Welcome, Friend!

It looks like you're new here. If you want to get involved, click one of these buttons!

Veritas-Health LLC has recently released patient forums to our Arthritis-Health web site.

Please visit http://www.arthritis-health.com/forum

There are several patient story videos on Spine-Health that talk about Arthritis. Search on Patient stories
Protect anonymity
We strongly suggest that members do not include their email addresses. Once that is published , your email address is available to anyone on the internet , including hackers.

All discussions and comments that contain an external URL will be automatically moved to the spam queue. No external URL pointing to a medical web site is permitted. Forum rules also indicate that you need prior moderator approval. If you are going to post an external URL, contact one of the moderators to get their approval.
Attention New Members
Your initial discussion or comment automatically is sent to a moderator's approval queue before it can be published.
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test

Met the NS....Its Surgery!!! Which type though?? What's it all about?? What's the future hold??

AnonymousUserAAnonymousUser Posts: 49,671
edited 06/11/2012 - 8:38 AM in Neck Pain: Cervical
All treatment and scans below.

Hi everyone,

I finally got to meet with my NS after 3 months, I visited several Dr's, Physios and specialists to date. I was still pinning my hopes on Pain management at this meeting but no its surgery. It appears it will occur sometime Feb 2010 in London through NHS.

The surgeon looked at my MRI and advised that at C6 the osteophyte is narrowing my foramina causing the left arm pain and also squashing the disc into my spinal column, however it hasn't caused problems there yet, just the root nerve. He pointed out that the disc has dried out this is probably why the osteophyte could indent it. The NS stated that it would need to be done. I asked what done translates as in medical talk and he replied surgery. apparently the same problem is taking place at C5 although not causing root nerve problems, the disc is however bulging in towards the spine but not causing problems, this disc is dried out too?

He advised that he should do that one too whilst in there fixing C6 to save me having further surgery again? The surgery he recommended is 2 level ACDF but also said Lac.....Formin....otomy (sorry don't know what this is) or something could be done too but suggest the fusion as the best option. He stated that he may put a ADR in at C5 if it looks OK when he is in there but C6 will require the titanium thing?

I would like to ask any of you fine people, what your opinions are on this and also ask about recovery times or any problems from this type of surgery. I am 37 years old and always played sports and kept fit up until this, I would like to ask how long would it be until I can get back to sports e.g. soccer, squash, jogging?

I asked the surgeon also would I have movement restriction in the future he said very slight.

I asked would this allow my neck restore to full strength as before he said it would be stronger than ever if fused correct??

Also he stated problems with voice, throat may occur?

Again guys thank you for previous advice and your replies, I would be grateful on any advice on this.


Meds: Diclofenac, Co-Drydamol, Tramadol, Ibruprofen, Co-Codamol & Parecetomol

2 Months of PT

MRI results:

There is movement artifact on several of the sequences. Alignment maintained but there is loss of the cervical lordosis.

There is a partial fusion of the posterior aspect of the bodies of C7 and T1. Degenerative disk disease is seen above this level.

At C5/C6 there is a broad disk osteophyte bar more prominent on the right but with narrowing of both exit formina again more prominent on the right. Canal dimensions are adequate.

At C6/C7 there is again a broad disk osteophyte bar with narrowing of both exit formina but adequate canal dimensions.


  • Hi Lynn,

    While surgery is not something we want to hear sounds like your surgeon knows of what he/she is speaking. When you go back and see them to confirm which type of surgery they will be doing? Since whichever hardware they will be using needs to be ordered up front, they should know prior to surgery which one they will be performing. You may want to look at the video section of the cervical surgeries and you will get a good idea of the different types of surgeries he/she is suggesting. The fusion surgery will more than likely be ACDF surgery. Frominatomy typically are performed in all those surgeries but they can just do a frominatomy as well depending on the location of the herniations and what the disc look like. Also you may want to speak with them if they are doing fusion what type of bone grafting material they will use, bmp, cadaver, your bone and the anticipated results with using each of them.

    Now comes the hard part waiting it out. Sometimes the anticipation and fear can be far worse than the surgery itself. Keep us posted as you learn more. Hang in there.
  • Sorry to hear about your issues. I can relate as I had a 2-level ACDF 7 weeks ago at age 36.

    One of my biggest concerns pre-op was whether I would be able to play sports again. I was fairly active and participated in both basketball and tennis weekly.

    Everyone recovers differntly. One of my basketball teammates had a 2-level acdf 2 years ago and has returned to playing.

    At 7 weeks post-op, I am doing light cycling and ellyptical.

    Dr. says its possible for me to return to playing basketball. He wants to make sure the fusion fully takes before he clears me for any activities such as jumping and colliding with other bodies. I have little doubt that I will physically feel able to play at some point. My big concern is whether the sports will cause a higher chance of damaging additional discs or reinjuring the fused ones. I am not sure that is a chance I want to take. Good thing is I dont have to make that decision for several months (or more).

    Best of luck to you.

  • at least he gave you an ADR option...
  • Thanks guys for your replies, I take reassurance in reading from your experiences. I did ask the Neuro Surgeon, by getting the fusion done, is it a matter of the domino effect making other areas worse in years to come. He said no, however, I seem to read alot about people who had fusions only for them to need further surgery on other areas later on. Any opinions on this? With an ADR option, why is that better than fusion?

    Thanks for feedback guys. I intend to keep everyone updated in order to help people on this site.

Sign In or Register to comment.