Wednesday, April 17, 2024

C6 C7 Herniated Disc Surgery

The Removal Of Implants Secured Through The Endplates Of Adjacent Vertebral Bodies

C6 C7 Disc Replacement Surgery Patient Testimonial in Austin, Texas

Doctors at the Swedish Neuroscience Institute, Swedish Medical Center, in Seattle Washington led a study examining the failure patterns in standalone Anterior Cervical Discectomy and Fusion Implants. The study appeared in the September 2017 edition of the journal World Neurosurgery.

Take home points:

  • The goal of the study was to see how to help patients who suffered from Anterior cervical discectomy and fusion failure.
  • Two hundred eleven patients were included in the study.
  • There were 11 readmissions.
  • There were 10 implant failures ,
  • There were seven cases of pseudoarthrosis
  • Mechanisms of failure included:
  • a C5 body fracture .
  • Fusion in a kyphotic alignment following graft subsidence, .
  • and acute spondylolisthesis, the condition of slipped disc or slipped vertebra.
  • Revision surgery following standalone anterior cervical implants can be complex.
  • Surgery from behind Posterior . Posterior cervical fusion remains a valuable approach to avoid possible vertebral body fracture and loss of fusion area associated with the removal of implants secured through the endplates of adjacent vertebral bodies.
  • Fast Facts On Anterior Cervical Discectomy:

    • During the procedure, the surgeon operates on the cervical spinal column.
    • People with damaged discs can experience pain, stiffness, and difficulty moving.
    • To access the spine, a surgeon cuts a small incision in the front of the neck, at the throat.
    • ACDF offers hope to people who live with chronic pain, numbness, or low mobility.

    Between each bone of the spinal column is a cushion called an invertebral disc. These discs prevent the bones from grinding against one another and act as shock absorbers during falls, exercise, and daily activities.

    Sometimes these discs become damaged, causing pain that can range from moderate to intense. An ACDF procedure may be carried out on any of the discs in between the seven cervical bones.

    It is easier for the surgeon to reach the spinal column through the throat because entering through the back of the neck can harm the neck muscles and spinal column. The surgeon then moves the tissue inside the neck and throat aside to access the spine and removes any damaged discs.

    To ensure that the spine is aligned and to prevent the bones of the spine from rubbing against one another, the surgery typically includes fusion of at least two bones. It is at this point during the procedure that the surgeon replaces the disc.

    There are a few options for disc replacement:

    Benefits Of Having Neck Surgery

    As previously stated, nobody wants to have surgery and most people will avoid it as much as possible. However, neck surgery also offers a number of significant benefits that you must be aware of. They include:

    • Less pain and thereby a better quality of life. Once you have fully recovered, you will be able to resume your regular life, never thinking about experiencing the debilitating pain again. Having neck pain is a debilitating and life limiting condition, but surgery can resolve that issue.
    • Better health. Usually, neck pain is a symptom of an underlying condition that must be addressed. By having surgery, this issue is addressed, thereby stopping it from getting worse.

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    Summary And Contact Us Can We Help You How Do I Know If Im A Good Candidate

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    References:

    This article was updated April 5, 2022

    What Is An Anterior Cervical Discectomy & Fusion

    Dr. Gollogly

    Discectomy literally means “cutting out the disc.” A discectomy can be performed anywhere along the spine from the neck to the low back . The surgeon reaches the damaged disc from the front of the spine through the throat area. By moving aside the neck muscles, trachea, and esophagus, the disc and bony vertebrae are exposed. Surgery from the front of the neck is more accessible than from the back because the disc can be reached without disturbing the spinal cord, spinal nerves, and the strong neck muscles. Depending on your particular symptoms, one disc or more may be removed.

    After the disc is removed, the space between the bony vertebrae is empty. To prevent the vertebrae from collapsing and rubbing together, a spacer bone graft is inserted to fill the open disc space. The graft serves as a bridge between the two vertebrae to create a spinal fusion. The bone graft and vertebrae are fixed in place with metal plates and screws. Following surgery the body begins its natural healing process and new bone cells grow around the graft. After 3 to 6 months, the bone graft should join the two vertebrae and form one solid piece of bone. The instrumentation and fusion work together, similar to reinforced concrete.

    Bone grafts come from many sources. Each type has advantages and disadvantages.

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    Exercises For C6 C7 Disc Herniation

    Some very simple yet effective exercises can make a world of a difference to improve issues related to C6 and C7 disc herniation. Let us take a look at them.

    Tuck Your Chin Exercise for C6-C7 Disc Herniation: This is one of the simplest and most popularly prescribed exercises that are recommended by the doctors for the treatment of C6 and C7. These exercises can be done in many positions. This will depend on the level of your injury and also the extent of the rehabilitation that must be brought about. It is best to do this exercise while you are in a seated position. Sit back on a chair in a position that is most comfortable for you and then place your fingers on the front side of your chin. Now slowly try and bring your chin backward away from the touch of the fingers. All this while you do not look down and do not drop your head. Hold the position for ten seconds and the release. Perform this exercise for ten cycles in a day.

