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cervical herniations after ACDF

AnonymousUserAAnonymousUser Posts: 49,671
edited 06/11/2012 - 8:29 AM in Neck Pain: Cervical
I had an ACDF 2 years ago after a work related injury. Last June started to have increase in pain, had tried to go back to work as a trauma RN for about 11 weeks after an initial c56 c67 laminectomy, ended up with the fusion. I had an MRI that showed herniation below the fusion at C7 T1 with nerve root involvement of C8, debilitating pain. Now having increase in pain had new MRI 2/09 showed new herniation at C45 with nerve root involvment at C5, also a cyst formation at c34. To make matters more complicated I ended up with swallowing difficulties that never resolved after inital fusion, partial paralysis of nerve in throat area, now a CT showed on 2/2/00 that there is scar tissue pressing on my esophogus behind the incision line. I am not sure what to do or where to go. Worker's comp has now since my neurosurgeon testified on my behalf will not let me go back to him, unsure what to do with the scar tissue I can feel the lump in my throat when I swallow which causes choking at times with eating some foods very difficult. Has anyone ever had such issues or any suggestions on what to do or where t go next? I have been on steroid twice in 5 weeks, the pain is unbearable, WC has not approved any epidurals and I am not sure about having any furher surgery? Any advice would be appreciated.


  • I hope you can get another Neurosurgeon. Look for an ENT Dr for swallowing problems. Get a barium swallow test maybe. Also OT or swallowing clinics, usually under stroke recovery. Maybe your pm Dr knows another Neurosurgeon. It's unusual aobut your Neurosurgeon and going back to him. Maybe talk to patient relations through the hospital where he works. I hope you get some headway with WC. I'm an ER RN off work but on work disability benefits 65% of pay. Although it wasn't proven that work caused it in one case as it is years of repetative wear and tear so I had to go with disability. Take care. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • Welcome to spine health. As charry pointed out a barium swallow test would show what is obstructing your esophagus. I had one of them done a few months ago and like you it does have scar tissue as well as i had a bridge plate that was placing pressure on it. The plate was removed but there is still some issues. I went through a digestive specialist and he can stretch the esophagus to see if that will help. Who ordered the most recent films? Do you have a attorney involved. If work comp is not going to provide you with medical care you can request a denial letter and use your private insurance policy. With the letter you are stating that it is work related and doctors can treat you with the denial letter. I'm curious as to what type of nerve damage you have in the throat? Which group of nerves did they say what damage? Anyway let us know how you get along and welcome.
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