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Post surgical ACDF

cessccess Posts: 12
edited 06/11/2012 - 8:55 AM in Neck Pain: Cervical
I have been told through review of a mri after a Fusion at c5/6 level with bone graph and 4 screws and plate, that i still have a moderate disk herniation and dent in the cord. My question is, can imaging of mri show accurately pics around and behind the disk with the metal screws and plate. I have issues with numbness and nerve pain down arms and legs. Any ideas?


  • Hi Cess,

    Yes the can still use MRI's after fusion with hardware in place. However with that said my surgeon doesn't really like the images without using some type of contrast and he prefers to use myelogram's with CT, as he can see the cord better and the structure of it. Is the cord being indented at the same level as the fusion or is it a different level and adjacent disc disease in play here? Also indenting the cord could mean it indents the thecal sac, which is very strong, the question is does it press hard enough to change the structure of the cord? But of course your surgeon needs to answer those questions. What is the plan, and did they give you why that is happening, is it the bone graft itself or a bone spur doing it? When they did surgery they should have removed all the disc, so it shouldn't be a disc issue. Just some questions you might want to ask, so you fully understand.
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