Welcome, Friend!

It looks like you're new here. If you want to get involved, click one of these buttons!

Veritas-Health LLC has recently released patient forums to our Arthritis-Health web site.

Please visit http://www.arthritis-health.com/forum

There are several patient story videos on Spine-Health that talk about Arthritis. Search on Patient stories
Protect anonymity
We strongly suggest that members do not include their email addresses. Once that is published , your email address is available to anyone on the internet , including hackers.

All discussions and comments that contain an external URL will be automatically moved to the spam queue. No external URL pointing to a medical web site is permitted. Forum rules also indicate that you need prior moderator approval. If you are going to post an external URL, contact one of the moderators to get their approval.
Attention New Members
Your initial discussion or comment automatically is sent to a moderator's approval queue before it can be published.
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test

Laminoplasty vs. Anterior Cervical Discectomy and Fusion

RoperCORRoperCO Posts: 1
edited 05/02/2015 - 10:36 PM in Back Surgery and Neck Surgery
I am a 47 yr old female recently diagnosed with degenerative disc disease and cervical spinal stenosis with myelopathy and radiculation. The symptoms came on suddenly March 26, 2015. My MRI shows the stenosis is congenital with my "normal" measured at 10mm and compressed at the C4-C6 at the 6mm range and the C5 at 5.7mm.

One Dr. I went to wants to do ACDF 3 level surgery. He wants to do surgery ASAP saying that since we are in the 2 month window to fix this we have the highest percentages to regain the muscle loss and feeling loss.

My 2nd opinion Dr. wants to do C2-C7 laminoplasty and agrees sooner is better but there is no magic 2 month window.

I don't know which way to go. I have read over the information on the website about each procedure and read many posts about each surgery, good and bad. Thoughts, ideas, opinions are welcome!

Nobody on the forum is medically qualified or permitted to give advice any responses will be based on members personal experiences


  • LizLiz Posts: 7,832
    Please take the time to read this post and refer to it when you have questions

    I am sure that you will find your time on Spine-Health very rewarding. This site is a powerful and integrated system that is dynamic and growing.
    Here are just some of the highlights that are available as tabs on the main Spine-Health menu bar

    Spine-Health Main Menu Tabs

    Conditions Detailed medical libraries of articles and videos that address almost every spinal condition.
    Treatment List of treatments to the conditions identified by Spine-Health.
    Wellness Section contains articles, tips and videos to help patients after surgery and also to help people avoid surgery.
    Medical Articles
    Pain Forums These are the forums you will be using
    Find A Doctor This provides with a method to search for doctors in various locations.
    Videos Index to all Spine-Health Videos

    As a bonus, Spine-Health provides these patient forums. Here you can meet thousands of people who understand and can relate to your situation. You will soon become part of the Spiney family[/u] who provide comfort and the advantages of a support system. You are now part of this family that is approximately 27,00 international members and growing daily.


    - It is very important to understand the Forum Rules to make sure all of your posts[u] do not violate any of the rules.[/u]

    - All new members must read our FAQ in order to understand the layout of the forums, how to navigate through the forums, helpful terms, how to make effective threads and posts, plus a link index to many of the important medical forums and key medical articles on Spine-Health Forum FAQ

    I am positive any member, new or old will find this Chroinc Pain - Step by Step thread very valuable.

    Here are some links that all new members need to review to create effective threads and more

    Read before you post
    Tips for Newcomers
    Understanding the rules

    All of this will help make your threads better and improve the times and quality of responses you will receive.

    You can also find Spine-Health on these Social Networks

    Facebook www.facebook.com/spinehealth
    Pinterest http://pinterest.com/spinehealth/boards/
    Twitter https://twitter.com/SpineHealth

    If you have any questions or need assistance, you can use the private message facility to[u] contact any one of the Spine-Health Moderators



    Doug Hell

    Also working with us very closely is Allison Walsh from the Spine-Health company


    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • That's a huge difference in opinions. Honestly, I'd get a third opinion. Having and ACDF myself, and one surgeon initially gave the option of posterior, I learned that it's reserved mostly for older people, 4 levels or more, and if the compression is on the posterior portion of the cord.
    From what I've read, the window is definitely less than 1 year, and preferably before 6 months of being symptomatic. You have moderate compression, so I certainly wouldn't wait too long.
    Good luck!

