I am seeking an answer to this it is a really weird question but is very important. In December 2012, I had what I thought was an ACDF with a lordotic cortico-cancellous block implant at C5/C6. I followed up with the surgeon for several months and was told each time that the fusion had healed nicely; he verified this in letters to my employer and long term disability carrier.
I continued to have problems and based on the advice of an SSDI judge, was evaluated for Klippel-Feil syndrome, and it took some time to find a doctor with significant experience in adult KFS. I saw him last month and he took X-rays, which I saw. He said that there is no evidence of a graft ever being implanted, and is following it up with an MRI with GAD and MARS just to make sure.
I met with a malpractice attorney today and he has not turned me down or accepted the case. He is having a hard time accepting that the doctor would not have ever inserted the graft. However, it was about 1/4' by 9/16" so I think I would have noticed it migrating from somewhere in my neck a year or so later. Also the X-ray just showed a plate and big holes, no cracked or crumbling graft. It's like aliens visited me in the night and removed it.
Has this ever happened to anyone you are familar with? I know that the Klippel-Feil makes my neck less stable, but that is why it is more important to me to make sure that there is a graft. I think of it like a shim in woodworking to stabilize structures, if not there things will get all wobbly. The Klippel-Feil symptoms of fused vertebra were listed on the pre-surgical mri but was not diagnosed. I see the same practice for pain management and they refused consistently to address the issue of kfs, so I went to another doctor.