ACDF surgery recommended for C3-C7 - is it worth it?

Posted by almina @almina, Jul 11, 2023

I am 54 years old. In 1991 I had a motorcycle accident and broke my jaw. For the majority of my adult life I've had lower back issues but still maintained a pretty active life and have even run a few half marathons and many shorter races, etc.

About 5 years ago I started experiencing numbness in my hand.. throughout the years it has moved up into my shoulder. Last year (Sept) i had really bad neck pain, which forced me to go back to the orthopedic and had an MRI. I then started physical therapy. The pain went away after about a week but the numbness has never gone away and continues to become more intense. Since then I've had 3 other bad neck experiences where the pain was at a level 10. So a total of 4 bad neck pain episodes and 24/7 numbness. After 7 months of PT I went back to an orthopedic who said I could try shots, etc. but that my discs are not growing back. Two of them are "gone" and I'm bone on bone.

Yesterday I finally got in to see the Neurosurgeon who was very good and thorough. He explained my MRI and recommended ACDF surgery for C4-C7. The more I read about it, the more freaked out I get.

Would love to hear from others about your experiences - is the surgery worth it? How tough is the recovery?

Here is the written portion of my MRI:Impression
1. Multilevel multifactorial central canal stenosis, moderate to severe at C4-5 and moderate at C3-4, C5-6 and C6-7. No cord signal abnormality. 2. Multilevel foraminal stenosis, severe bilaterally from C3-4 through C5-6 and severe on the left at C6-7. 3. Multilevel facet hypertrophy, severe on the right at C4-5 and C5-6. 4. Mild reversal of the expected cervical lordosis with mild anterolisthesis of C3 on C4. Dictated on: 11/2/2022 11:22 AM Signed by: James Y Wu, M.D. 11/2/2022 11:34 AM
Narrative
EXAMINATION: MRI CERVICAL SPINE W/O IV CONTRAST CLINICAL INFORMATION: Cervical pain, degenerative disc disease and radiculopathy. TECHNIQUE: MRI cervical spine without contrast utilizing multiplanar multiecho technique. COMPARISON: Radiographs dated 10/11/2022. FINDINGS: GENERAL: Mild reversal of the expected cervical lordosis with mild anterolisthesis of C3 on C4. Multilevel disc degeneration with severe height loss from C4 through C7. No fracture or aggressive osseous lesion. Unremarkable cord signal. INDIVIDUAL LEVELS: C2-C3: No disc herniation or stenosis. Ankylosis of the right facet joint. C3-C4: Mild anterolisthesis, disc osteophyte complex, severe right much greater than left facet hypertrophy, moderate central canal stenosis and severe right greater than left foraminal stenosis. C4-C5: Disc osteophyte complex, severe right much greater than left facet hypertrophy, moderate to severe central canal stenosis and severe right greater than left foraminal stenosis. C5-C6: Disc osteophyte complex, mild facet hypertrophy, moderate central canal stenosis and severe bilateral foraminal stenosis. C6-C7: Disc osteophyte complex, mild facet hypertrophy, moderate central canal stenosis and severe left foraminal stenosis. C7-T1: No disc herniation or stenosis. Mild facet hypertrophy.

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@rbcookson

I noticed that you had significant height loss from your degenerative disk disease, as have I. Wondering if after your ACDF, you regained height and if so, how much height. Also, if so, how did it affect the skin under your neck? Thank you!

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I had lost 3” and after ACDF on C3-7, I have gained back an inch of length in my neck, which pleases me no end! Makes me look more regal. 😅

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Just get a great surgeon !
The C3-4 C4-5 together for me was not as bad as I thought but recovering is longer then 4-6 weeks. You get anterior these days for this and reading everybody else’s story before didn’t bother me.

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@jerrybeach

Just get a great surgeon !
The C3-4 C4-5 together for me was not as bad as I thought but recovering is longer then 4-6 weeks. You get anterior these days for this and reading everybody else’s story before didn’t bother me.

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@jerrybeach Hi Jerry. I see you’re a new member and just wanted to say welcome!

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