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Surgery for C4-6 due to stenosis & myelomalacia

I had a bike accident a year ago and suffered two herniated discs at C4-5 and C5-6. I got better completely after a couple of months of treatment with PT and maxgalin. The symptoms are back since a month and the situation worsened since last 20 days and i have burning sensation and sudden jerks in both my hands. Latest MRI revealed acute myelopathy and Myelomalacia at C5-6. I am scheduled for ACDF on July 4th. My neurosurgeon said that the burning sensation might not go away as it might be due to myelomalacia but surgery will stop further deterioration. He also said that myelomalacia is unpredictable and there is only 50-50 chance that it does not become progressive.
I am really scared of the surgery. On top of that i am scared of this term Myelomalacia.

Do people with myelomalacia continue to live longer without paralysis or other problems post surgery?


  • Hi,

    My MRI results are similar to yours, although I don't recall any injury or that may have caused this. So far have seen only one neurosurgeon, who recommended disc replacement, but am waiting for some second opinions before going ahead with any surgery. I'm also quite scared of Myelomalacia, and would love any info on how successful disc decompression surgery is in terms of preventing any progression or onset of symptoms (I have only mild ones at the moment).
  • From researching myelomalacia, I think the percentage of progressive myelomalacia is much, much, much smaller (like, less than 5%, or even lower). I had a 7x3 mm area of "myelomalacia" on my cord with surgery 12/8/14. My follow up MRI it is much less intense, but more diffuse. I am still symptomatic, but I have no idea what's myelomalacia, what is myelopathy, and what is another issue I have (dysautonomia). My myelopathy signs are somewhat improved. I have not done as well as many people. We each heal differently.
    The surgery was no big deal, quite honestly. Way less painful than I thought it would be. I had an excellent surgeon.

    ACDF w/Corpectomy C3-6 12/8/14 ; Laminectomy C3-6  5/19/2016

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