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c2 Vertebrae Fracture due to Metastatic Breast Cancer





My challenging situation is a
fracture in the c2 vertebrae due to metastatic breast cancer (as of now
confined only to bones and completely untreated - also unbiopsied). I am out of
hospital for approximately 2 weeks (was in for almost four weeks and was
discharged against my wishes for unfortunate reasons not worth explaining here
but suffice it to say I did wish to be treated). I am at home with a cervical
collar (hard) and walker. I have no limp weakness or other compromising neuro
side effects, although do have pain and am on painkillers. Pain and my strength
are both improved signficantly.

My understanding is that my
situation is quite tenuous and urgent due to the fact that the spinal cord is
being pressed and the c2 is inflitrated by cancer - and all from the neck down
is contingent on this vertebrae. So I've been advised to act as quickly as
possible with surgery.

The surgery being recommended by 99.999
percent of the neurosurgeons with whom I've been able to speak has been a full
occipital cervical fusion. Unfortunately, this leaves me almost unable to move
my head. I found two surgeons (one in Calif which is not that doable (edit)- and one in NYC - (edit)
who would consider to do a c1-c3 fusion which (edit) says would be the
difference of 40% more head mobility but (edit) says would not be that
significant if done. Both also say full cervical is still a better and safer
choice, yet both seem willing to try the more risky one if I wish.

For various reasons, I am not sure
if (edit) would be my choice, so I am seeking still another surgeon in the NYC
area who might be willing to do the "more risky" c1-c3 posterior
fusion option (edit) says he would also do some wiring - also he said he'd
use two screws, where (edit) mentioned possibly using four). I am still
considering (edit) I'm also though concerned that I should only be considering
the full cervical fusion....and I realize I do not have lots of time to get to
action on this.

It would mean the world to me if
anyone could offer any words of wisdom concerning my situation and choice on
this matter. There is probably so much I do not yet know or understand.

Has anyone had a full occipital
cervical fusion or the posterior c1 to c3 fusion that I mention - anyone with
cancer?

I am convinced I will be in that
small percent of decades long metastatic cancer survivors - I have no doubt in
fact - so I am planning for a long future - therefore my quality of life is
paramount. By the way, I am 51 years old.


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