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Newbie - ACDF 2 wks ago

IthicaIIthica Posts: 18
edited 03/28/2015 - 11:42 PM in Back Surgery and Neck Surgery
Hello. I am new to the forum and this is my first post. A "brief" synopsis of my condition (LOL)
I am 44 yr old male very active in sports high-school & college years. I suffered through these years with chronic back & neck pain. I had my first MRI in 2005 mostly unremarkable showing minor bulging c4-c5 & "end-plate changes in all levels of the Lumbar Spine. I received steroid injections in the cervical spine, PT back & neck, Tramadol, and Gabapentin which made my condition manageable with occasional flare ups to deal with

Fast FWD August 2014 and symptoms in the neck with burning left arm returned along with new symptoms of severe burning left foot (mostly sole of foot and toes), pins & needles, electric shocks symptoms, and occasional very severe gait disturbances such as extreme spasm, & severe weakness left leg & foot with falls.

Cervical MRI showed signs of Myelomalacia that required c5-c6 & c6-c7 ACDF fusion. The surgeon said he doubted this was causing the left lower extremity symptoms???

My Lumbar MRI shows degeneration at all levels: L1-L5 & :L4-L5

L4-L5: Mild diffuse disc bulge. No significant spinal canal narrowing.
Facet hypertrophy results in mild bilateral neural foraminal narrowing.

L5-S1: Mild loss of intervertebral disc height. Mild diffuse disc
bulge without significant spinal canal narrowing. Facet hypertrophy
results in mild left neural foraminal narrowing. Right neural foramen is patent.

Since surgery on 4/9 (two weeks ago) I have had improvement in neck pain and left arm control / spacicity. However I still have left foot burning but not as bad as pre-surgery. Strength not 100%

In anyone's experience with these issues/surgery/MRI reports should I expect any further improvement in LUE & LLE symptoms from ACDF? Also some of my LUE symptoms are returning but I thing that may be due to my moving too quickly through recovery & need to slow down a little.

Anyone's input is greatly appreciated!
Thank You


  • LizLiz Posts: 7,832
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    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • Do you have any idea if you had hyperintensity of T2 vs. hypointensity of T1? I've found that some label any signal change on T2 as myelomalacia, when in reality it doesn't change your prognosis. At only 2 weeks out, you definitely have a chance of getting more back, you need to give that way more time (a year or more). T1 hypointensity is said to have a poorer prognosis (how poor, I don't know).
    Congrats on doing well in surgery. Make sure you do what the doc tells you!

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

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