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

  • I read your post and I think you are right now where I was about 2 years ago. Same age, exact same diagnosis...etc.
    (Cervical spinal stenosis caused by a congenial narrow spinal canal and degenerative disc disease and radiculopathy)

    Just like you I went to a few different specialists (btw. I m a physician myself, but not an orthopedic surgeon) and I also got different recommendations on what the best surgical approach would be. After a few month of researching a lot of literature I came to the conclusion that a posterior approach (Laminoplasty) would be the better approach in my case because it actually addresses the cause (which is a congenital narrow canal) better than an ACDF from anterior and would leave most of the biomechanics of my cervical spine intact.

    I was also told that I need immediate surgery back then until I met a orthopedic surgeon who also recommended Laminoplasty to me but also explained to me that he doesn't think that surgery is necessary yet. Back then I had serious deltoid weakness (I couldn't really lift my arm) but he told me that mostly likely this would resolve my itself, and it really did.

    Of course I still have spinal stenosis and DDD and I m sure at one point I will need surgery but with this kind of surgery you
    want to be sure that its really indicated. Every case is different and it depends on the severity of the symptoms to decide whether you need surgery now or not and if I were you I would probably consult with a physician who does not profit from a surgery himself and get more of an independant opinion....i.e. from a neurologist.
    But what kind of myelopathic/ radicular symptoms do you currently have ?
  • I am somewhat older than you [58 y/o male]-if that makes a difference. My orthopedist is recommending a 3 level fusion as a result of cervical spinal stenosis as well as nerve root impingement. I am in the process of getting a second opinion and will then get a third. My understanding is that over all instability of the spine is a factor as is the source of the compression-in my case I have herniated discs which are compressing the anterior aspect of the chord. Some of the articles I have read talk about a slower and more painful recovery, bleeding and scar tissue with the posterior approach. Bottom line is really grill each doctor why they feel that this is the best approach for you, and then get a third opinion if you feel its appropriate. You should then be in a better position to make the call -either that or confused as hell. Preserving range of motion is great, but not if its not a long term solution to the problem.
  • I'm a 75-year old male in fairly good health. I'm diagnosed with multilevel cervical spondylosis with myelopathy and multilevel foraminal narrowing, so I have impingement on both the spinal column and nerve roots. I was diagnosed via MRI in 5/2013, again in 05/2015. C3 through C6 are involved and the impingement is both anterior and posterior, and has progressed moderately since 2013. I also have anterolisthesis C7 on T1. Hmm.. how can I still be on my feet?

    An orthopaedic surgeon at an independent orthopaedic clinic who was a resident and fellow in neurosurgery recommends ACDF at those 3 levels. A neurologist at a major teaching university recommends laminoplasty at those levels (does 11 laminoplasties per year).

    I'm struggling with the decision, although I favor laminoplasty. Can anyone share a similar experience?

    11/13/2015 - update: Since no one has responded, I'm following up to report that my neurosurgeon recommends - and I've decided on - multilevel laminoplasty. I'm concerned about the potential for post-op adhesions. Does anyone have personal experience with adhesions following laminoplasty... or, for that matter, laminectomy?
  • SavageSavage United StatesPosts: 5,427
    Welcome to Spine-Health
    Please click on link for helpful information!
    Spine-Health Moderator
    Please read my medical history at: Medical History

  • SukhreSSukhre San Diego, CAPosts: 181
    edited 03/01/2016 - 8:24 PM

    I have the same question as well ACDF vs laminoplasty.

    In my case I have small disc bulges. I have a narrow spinal canal. So ACDF would take off the bad disc and decompress (hopefully). lLaminoplasty would open the spinal canal  in the back and the spinal cord will get space in the back to compress.

    It would be interesting to know any data that compares laminoplasty with ACDF. I would need a laminoplasty of C4-C7 or ACDF of C4-6.

    What I read that ACDF has higher rate of reoperations and Laminoplasty recovery is harder (it also associated with more C5 palsies and kyphosis). It would be interesting to read laminoplasty patient feedback or any data comparing ACDF to laminoplasty

    MRI shows C4-C7 severe steonosis. Pain in hand.
Sign In or Register to comment.