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Second Surgery ACDF

So I was wondering how many people have had to have repeat ACDF for above or below your primary ACDF? I had ACDF 4/5/6 in 2009 Now I'm getting the same right arm pain and tingling. Not to the point that I can't stand it by no means but it's starting just like before.
Gary Goldsmith


  • MetalneckMetalneck Island of Misfit toysPosts: 1,364
    edited 04/16/2013 - 6:52 AM

    I had to "resort" to a revision ACDF for multiple returned symptoms and new(er) problems. There are a number of us that had to have revision surgery(ies) done.

    Have you had recent diagnostics? Exam(s) - MRI - EMG - etc.? The number one question becomes (if) when should I have a revision done? IMHO (my opinion NOT ADVICE) its when the pain and or other symptoms can no longer be controlled by medication or other modalites (P.T. - T.E.N.S. - Massage - Heat/cold therapy - injections - etc.) After those options were exhusted, I found myself begging for revision surgery (By a different surgeon).

    Much luck and good karma your direction,

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  • I had my first surgery in 2009 (c4, 5, 6/7) anterior and then in July of 2011 had the c6/7 refused, posterior. I would never suggest anyone to have it done posterior because, at least in my case....it has caused more problems. I now have nerve damage and may need to have this repaired now (seeing another doctor next week). If you have the 2nd surgery....my suggestion is do it anterior. I believe if I would have done it anterior, I wouldn't have the nerve problems I'm having now. Just my humble opinion. Best of luck to you!!
  • I've not been diagnosed again. The symptoms are starting off just like the first time around. Are the revision surgery heal time as long as the first time around ? I was in a hard collar 7 weeks the first time.
    Gary Goldsmith
  • MetalneckMetalneck Island of Misfit toysPosts: 1,364
    what they decide needs to be done and/or re-done. In my case I was in the hospital overnight for my initial 2 level anterior only ACDF and went back to work 12 days later. No big deal right? - wrong.

    MANY things were done differently before, during, and after my revision(s) that included, two vertebrectomies (corpectomies +) with cage, added a level above, added posterior rods, bone harvest from my iliac crest, 8 days inpatient including 3 in ICU, 12 screws, significant loss of R.O.M., 2.5+ months short term disability, hard collar for 90 days, permenant parathesia, major undesirable changes in life, and permenant disabilities. I guess in ways, I will never fully recover.

    BUT again when all other treatment and medication modalities failed, I was begging to have a revision done.

    Did you have a cat scan done to review the status of your fusion about 6 to 8 weeks after your surgery? What was said at that time?


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