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Spinal Cord Disorders Message Board


Spinal Cord Disorders Board Index


I was referred to a neurosurgeon from the ER and saw him on Thursday. He said I have significant spinal cord compression at C5-6 that needed to be addressed. He said that since the conservative way has failed that a ACDF is recommended. I also have a compression at C4-5 that he is going to take care of too. He said at C-5-6 the cord is so compressed there's no room for it in the canal. I've enclose a picture of the MRI scan.

I had a car accident about a month before in which I jerked my neck(someone rear ended us). He said my problems most definitely could have been caused by that so I've filed a claim with our insurance company(med pay up to $5000) and I plan to file another claim with the insurance company of the guy who hit us. I also have contacted a lawyer.


On a side note he told me to stay out of car accidents while I'm recovering. He was quite nice. I was so tired of being treated like a drug seeker at the one ER I was going to so I decided to try the other one the last time I went when my pain was bad and the numbness started to effect my leg. Glad I did because they referred me to him.

I've been dealing with this since June and the pain is so bad that I can't sit for too long, go for a walk or sleep in my bed.


[IMG]http://www.thedollpage.com/photopost/data/500/spine2.jpg[/IMG]

[IMG]http://www.thedollpage.com/photopost/data/500/spine1.jpg[/IMG]
Pretty cool pics.... I hope you will post "after" pics in a few months.

BTW, could you transcribe what the radiologist said about C5-6? I'd really like to see the verbiage that goes along with that picture.

in edit... never mind, I found it...

<
C5-C6-there is a prominent central disc protrusion with heterogeneous signal that narrows the AP demonstrate canal to 5 mm. There is no change in cord signal. There is mild bilaterial neural foraminal narrowing.>>

I also see that I urged you to forget all the other crap and move straight to surgery, and that you were probably looking at a bi-level ACDF. So I'll pat myself on the back for that.

What about that foraminal narrowing at C4-5, though? Is he going to take care of that in the same surgery with an anterior approach? I guess it all depends on whether it's the herniated disk causing the narrowing, or something else. At any rate, I think you need to clarify this, as your pain and other symptoms may actually be caused more by the foraminal narrowing than by the compressed cord (which is not to say that the cord should not be given priority).

One more thing... you should get those images printed out, go back to the ER's where you were treated like a drug seeker, and, um, "elicit some apologies".
[QUOTE=WebDozer;4892997]Pretty cool pics.... I hope you will post "after" pics in a few months.

BTW, could you transcribe what the radiologist said about C5-6? I'd really like to see the verbiage that goes along with that picture.[/QUOTE]

Thanks! I have been looking at them on my computer.


There is a prominent central disc protrusion with heterogeneous signal that narrows the AP demonstrate canal to 5mm. There is no change in cord signal. There is mild bilateral neural foraminal narrowing.

The one at C4-5 is more to the left-I didn't post the full on herniation pic but it also looks bad from what the NS said. The second picture is of C5-6 too.
[QUOTE=WebDozer;4892997]Pretty cool pics....

I also see that I urged you to forget all the other crap and move straight to surgery, and that you were probably looking at a bi-level ACDF. So I'll pat myself on the back for that.

What about that foraminal narrowing at C4-5, though? Is he going to take care of that in the same surgery with an anterior approach? I guess it all depends on whether it's the herniated disk causing the narrowing, or something else. At any rate, I think you need to clarify this, as your pain and other symptoms may actually be caused more by the foraminal narrowing than by the compressed cord (which is not to say that the cord should not be given priority).

One more thing... you should get those images printed out, go back to the ER's where you were treated like a drug seeker, and, um, "elicit some apologies".[/QUOTE]


Thanks for the advice that you gave. What happened is when I went to the pain doctor he was so slow at giving the ESI. It took 7 weeks to get the first one and that was the Friday before Halloween-I was still waiting to here back about the second one that he wanted to give. He was the doctor I was referred to by the ER that acted like I was a drug seeker. I saw them 3 times before a doctor there said I needed an MRI. I have my records from them and he was the only one that stated I might have a herniated disc. The other ones just had it as a cervical sprain even though the x-rays they took stated I had problems at c4-5 and c5-6.

