Laminectomy cervical, with fusion and Instrumentation , 1-4 levels

Posted by janagain @janagain, Jul 14 12:25am

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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In reply to your posting, dlydailyhope. The last surgery I had in 2024was to was more fusion C3-4 C 4-5. The recovery was a bit painful but after a few days , I felt better. Pretty soon I was able to get out of bed with the usual, "UMPH!" I took it slow for awhile till my strength started to return. I started PT and that helped a lot and I only live 5 mins from PT so my husband will be driving me to PT for awhile again. With this new set of pain, it's centered in my left shoulder and radiates down the arm cand stops in the wrist area and then just burns. It has caused extreme weakness in my left arm and is starting in the right arm also. Fingers are losing some dexterity. I have to carry a coffee cup by spreading my fingers around the top of the cup and holding it down at my side and a little bit backwards. Those are the muscles I have and those are the ones doing the job. I can't even carry a simple cup of coffee like normal when you grip the handle and hold it at a 45 degree angle. It slowly starts lowering and I lose all strength till my arm starts dropping downward and if I don't make it to the kitchen, I completely falls out of my hand. If I need to raise my left arm up to turn on the microwave or to even fix my hair. I have to lift the left arm up with the right arm to get it to the top of my head. Using a curling iron is completely out of the picture at this point. Some days it is really difficult to get out of bed but I push myself and once I'm up for awhile, the pain and weakness starts to fade a little bit. My balance is so bad if I were to get on a stepstool to reach something, I fall to the side. (I don't do that anymore!) I had a recent EMG and it showed that I've lost 90% of 3 muscles in my arm. The news just gets worse everytime I have a test. An MRI of my spine also caught an aortic aneurysm. It measured 4.3 which is signifigant. I see the cardiac doctor every 6 months. Oh, they also caught a thyroid nodule too. I had an appointment to get it biopsied but the ultrasound showed that it was too close to major blood vessels and it wasn't safe to biopsy at this time. It measured small so they want me back in a year. My surgery scheduled for 11/24/2025 is posterior cervical fusing. I know that recovery will be difficult. I hope that all the pain meds help!
thank you

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