just discovering what's happening with my back - and have no idea what it means, let alone what treatments are available.

Deciding on surgery must be very daunting!

I wish you all the best and a fantastic outcome.

I hope someone with some experience is able to respond to you

X

Last edited by KatherineLB; 01-27-2017 at 11:31 PM. Reason: typo
KatherineLB is offline   Reply With QuoteReply With Quote
Old 01-27-2017, 11:54 PM #5
Jomar's Avatar
Jomar Jomar is offline
Co-Administrator
Community Support Team
 
Join Date: Aug 2006
Posts: 27,678
15 yr Member
Jomar Jomar is offline
Co-Administrator
Community Support Team
Jomar's Avatar
 
Join Date: Aug 2006
Posts: 27,678
15 yr Member
Default

You can also use the search tool for -- ACDF-- and other terms to find past posts /threads on those topics.
https://www.neurotalk.org/search.php
__________________
Search NT -
.
Jomar is offline   Reply With QuoteReply With Quote
Old 01-28-2017, 08:34 AM #6
SynchroChick SynchroChick is offline
Newly Joined
 
Join Date: Jan 2017
Posts: 2
5 yr Member
SynchroChick SynchroChick is offline
Newly Joined
 
Join Date: Jan 2017
Posts: 2
5 yr Member
Default

Quote:
Originally Posted by kimheng View Post
Dear all,
I had decided to go for 4 level ACDf, my main concern is about the range of motion.
Anyone had 4 level of ACDF from C3 to C7 and have good results?
Thanks,
kimheng
I had 3/level....C4-7....March 10, 2016. Range of motion comes back enough if you work it. Physical therapy was a must for me.
SynchroChick is offline   Reply With QuoteReply With Quote
Old 04-02-2017, 02:42 AM #7
kimheng kimheng is offline
Junior Member
 
Join Date: Jan 2017
Posts: 6
5 yr Member
kimheng kimheng is offline
Junior Member
 
Join Date: Jan 2017
Posts: 6
5 yr Member
Smile Post ACDF 4 level Surgery

Dear All,
I had my surgery done on 13th-Feb-2017, the surgery was successful and now I am recuperate at home. Now which is 48 days after surgery, I did had a review with my surgeon. He told me that I still not suitable for physiotherapy but only this few days, then I feel that I have stiffness aching pain around the neck. My appointment with the surgeon is two month later.
May I ask whether I can do some neck exercises???
As the fusion of my neck is not fully healed yet.
Thank You & Best Regards to All,
Kim Heng
kimheng is offline   Reply With QuoteReply With Quote
Old 07-13-2017, 11:27 PM #8
Marla978 Marla978 is offline
Newly Joined
 
Join Date: Jul 2017
Posts: 2
5 yr Member
Marla978 Marla978 is offline
Newly Joined
 
Join Date: Jul 2017
Posts: 2
5 yr Member
Default Anterior c3-c7 w/ graft 8 screws & plate also c2-t1 posterior w/graft 10 screws 2 rod

I had surgeries on May 19 & May 22nd, 2017.. i am tryi g to find out what my recovery should be like. i know i have to wear this hard brace, but when i do my arms hurt and my shoulders tighten up.. when i take it off, seems to chill alittle. I know it was a huge surgery but i am now getting impatient, bored and still sore. Anyone out there go through this and have a time line? The doctor just trying to get me a bone graft stimulator. Thoughts? I am 8 weeks out today, in good physical shape to look at me but hurt between my shoulders, traps and arms.
Thanks for any feed back!
Marla978 is offline   Reply With QuoteReply With Quote
"Thanks for this!" says:
Genie (06-19-2021)
Old 07-14-2017, 09:18 PM #9
kimheng kimheng is offline
Junior Member
 
Join Date: Jan 2017
Posts: 6
5 yr Member
kimheng kimheng is offline
Junior Member
 
Join Date: Jan 2017
Posts: 6
5 yr Member
Default

Quote:
Originally Posted by Marla978 View Post
I had surgeries on May 19 & May 22nd, 2017.. i am tryi g to find out what my recovery should be like. i know i have to wear this hard brace, but when i do my arms hurt and my shoulders tighten up.. when i take it off, seems to chill alittle. I know it was a huge surgery but i am now getting impatient, bored and still sore. Anyone out there go through this and have a time line? The doctor just trying to get me a bone graft stimulator. Thoughts? I am 8 weeks out today, in good physical shape to look at me but hurt between my shoulders, traps and arms.
Thanks for any feed back!
Hi Marla,
For your info, I had ask my surgeon about how long it take for total recovery. His reply is one year. For me now is about 5 months the pain and stiffness still there, My surgeon advice that not to do physiotherapy yet, hopefully I can start physiotherapy next month. My next appointment with him is next month. For your case, you should be patient and let the fusion of the bone take place. Hope we can recovery in one year time. All the best for your recovery.

Last edited by kimheng; 07-15-2017 at 07:14 AM.
kimheng is offline   Reply With QuoteReply With Quote
Old 07-19-2017, 06:42 AM #10
Marla978 Marla978 is offline
Newly Joined
 
Join Date: Jul 2017
Posts: 2
5 yr Member
Marla978 Marla978 is offline
Newly Joined
 
Join Date: Jul 2017
Posts: 2
5 yr Member
Default Thank you!

I received a bone growth stimulator on Monday so hopefully this bone growth process will go a little faster. I just want to get out of this hard brace and drive a car again. At least there are people out there that have gone through this before ! There is really not a lot of information on recovery.
Marla978 is offline   Reply With QuoteReply With Quote
Reply

Tags
canal, cervical, cord, level, stenosis

Thread Tools
Display Modes

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 On
HTML code is Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
5 level acdf Vecie New Member Introductions 0 06-02-2013 06:48 PM
6 weeks now 3 level acdf mrsalkire Spinal Disorders & Back Pain 9 02-26-2013 01:15 PM
3 level ACDF pcolbu New Member Introductions 6 11-26-2011 02:50 PM
5 level (C2-7) ACDF idahogal64 Spinal Disorders & Back Pain 3 03-27-2009 05:12 AM


All times are GMT -5. The time now is 04:31 AM.

Powered by vBulletin • Copyright ©2000 - 2024, Jelsoft Enterprises Ltd.

vBulletin Optimisation provided by vB Optimise v2.7.1 (Lite) - vBulletin Mods & Addons Copyright © 2024 DragonByte Technologies Ltd.
 

NeuroTalk Forums

Helping support those with neurological and related conditions.

 

The material on this site is for informational purposes only,
and is not a substitute for medical advice, diagnosis or treatment
provided by a qualified health care provider.


Always consult your doctor before trying anything you read here.