I spent so much time calling around to see if I could see someone but since I am self pay they refused. I even had one of them tell me the only way I was going to be seen is if I wound up in the ER in bad shape. The last time I went the doctor said they beauty of the ER is that if you are referred to the on call doctor they have to see you. That was a pain in the butt-when I called them the person that answered the phone dismissed me saying he doesn't take cases like mine because he is an acute/trauma surgeon. To make a long story short I was treated like crap once again but this time I stood my ground and demanded to be seen and also emailed the patient rep at the hospital. She got in touch and said they had to see me since it was a referral from the ER. So that's how I am finally getting that surgery you recommended.

He is taking care of C4-5 and the bone spur that is pressing on the nerves. He said that C5-6 was what he would definitely suggest because of the compression directly on the spinal cord. He said my arm pain would be addressed if he also did c4-05 which I told him to do.

I feel like I got an early Christmas present-I was so depressed because I couldn't get any help, LOL! Living in pain 24/7 is not fun and it sucks to be treated like a drug seeker and dismissed because "patient has been to the ER 4 times in the past 4 weeks". It was finally nice to see someone who took me seriously(even though the pain doctor did, too) and not worry about getting paid.
We have the same surgery date, except mine is only one level. Good luck!

Michelle
[QUOTE=cubbiegirl2011;4899114]We have the same surgery date, except mine is only one level. Good luck!

Michelle[/QUOTE]


Good luck to you too!
If it helps my C5-C6-C7 ACDF was one of the easiest surgeries to undergo. The front neck incision does not go through muscles so it's only mildly painful. I always encourage my doctor even when signing the release forms, with a witness present, to say "I give you my full permission to fix any other problems you may see while you are in there". My surgeon said C4 was "iffy" and refused to fuse it. So now I may be doing that in the next year or so with a new surgeon. The new surgeon was great with my back surgery when he said he would fix whatever he saw when in there and would be proactive.
[QUOTE=SpineAZ;4899486]If it helps my C5-C6-C7 ACDF was one of the easiest surgeries to undergo. The front neck incision does not go through muscles so it's only mildly painful. I always encourage my doctor even when signing the release forms, with a witness present, to say "I give you my full permission to fix any other problems you may see while you are in there". My surgeon said C4 was "iffy" and refused to fuse it. So now I may be doing that in the next year or so with a new surgeon. The new surgeon was great with my back surgery when he said he would fix whatever he saw when in there and would be proactive.[/QUOTE]



Thanks. I'm not too worried about pain-I was in excruciating pain 24/7 for June, July, August and September to the point if crying all the time. Now it's not as bad but my legs hurt now-don't know if it's related to the central disc herniation but they didn't hurt before.

My NS said he definitely needed to do c5-6 and if I agreed to surgery he would also do c4-5. Those are the only levels that need fixing.
My insurance allowed 1-2 nights of hospital stay and I opted for the second night. I had a hard Aspen collar for 6 weeks which I thought I'd hate but in fact it was quite comforting and made me feel better about car rides.
[QUOTE=SpineAZ;4899500]My insurance allowed 1-2 nights of hospital stay and I opted for the second night. I had a hard Aspen collar for 6 weeks which I thought I'd hate but in fact it was quite comforting and made me feel better about car rides.[/QUOTE]

Geez, you've had several surgeries. I hope it doesn't come to that for me.

I don't know what kind of collar I'll have or how long I'll be in the hospital. I have CICP which is the state indigent care program in Colorado. I was afraid they wouldn't pay for it and I'd have to wait for a settlement from the other drivers insurance company that rear ended us in May but the hospital said as long as I was approved for CICP and the doctor accepts it they will pay. It's just a discount program-my surgery will only cost $15 and each 24 hour stay is $15. If it's under 24 hours it's not considered to be inpatient so there wouldn't have to be that extra day even if I stay overnight. Then there will be the surgeon, anesthesia and radiology fee-I think that is $7 each.





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