Spine Cervical
I was very relieved to wake up after a neck fusion without any hoarseness or loss of voice. They warned me many times that this could happen. I guess I'm wondering how I lucked out?
Posted January 28th, 2009 by MattLuck may have something to do with it, but certainly, your surgeon's skill and expertise had a large part in the results. Most likely you had an anterior (from the front) fusion. The risk of hoarseness, loss of voice, and dysphagia (difficulty swallowing) are greater with the anterior approach.
I am a newly graduated nurse now working in a large trauma center. The social workers tell me not to believe what patients say during the intake interview. They say that when it comes to car accidents, if it wasn't the patient's fault, they will report much higher pain levels and deny a previous history of neck or back pain. Is there any truth to this that you know of?
Posted January 28th, 2009 by MattThe accuracy of health histories after car accidents has long been under suspicion. Ever since a pilot study showed that what patients reported about their past medical history and what the medical records already on file showed were two different stories.
My sister had a neck fusion and now tells me she has weakness and a heavy sensation in her arms. They call the problem myelopathy. Will this ever go away for her?
Posted January 28th, 2009 by MattMyelopathy refers to any problem affecting the spinal cord. this problem may be caused by pressure on the spinal cord after trauma or related to degenerative processes in the spine.
Sometimes myelopathy is a symptom of an unstable cervical spine. Surgery is needed to fuse and restabilize the affected segment. Myelopathy present before surgery is a known risk factor for a greater chance of problems after surgery.
Nationwide Study of Multilevel Cervical Fusion
Posted January 28th, 2009 by MattThis is the first nationwide study to look at the results of multilevel cervical spine (neck) fusion comparing an anterior approach to a posterior approach. Anterior refers to fusion from the front of the spine. Posterior is done from behind the spine.
Patient History After Car Accident Doesn't Match Up With Medical Records
Posted January 28th, 2009 by MattAn accurate patient history after motor vehicle accidents is important when planning the best and most appropriate treatment. Anyone with a prior history of neck or back pain may need a different approach. Social research confirms that anyone with a psychologic profile, history of alcohol or other drug use, or mental illness will likely need special attention.
I've been getting joint manipulation for a neck problem that developed after I slept in the wrong position for too long. Sometimes it seems like it's helping. Other times I feel better for a few days and then it goes right back out again. What do you recommend for patients like me?
Posted January 22nd, 2009 by MattThere's plenty of evidence from research that joint manipulation is an effective treatment for positional neck pain. But there is more than one way to perform a thrust manipulation of the involved spine.
My grandmother had a compression in her neck that her doctor said was myelopathy. Why did it affect both her hands and her legs at the same time?
Posted January 22nd, 2009 by MattThe spine is where the nerves go down throughout your body. At each disc level in the spine, some nerves branch out to reach different parts of the body. The higher up the nerves branch off, the higher part of the body they control.
If cervical myelopathy is caused by pressure on the neck, won't it come back after surgery as the spine continues to break down?
Posted January 22nd, 2009 by MattIf someone has cervical myelopathy, the compression of the neck that causes pain and disability, surgery is often done to help relieve that pressure. It is a successful surgery for many patients, although it isn't guaranteed.
My mother's doctor wants her to wear a brace after her neck surgery but she's only worn it for a couple of weeks and has since taken it off. I'm furious with her because she's going to cause problems, isn't she?
Posted January 22nd, 2009 by MattThis is a question that can only be answered by your mother's surgeon. There are some types of neck surgery that don't require bracing and others that leave it up to the doctor. However, there are also neck surgeries that absolutely require a neck brace or collar for a specific amount of time afterwards.
Do collars, the big soft ones, really help keep you from moving your head? I had one for a sore neck and I seemed to be able to turn my neck from side to side more than a bit, so I was wondering if it was any good.
Posted January 22nd, 2009 by MattCervical collars have been used for a long time for neck problems, such as whiplash or torticollis. They're also used for people whose discs in the neck, the cervical discs, are too weak to support their head or if they have fractures, and they're used after certain types of neck surgeries.
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