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Acute Denervation in C6/7 myotomes 4 mths following ACDF

OurmandzOOurmandz Posts: 1
edited 10/19/2014 - 7:55 PM in Back Surgery and Neck Surgery
After a fall back in april 2013, I sustained disc prolapse of c6/7. Pain, tingling and numbness in my left shoulder and arm down to fingers. 3 mths of physio then a cortisone injection into c6/7 area and I was symptom and painfree and able to return to my occupation of operating theatre Nurse. All was great untill february 2014 when over the space of 48hrs I felt aching and pain in my neck and the tingling and numbness returned. I had nerve conduction studies performed and referred to specialist cervical spine Surgeon. Tests revealed slight reinervation. ..and results consistent with C6/7 radiculopathy.

I consented for C6/7 Anterior Cervical Discectomy and Instrumented Fusion with Allograft bone.

I had this surgery done on 6/6/14 in Auckland. I wore a soft collar for 4 weeks following surgery. Saw surgeon at 6 weeks post-op. Xrays were good...symptoms in arm had gone...just still had pain at the back of the neck and tender left shoulder. Also had a slight wound infection and commenced ab's.

Saw surgeon again at 12 weeks post op. Wound now healed well and no pain in neck or arm and no tingling. Was able to return to work on light duties as an extra in theatre for 4 hrs a day. The 1st week was great and there were no problems but during the 2nd week...the tingling came back in my arm and fingers gradually increasing in frequency. I have now been taken back off work and had further xrays and nerve conduction studies done.

This time nerve studies state; signs of Acute Denervation in C6/7 myotomes. No features of Reinervation.

Thats where I am now. 4 and 1/2 mths since surgery. Constant buzzing feeling/ spiders walking sensation in my left arm. If I tilt my head to the left side my whole arm goes numb. So im living life on a lean with constant headaches from keeping my head to the right. Tomorrow I will have CT and MRI scans and an appt with the surgeon. Hopefully find some answers/way to move forward.

I am just wondering if any of you out there have been through anything similar? What was your outcome?


  • LizLiz Posts: 7,832

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • I also developed severe pain and arm weakness one year after c6-7 with EMG showing active denervation. My situation was complicated because I had switched PCp and had HMO. By the time I finally got treatment,it was 6 months later. I had a severe spinal cord compression causing cervical myelopathy. .i had to have another fusion at level above.hopefully you will have swift treatment and a good surgeon. My surgeon was very insulted that something went wrong and I ended up at a university hospital. Good luck
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