Has anyone had the ACDF surgery on their neck?

Posted by chcruzin @chcruzin, May 24 4:49am

Has anyone had the ABDF surgery on their neck?

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@dlydailyhope

@artemis1886
I am sorry to hear your ACDF surgery affected your esophagus. My ACDF was done at the C5-C6 level and I do not have any issues with swallowing. I had not heard that there is an expectation of needing ACDF surgery every 10 years. I did hear that the more levels involved/fused, the more it can destabilize vertebrae above/below the level of surgery. I have a cage around my cervical spine levels operated on and every now and then I have some pain in my neck (not sure if from sleeping in certain positions or if my cage presses on any nerves in my neck). I am glad I did my surgery due to spinal cord compression which affected bladder, arm/hand strength and dexterity as well as walking (felt like I had heavy cement boots on). If your spinal cord is being compressed/injured, it could cause permanent damage to your spinal cord which is irreversible.

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Does it bother you that your neck doesn't move like it used to? Where did you have the surgery?

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@artemis1886

Mine did not take. I went to see a different neurosurgeon and was told I should have had done a laminectomy done instead. This surgery has to be repeated every 10 years the ACDF. I have to have my esophagus regularly scoped and ballooned a known side effect. The ACDF press up against the esophagus, I had it start immediately after the surgery. It narrows the esophagus.Ask a lot of questions mine was due from a seizure it was not elective surgery.

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What questions should I ask for the ABDF surgeon?

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@meg8

No but I am getting ready to have it. I have had it rescheduled it for July 31st. I neurosurgeon in Roanoke, VA will do it.

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I hope it works well for you.

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@chcruzin

Does it bother you that your neck doesn't move like it used to? Where did you have the surgery?

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@chcruzin
I am 54 years old and can move my head and neck pretty well and don’t notice a significant change in range of motion. I actually think that my range of motion improved after the surgery due to reduction in pain and stiffness in my neck. Do you have symptoms from spinal cord compression? If so, you will want to stop the damage to the spinal cord since it affects brain signals/communications to your body below the level of the cervical spine injury. I live in RI and went to a spine surgeon who was highly rated (Dr. Ian Madom at OrthoRI). The hospital he practices at also had good ratings. It is a smaller hospital but overall good experience. I could have gone to Massachusetts General Hospital but chose to stay local due to the online reviews/ratings. I will go to him when I need to get lumbar surgery. The ACDF surgery was outpatient (went in early morning and supposed to come home late in day but they kept me overnight to monitor due to drop in blood pressure during surgery. I don’t think the actual ACDF surgery was more than 2 hours. I don’t recall recovery being too long afterwards. I worked remotely at the time and was able to work on my laptop while lying in bed. It wasn’t too bad and I was just a bit cautious in the beginning when moving my head/neck around. My symptoms seemed to quickly improve soon after surgery so glad I did it. I know I am in store for more spine surgeries due to congenital spinal stenosis and degenerative disc disease. I’m delaying lumbar surgery with spinal injections to help manage spin. I am getting a hip MRI tomorrow to see where the source of pain is coming from and if injections would help. Good luck doing your research and making decisions that are best for you!

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@chcruzin
Autocorrect changed “pain” to “spin.” 😉

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Ask your doctor about a laminectomy? They can do it on cervical and lumbar. i had one done on my liver back and parts of my neck no metal. very happy with it but not the ACDF. I really wish the neurosurgeon would not have been so happy about it. ACDF is more money for the neurosurgeon (putting in all the metal) than the laminectomy (requires no metal no restricted neck movement)

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@chcruzin

What questions should I ask for the ABDF surgeon?

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Ask about laminectomy if he doesn’t do it I personally would find another doctor. The surgeon will not like doing it he looses money. Putting in the metal and the cost of the hospitalization along with physical therapy. Longer recovery ACDF.
https://www.precisionhealth.com.au/healthcare-services/advanced-neurosurgery-spinal-surgery/procedures-and-surgery/cervical-laminectomy/#:~:text=A%20cervical%20laminectomy%20is%20an,may%20also%20be%20causing%20compression.

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@artemis1886

Ask about laminectomy if he doesn’t do it I personally would find another doctor. The surgeon will not like doing it he looses money. Putting in the metal and the cost of the hospitalization along with physical therapy. Longer recovery ACDF.
https://www.precisionhealth.com.au/healthcare-services/advanced-neurosurgery-spinal-surgery/procedures-and-surgery/cervical-laminectomy/#:~:text=A%20cervical%20laminectomy%20is%20an,may%20also%20be%20causing%20compression.

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@chcruzin and @artemis1886
I may have laminectomy on my lumbar spine which gives more room for your spinal cord. My understanding is fusion is needed and metal supports if the spine needs to be stabilized. I can feel my lumbar vertebrae moving around when I twist which makes me feel I may need fusion/stabilizing of my spine. The excess movement may cause more pressure on nerve roots. If you get laminectomy you can hold off and get fusion/hardware later, if needed.

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@chcruzin

How did that surgery go for you? Doesn't fusion prevent you from moving your neck? That is what was offered to me. I have disc c5-6 gone and anothe disc that is bad. A lot of arthritis too. I'm just interested in what you think of how the operation went for you.

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Mine was text book perfect. No pain; just stiff and sore. However, incision got infected so I'm on an antibiotic. It really wasn't bad at all. Now I have to go to PT. Don't be afraid.

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@dlydailyhope

@chcruzin and @artemis1886
I may have laminectomy on my lumbar spine which gives more room for your spinal cord. My understanding is fusion is needed and metal supports if the spine needs to be stabilized. I can feel my lumbar vertebrae moving around when I twist which makes me feel I may need fusion/stabilizing of my spine. The excess movement may cause more pressure on nerve roots. If you get laminectomy you can hold off and get fusion/hardware later, if needed.

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My ACDF pops as I move it’s really loud and painful. I could not turn my neck. 24 hours later fine. When it gets really stiff and can’t move neck I normally get cortisone injections but I am currently not in the US.
Doing the exercises the physical therapist told me to do actually pops my neck when it gets stiff.

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