    Neck Rotation Exercise: You can do this exercise in any type of posture whether sitting, standing, or even while lying down. Neck rotations are one of the best ways through which you can improve the mobility of the neck. To begin with, look straight ahead and then clasp both your hands so that you cannot move your shoulders. Turn your head to the right and then to the left so that your chin touches the right and the left shoulder. Perform the exercise so that you can feel the stretch. On each side hold the position for ten to thirty seconds.

    Surgical Treatment For C6

    Cervical spine surgery may be considered as a treatment of last resort in cases when a nerve root or spinal cord compression causes or worsens neurological deficits. A few examples include worsening numbness and/or weakness in the arm or problems with walking or coordination. Surgery may also be performed to improve stability of the neck after severe fracture or dislocation.

    See Surgery for Neck Pain

    Common surgeries performed in the C6-C7 motion segment include:

    • Surgery to remove all or part of a disc. Removal of a herniated or degenerated disc may help relieve pressure on compressed nerve roots, reducing radicular pain. Disc surgeries include:
    • Cervical artificial disc replacement
    • Posterior cervical decompression

    While some procedures involve removal of a portion of the disc, most cervical spine surgeries include removal of the entire disc and replacement with a bone graft or artificial disc. The adjacent vertebrae may be fused with plates and screws following the disc procedure.

  • Surgery on the vertebrae. Removal of portions of overgrown bone and/or removing part of a vertebra may help relieve pressure on compressed nerves. A few examples of surgeries on the vertebrae are:
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    Surgical Treatment For Cervical Herniated Discs

    If your pain is extremely severe or lasts for a period of 6 to 12 weeks, then your doctor may recommend surgery. Luckily, 95% to 98% of these surgeries result in long-lasting pain relief.

    Surgery for the condition may be performed in the following ways:

    • Anterior Cervical Discectomy & Spine Fusion: The most common surgical method used to treat the condition. In this procedure, the affected disc is removed through a tiny one-inch incision at the neck via an anterior approach. After the disc is removed, the surgeon fuses the remaining space together. Your doctor may also use a plate for added stability.
    • Posterior Cervical Discectomy: This approach is not used as often as anterior approaches as it is more difficult. However, this procedure may become necessary if the case requires more spinal cord manipulation. This procedure follows many of the same steps as the ACDF, but requires a posterior port of entry.
    • Cervical Artificial Disc Replacement: Much like the first procedure in this list, this operation is performed using a small incision in the neck with an anterior approach. The difference here is that instead of fusing the remaining disc space, an artificial disc is placed at the affected site instead. The goal here is to imitate both the form and functionality of the original spine structures.

    What Happens After Cervical Disk Replacement Surgery

    QOLS Surgery Discectomy C5-C6-C6/C7

    In the recovery area, you will be observed until you recover from the anesthesia. Pain after disk replacement surgery is normal and you may be given pain medication in the recovery area.

    Most people will need to spend a day or two in the hospital. This is what may happen during your hospital stay:

    • Intravenous fluids may be continued until you can drink fluids well by mouth.

    • Once you are able to drink normally, you will be able to start eating your normal diet.

    • Youll continue to take pain medication if you need it.

    • Your nurses will check your dressing and help you to get out of bed and go to the bathroom.

    • You may be given a support collar to wear in the hospital.

    • You will be encouraged to get out of bed and move around as soon as you are able to.

    Recovery and rehabilitation at home may be a little different for each person, but in general, heres what you might expect:

    • You may need to continue wearing a soft or rigid neck support.

    • You will be able to eat your normal diet.

    • You may need to return to your surgeon to have sutures removed.

    • You will gradually start returning to normal activities. You should ask your surgeon about any activity restrictions and when you can take a regular shower or bath.

    • You may start physical therapy after a few weeks.

    • You should be able to return to full activities by 4 to 6 weeks.

    You should call your surgeon if you have any of these problems:

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    The Final Outcome Of A Successful Cervical Fusion Is That The Vertebrae Can No Longer Move

    The final outcome of a successful cervical fusion is that the vertebrae can no longer move. This will prevent the nerve from getting pinched, BUT, the neck still moves. The necks motion is now transferred to the vertebrae below the fusion and above the fusion. In essence, the problem the surgery sought to fix only transferred excessive pressures to the vertebrae below it and above it. This is why people with cervical fusions inevitably, a year to three years later get the symptoms back.

