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@akc There are spine surgeons who can do a single level fusion without using metal implants. My surgeon at Mayo did that for me. I had a fusion at C5/C6 with only a bone disk implant and I stayed in a neck brace until I was fused which was 3 months. There was no hardware. I understand not wanting to have surgery. It is a big step and to take the risk for surgery, there needs to be a good reason in what the benefit would be that you might expect. It sounds like your doctors think the risks are too great for you.
Here are a few heart related discussions that may be of interest.
Heart and Blood Health - "Enlarged Heart"
https://connect.mayoclinic.org/discussion/enlarged-heart-1/
Heart and Blood Health - "Heart Failure and Enlarged Heart"
https://connect.mayoclinic.org/discussion/heart-failure-and-enlarged-heart/
Replies to "@akc There are spine surgeons who can do a single level fusion without using metal implants...."
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My whole cervical spine is messed up actually and the surgeon I met with really did not give me any hope. He told me he could not make me better. He could only stop the progression of my disease. I went to him for him to make me better so I can get my life back because I have to walk with a walker but they could not guarantee me any improvement and I have nobody to take care of me after major surgery. I live alone. I had to take a lot of things into consideration when I made that decision. The neurologist told me that my decision should be based on the prognosis when it comes to surgery. And now I could be in end stage congestive heart failure so it really would not have changed my destiny I guess. I think the gabapentin that I have been on for years now probably has given me CHF. I have to do an echocardiogram tomorrow to get a diagnosis of my heart condition. I'm only 58 years old and I do not want to die this young so right now I'm trying to focus on my diet and taking this weight off with the hope that it will give me more life. I have so much going on with my health right now it's not even funny. I have had to endure one thing after another over the last 8 years so now having CSM doesn't seem so major anymore.