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Laminectomy cervical, with fusion and Instrumentation , 1-4 levels
I'm scheduled to have a Laminectomy cervical with fusion and instrumentation, 1-4 levels posterior. I've had 2 cervical surgeries to correct pinched nerves and the last surgery was suppose to take away my pain and almost parlyzed arm according to my EMG report. The last doctor was a well known orthopedist/neurologist in the area. I should never have assumed but then again I put all my trust in him to listen to my complaints and fix the problem. My arm was beginning to lose muscle tone and strength at that time. After the surgery I started right away with physical therapy. PT ended up doing nothing at all. I finally called UCSD and got an appt with a Neurologist who after a year of weakness, tells me he is going to do all he can to get my strength back. I'm scheduled for surgery on Weds, July 16th. This time it will be more involved. First of all, it's done posterior not anterior. That means the muscles are going to be cut and there's a lot of pain in the recovery. I'll be in the hospital for 3 days. There are 2 things that could happen. 1. he lifts the pinch off of the part of the spine that is causing me weakness in both arms. I wake up and can start moving again or at least I might have to wait for it to heal. And #2- It doesn't relieve the weakness but no more damage can happen since it has been corrected and the nerve is free of blockage. It's been a long journey and I want off this train ride! I will be 68 the day I come home from the hospital and hope to have a Happy Birthday starting a new life free from pain and gain my strength back. I sometimes wonder what I understand and what I don't understand about what the purpose of the surgery is. I clearly told the fist doctor that I was having muscle loss in my arms. I've searched it all on Google and found info about the surgery and recovery. I feel frustrated that the dr that fused my neck less than a year ago, didn't correct the right area. At the appt he told me he could " NOT help me anymore". Why would a doctor say something like that? Did he feel he wasn't highly experienced enough to do the surgery I am now scheduled for in 2 days?
I have a new Neurologist, here we go again. If anyone has any thing to mention to me , please do. If you have been through this and especially having posterior , how did it go? Did you feel restriction when turning your head or looking up/down. How long was the recovery before you started to feel better with less pain?
Shout out to Jessica here on the board, Hello Jessica!
Thankyou, Jan
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@janagain
Hi, Jan.
I had ACDF surgery c5-c6 in 2022 and ACDF surgery on c6-c7 in June 2025 (last month). I see my surgeon at the 6 week mark in August and will find out if he recommends/releases me for PT.
I have not had posterior surgery but may need it in the future due to where a large osteophyte complex is located (too close to a nerve to remove it from the front). I have heard it is painful from the back of the neck and have experienced the pain of lumbar surgery (l3-l5) in 2024. It was the most painful surgery I ever had but survived (I am female and 56). Make sure to have your home setup well pre-surgery and helpers on standby plus grabbers within reach. You won’t be able to lift things for a while.
What type of surgeons have you worked with? Are they highly rated with positive reviews? I have an orthopedic spine specialist/surgeon who did my surgeries. He needed to decompress my spinal cord and nerve roots which caused cervical myelopathy and radiculopathy. My symptoms before surgery were daily headaches, neck/shoulder and shoulder blade pain/stiffness/knots, arm/hand weakness/numbness (dropped things and handwriting worsened), bladder control issues and walking slowed (felt like I was wearing heavy boots). Many symptoms improved but I also have carpal tunnel (had surgery on right hand which helped and need to get the left done). My problem is congenital spinal stenosis (born with narrow spinal canal), degenerative disc disease, neurogenic claudication and small fiber neuropathy so this will be a future of surgeries for me. 😔
My neurologists didn’t really help me much other than testing. EMGs/nerve conduction studies can help identify what levels are compressed in your spine that cause communication issues to your upper and lower limbs. This information can help a surgeon narrow down levels of problems to focus on (using MRIs, EMGs, clinical exam, symptoms, etc.).
What levels were you originally told were a problem? Were you told you had bone spurs/osteophytes, compressed nerve roots, disc bulges/herniations, or flattening/compression of spinal cord? Do you have hardware or n the front and is it staying in there? Will you be getting additional hardware in the back of your spine?
My concern, if I were you, would be knowing what my MRI/ct scan/EMG/nerve conduction studies show that confirms there is a compressed nerve and/or spinal cord compression that will be relieved/improved with the new surgery. Were the first 2 surgeries failures in decompression or is this new degeneration/compression? What did the first 2 surgeries fail to decompress? Did the fusions fail? Did you start PT too soon or twist your neck in ways that caused problems for the fusion or hardware? Did you make sure not to take NSAIDs while recovering since they make fusion more difficult? Do you have osteoporosis and did this contribute to the problem and if so, did you get treated to strengthen your bones before this surgery? Smoking is also known to be a problem for healing after spine surgery.
You are right that you may be able to regain some strength if you do not have permanent damage to a nerve or portion of your spinal cord (if compressed for a long time). My hope is that this surgery will definitely provide some relief and a chance for your nerves to heal.