    Now, by definition, that means if somebody is recommended a cervical fusion it means that the doctor is saying that its instability causing the problem. In my opinion, the best treatment for cervical instability is Prolotherapy of the neck, not cervical fusion. If it is the excessive movement of the vertebrae that is pinching on the nerves causes terrible pain, migraine headaches, vertigo, all types of symptoms, then Prolotherapy can strengthen the cervical ligament, address the symptoms and not rob the patients of their natural neck movements.

    My Acdf Was Successful Except For My New Problems

    Sometimes ACDF is needed when there is a clear neurological impact impacting ones ability to walk or have control of their bladder. Sometimes ACDF can successfully correct these problems but leave behind others.

    I had a successful ACDF last year, I had balance and sense of space issues that caused me to stagger when I walked. The surgery restored strength and stability in my arms and legs. However I am experiencing worsening pain in my C1-C2 area, my fusion was C3-C7. I am now experiencing jaw pain and problems in my throat. I was told by my surgeon to have patience, my neck bones are fusing. I think the longer I wait to do something, the worse I will get. I get the feeling that my surgeon considers me successful and thinks that I do not need more help.

    Again, many people have very successful surgeries. Stories like those above represent the small minority of cases post-surgery. However, people do have problems and sometimes we can help them with our various neck repair programs and injections.

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    What Causes A Herniated Disc

    Before understanding that surgery is not your only option when it comes to a ruptured disc, its important to understand the causes of the condition.

    With the natural aging process, discs dehydrate and lose resiliency, making them more susceptible to wear. The problem starts when your disc shifts and presses on a nearby nerve, causing pain, numbness, tingling sensations, and possibly weakness. Essentially, the jelly-like center of a spinal disc pushes out through a tear in the disc’s outer layer. This can happen due to age-related wear and tear or from an injury.

    Lumbar Spine Herniated Discs

    A herniated disc can occur anywhere along the spine but is most common in the lower back. In this region, pressure may begin to build on one or more of the spinal nerve roots that compose the sciatic nerve. This may lead to the brain interpreting pain anywhere from the lower back down the leg into the calf or foot.

    Swelling Tenderness And Inflammation

    Anterior cervical discectomy and fusion

    In the area where the C5-C6 disk herniation symptoms are most prominent, one might also find tenderness and swelling on palpation.

    A slightly raised temperature of the site of the bulge says that the area is inflamed as well.

    The C5-C6 disc herniation symptoms deteriorate with exact head positions or exercises. A herniated discs pain will generally erupt and feel more terrible during exercises, such as while playing a game or lifting a significant weight.

    Certain head positionslike turning the head from side to side or shifting the head forwardmay likewise deteriorate the pain.

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    Spinal Disc Prolapse C6

    Along with C5/C6, this level is the most commonly implicated in a variety of pain syndromes and some often illogical neurological symptomatic expressions. C6/C7 is a small and delicate intervertebral level which is virtually guaranteed to look beat up on x-ray and MRI films, especially as a patient ages. The region is prone to not only disc herniations, but also a loss of normal lordotic spinal curvature and a build up of osteophyte material enacted by the osteoarthritic processes.

    However, even with its predisposition to all these common diagnostic scapegoats, pain in the neck, arms and upper back is blamed on herniated discs at C6/C7 far more often than it ever truly occurs. Remember, in order for pain to result, no matter how severe the herniation looks, the disc material must compress a nerve tissue directly or irritate it through chemical radiculitis.

    Herniated Disc C6-C7 Experiences

    I was shocked to see my own horrific looking herniation at this level after undergoing a cervical MRI in 2008. My C6/C7 is pressing deeply into the actual spinal cord, creating a disturbing image on the diagnostic film. The effect was the typical nocebo and enacted symptoms in me that I never had prior to discovery. Luckily, I understand this negative conditioning process and used the alternative medical techniques of knowledge therapy to regain control of my life, despite still having some degree of fear concerning this drastic disc pathology.

    Recovering From Cervical Disc Surgery

    You’ll likely be able to get up and move around within a few hours of your cervical disc surgery and then either go home from the hospital the same day or the following morning. You’ll feel some pain in the area operated on, but it should ease over time.

    The fusion can take anywhere from three months to a year to become solid after surgery, and you could still have some symptoms during that time. Your doctor might recommend that you wear a cervical collar to support your neck for the first four to six weeks. You may help speed the process by eating a healthy diet, avoid smoking, getting regular exercise, and practicing good posture. Check with your surgeon to see what activity level is right for you before starting any exercise after surgery.

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    Patients Undergoing Acdf Commonly Receive High

    In September 2019, researchers at Johns Hopkins University and the University of Virginia suggested in their research published in the Spine Journal that Patients undergoing ACDF commonly receive high-dose opioid prescriptions after surgery, and certain patient factors increase the risk for chronic opioid use following ACDF. Interventions focusing on patients with these factors is essential to reduce long-term use of prescription opioids and postoperative care.One of these factors was that some of these patients were already taking high dose opioid doses prior to surgery and continued to do so after surgery.

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