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Drainage & complications from a Posterior Laminotomy

tlukettluke Posts: 1
edited 01/07/2015 - 8:31 PM in Back Surgery and Neck Surgery
I had a Posterior Laminotomy procedure done 3 weeks ago on the C5 & C6. There was severe narrowing at C7 but the surgeon opted to not try to repair as he felt it had been there a very long time and seemed to be asymptomatic. Prior to surgery, I had extreme pain & numbness in my left shoulder and arm and was only able to lift my arm from my body approx 3-4 inches. The surgery relieved the pain right away and I am gaining on the numbness in my arm as well as regaining quite a bit of motion. I did encounter numbness in my thumb up through my wrist that was not there prior to surgery and the doctor said that the c5/c6 nerve was likely bumped during the procedure.

So, my first question is this: During the procedure, a piece of the burr that is used to remove the bone spurs and shave some of the disc broke off. My surgeon was very upfront about this & said they weren't sure if they got it out with suction or not and that he needed to let me know there was a possibility it was still in there. End of story until now when I am told by others in the medical field that I must have a CT scan to see if this piece is still in there. The concern is that if the piece is there and would move to a nerve or the spinal cord, and also the fact that if I ever had another MRI that it could be pulled out and hit a nerve or the spinal cord. I don't blame the surgeon, I imagine these things happen. I am just questioning whether he should've requested that the CT scan be done to know for sure. Is is out of line for me to request this at their expense as I am sure my insurance will not cover it?

The 2nd question related to this is that 3 weeks post op the incision is mostly healed except at the very bottom and there is quite a bit of drainage every day. At my 2 week post op, he took a culture & put me on Bactrim & Keflex for 10 days. I have been on these for 7 days and the drainage might be a little bit less, but it is has a red/brown color to it (not clear). After my calling today after a week they said the culture was clear and he could prescribe more antibiotics if necessary. Should I be concerned about this and would it be best advised to find a wound care specialist that can identify what is going on? OR...could this possibly be that the broken piece of burr is still in there and that is why it isn't healing. Any suggestions or similar experiences would be greatly appreciated.


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