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Why not a Multi Level Surgery

AnonymousUserAAnonymousUser Posts: 49,671
edited 06/11/2012 - 8:31 AM in Back Surgery and Neck Surgery
In August 2008 I had ACDF at th c6/7 level. It worked. About
4 weeks ago. I started getting numbness and pain in both arms and woke up one morning with a parylized hand. Saw my surgeon and had MRI. All of this has happened so quick, now I am scheduled for another surgery this friday for c5/6. The MRI also shows degeneration in C4/5 and c7/t1. I realize why he can't do the lower one, but why not fix the two higher levels? I have seen lots of posts about multi level fusions. I don't know if I can do this two more times. What do you all think.


  • Hi Blujean,

    There are many reasons surgeons don't want to do a multi-level fusion. One for each level you loose more ROM. Also many people have bulging disc but are not symptomatic. By adding two more levels in would make you a 4-level fusion which is huge. Also your ability to recover the more you do is harder. Multi-level fusions have a higher failure rate as well. The failure rate almost doubles for multi-level. I have a three level fusion and did end with psuedoarthrosis. That only lead to more surgery. I have been back in 5 times now and have so much scar tissue and permanent damage. The other levels may never go and you may find after this surgery they aren't what is causing in of your issues. Or they maybe something that can be handled with conservative treatment. If a level fails to fuse the revision surgery is a posterior surgery, and much harder to recover from. Good luck on Friday and let us know how it turns out.
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