Thank you for this wonderful presentation. I just wanted to point the fact that the patients have no control over the waiting times before they get their surgery especially in Canada where I live. It takes at least a year to have an MRI done followed by at least another year to see a spine or neurosurgeon and more waiting before the surgery finally happens. It is imperative to shed more awareness about this condition, especially as the prognosis after surgery is much better if it’s performed within 6 to 12 months from the onset of the noticeable deterioration. Thank you again for being passionate about this topic
I have lost most of my motor skills. Partner and i went over a pothole on the road, That is how i found out through xrays. I am 53. i am dizzy all the time so driving is not an option, I can hardly walk yet doctors havent a clue
Hopefully the a&e in RVH Belfast get an update...I was sent home 3 times...last time by a neurologist reg who lied told me I'd see neurologist and have mri in 2 weeks! I'd been suffering from Oct 19 and had to have emergency posterior laminectomy after eventually being admitted for 6 weeks and still sent home with wrong diagnosis end Feb 2020..op April 2020 and I'm left with permanent damage and complete life change! So cross I knew there was something wrong with me but just ignored!
I was told I had myelopathy and had 3 level ACDF 2 years ago. My arm became numb and my hands weakened. Also progressing back pain along scapula and shoulders. Original surgeon said partial fusion at C6/7 and put in Dtrax wedges. No improvement. Xrays and CT show foramen compression, severe. Saw a neurosurgeon and had myelogram. That report says Partial bony fusion across the disc space is seen at the C6/7 level with incomplete fusion laterally. There is no bony fusion at the C4/5 level. Original surgeon says I fused completely. Not sure what to do next, if anything. Thanks. And thank you for this interesting video.
I'm curious about your thoughts (or from others here) about endoscopic approaches for decompression that don't involve fusion. I've seen a neurosurgeon who suggested a 4 level ACDF. I'm very concerned about that because of the possible need for a revision down the road due to adjacent segment issues. If decompression can be achieved without fusion, I'd be really happy. I'm just not certain about the efficacy of that procedure. I realize that ACDF has been around for a long time. It just seems like an endoscopic approach is much less invasive, lower blood loss, and shorter recovery time. Thanks for any input from anyone here.
Both work very well, it really depends on symptoms and imaging that a experienced cervical surgeon can explain carefully to help you achieve your goals
Hey doctor I have a question I had a mri on my neck like about 9 months ago. Was told I have Cervical Myelopathy with significant cord compression c5 c6. I have symptoms of 24/7 constant lightheadedness/dizziness that never goes away. When I bend over to pick something up from floor, it intensifies my lightheadedness. Been a couple years now feeling these symptoms. Had vertigo twice also (where It feels as if room is spinning). Other than that im brain fogged with lightheadedness/ Dizziness everyday. Does it cause any of these symptoms im explaining?
It varies , recovery from surgical pain and swelling can range from a few days to weeks, the spinal cord generally improves the most over the first 6 months post op
Yes the waiting time in Dublin Ireland is very long but the doctors and nurses are excellent.❤❤❤
Thank you for this wonderful presentation. I just wanted to point the fact that the patients have no control over the waiting times before they get their surgery especially in Canada where I live. It takes at least a year to have an MRI done followed by at least another year to see a spine or neurosurgeon and more waiting before the surgery finally happens. It is imperative to shed more awareness about this condition, especially as the prognosis after surgery is much better if it’s performed within 6 to 12 months from the onset of the noticeable deterioration. Thank you again for being passionate about this topic
I have lost most of my motor skills. Partner and i went over a pothole on the road, That is how i found out through xrays. I am 53. i am dizzy all the time so driving is not an option, I can hardly walk yet doctors havent a clue
Hopefully the a&e in RVH Belfast get an update...I was sent home 3 times...last time by a neurologist reg who lied told me I'd see neurologist and have mri in 2 weeks! I'd been suffering from Oct 19 and had to have emergency posterior laminectomy after eventually being admitted for 6 weeks and still sent home with wrong diagnosis end Feb 2020..op April 2020 and I'm left with permanent damage and complete life change! So cross I knew there was something wrong with me but just ignored!
I was told I had myelopathy and had 3 level ACDF 2 years ago. My arm became numb and my hands weakened. Also progressing back pain along scapula and shoulders. Original surgeon said partial fusion at C6/7 and put in Dtrax wedges. No improvement. Xrays and CT show foramen compression, severe. Saw a neurosurgeon and had myelogram. That report says Partial bony fusion across the disc space is seen at the C6/7 level with incomplete fusion laterally. There is no bony fusion at the C4/5 level. Original surgeon says I fused completely. Not sure what to do next, if anything. Thanks. And thank you for this interesting video.
Amazing explanation.my husband is presently in the hospital matei Misericordia in Dublin looking like radiculophaty...thank you so much ❤❤❤
I hope he does well and wish him a healthy recovery
This was a great presentation and i took notes. I have watched it twice. Very informative.
Glad it was helpful!
Dr. Murphy thank you for the wonderful presentation.
Glad you enjoyed it!
Excellent
I'm curious about your thoughts (or from others here) about endoscopic approaches for decompression that don't involve fusion. I've seen a neurosurgeon who suggested a 4 level ACDF. I'm very concerned about that because of the possible need for a revision down the road due to adjacent segment issues. If decompression can be achieved without fusion, I'd be really happy. I'm just not certain about the efficacy of that procedure. I realize that ACDF has been around for a long time. It just seems like an endoscopic approach is much less invasive, lower blood loss, and shorter recovery time. Thanks for any input from anyone here.
Both work very well, it really depends on symptoms and imaging that a experienced cervical surgeon can explain carefully to help you achieve your goals
Hypoplasia of right carotid artery and cervical myelopathy and radiculopathy will having a ACDF be a problem can you talk about. Thanks
Where are dr. And how to reach you so i can do a surgery
Hey doctor I have a question I had a mri on my neck like about 9 months ago. Was told I have Cervical Myelopathy with significant cord compression c5 c6. I have symptoms of 24/7 constant lightheadedness/dizziness that never goes away. When I bend over to pick something up from floor, it intensifies my lightheadedness. Been a couple years now feeling these symptoms. Had vertigo twice also (where It feels as if room is spinning). Other than that im brain fogged with lightheadedness/ Dizziness everyday. Does it cause any of these symptoms im explaining?
Yes sometimes can cause these , good to get reassessed by a local neurosurgeon
Doc.how many days to recover after surgery from cervical myelopathy
It varies , recovery from surgical pain and swelling can range from a few days to weeks, the spinal cord generally improves the most over the first 6 months post op
😅