Anterior Cervical Disc Replacement Vs Discectomy Fusion

A professional cervical disc neurosurgeon Plano TX will always exhaust non-surgical treatments for neck pain before resorting to an operation. While surgery is sometimes the best way to deal with herniated and degenerating discs, neck and shoulder pain can often be alleviated through less invasive means, including injecting corticosteroids into the affected area or participating in physical therapy. Only if severe pain persists after attempting these treatments will a neurosurgeon recommend a discectomy and replacement or a fusion procedure.

MRI of the cervical spine obtained on 06/26/13 showed mild degenerative spondylitic changes and status post posterior fusion.

Recommendation was made for anterior cervical discectomy with fusion C5-6, possible C4-5. He has agreed to proceed surgically.

cervical discectomy and fusion performed on 04/14/15. The latest progress report noted that the patient has neck pain, upper back pain, and shooting pain down the arms. The exam revealed that the DTRs were mildly diminished in the left upper extremity. The strength and sensation were mildly diminished in the left upper extremity as well. Spurling sign was also weakly positive on the left. It is noted that the patient has tried and failed conservative treatment, including medications and PT. However, review of the records revealed that the postop PT was put on hold due to his increased pain. In addition, the MRI Report showed that the disc space was normal and there was no significant disc herniation at the requested level i.e. C7-T1. The spinal canal and neural foramen are patent. In addition, EMG Report revealed that there was no evidence of peripheral nerve entrapment or underlying peripheral neuropathy on nerve conduction studies. Considering the minimal/mild physical examination findings and normal imaging and EDS testing; the medical necessity of C7-T1 cervical ESI has not been established. Recommend

DOI: 8/24/2008. Patient is a 55-year-old female manager who sustained injury to her neck and back when she slipped and fell while walking down a set of pull out stairs. Per OMNI, she is diagnosed with cervical strain with radiculopathy and lumbar radiculopathy. She underwent C5-6 partial corpectomy and fusion in 05/31/2011.

On Primary Treating Physician’s Progress Report (PR-2) dated 08/11/2017, the patient presented with unchanged symptoms. His left-hand pain was rated at 8/10. and was described as constant and sharp. The pain was aggravated with certain movements and gripping. The

To understand cervical spinal stenosis, one must understand the process of disc degeneration and the effect it has on your spine. As people age, the disc between the vertebra begin to lose a percentage of its water contact, thus effecting its ability to absorb shock. At first, the changes occur in the annulus of the disc (Cervical Spinal Stenosis, 2013). These tears in the outer ring of the disc might not caused any symptoms and heal by the formation of scar tissue. However, if this scar tissue is repeatedly subject to tears, it wears down and loses all its ability to absorb shock.

12/01/15 Progress Report noted that the patient has cervical spine pain. Examination of the cervical spine revealed tenderness noted over the paraspinal and trapezius muscles. However, the exam revealed no discrete tender points or twitch responses on palpation over the neck. In addition, the latest report does not show any sensory or motor deficits. Furthermore, the PT reports available for review indicate that the therapy was done for bilateral hands and wrists. There is no documentation of the attempt of physical therapy of the cervical spine. There is no clear documentation of the failure of aggressive conservative treatment around the cervical spine. In addition, the request is for 15 injections and the guidelines do not support more than 3-4 injections per session. Therefore, the medical necessity of trigger point injections X 15 has not been substantiated. Recommend

IW was diagnosed with cervical strain with right arm dysesthesia with what appears lo he chronic regional pain syndrome of her right arm, right shoulder biceps tendonitis and subacromial bursitis with associated impingement, status post subacromial injection x 1, mild medial and lateral epicondylitis of her right elbow, carpal tunnel syndrome by EMG/nerve conduction velocity and reactive depression.

On 01/03/2018, the claimant presented for a follow-up for the right wrist. She complained of pain and weakness in her right wrist/hand. The associated symptoms include joint pain, joint stiffness, weakness, pain, and decreased strength. Objective findings showed healed pin sites. There was less swelling, deformity, tenderness, and limited range of motion. She had a full range of motion in the fingers with popping in the wrist. She lacked full supination and pronation. Physical therapy was

In between each vertebrae of the spine lies a fibrocartilaginous cushion, known as an intervertebral disc. However, when there is an issue occurring that causes the intervertebral disc to not function properly as a cushion between the vertebras of the spine, such as intervertebral disc herniation, other complications can arise. Neck and back pain is a common issue faced by adults of various ages. Back pain is accountable for second most frequent cause for visits to the hospital, fifth most common reason for admission to the hospital, and the third most common cause of surgical procedures (Taylor, Deyo, Cherkin, & Kreuter, 1994) Intervertebral disc herniation of the spine is often the culprit of this pain. In this paper the etiology, pathology, clinical course, signs and symptoms, prognosis, occupational therapy treatment protocol, and the overall effect on the person affected by a herniated disc will be discussed.

When you choose the top cervical spine surgeons Plano TX, you can guarantee the best care, the best results, and the best recovery possible. Removing a herniated or deficient disc and replacing it with an artificial one (a discectomy, to be exact) is no small undertaking, though--even the most discreet surgery can involve a substantial recovery. Here are the basics of the surgery (not for the squeamish!), the results, and the recovery.

Intervertebral disc degeneration is a common disorder that is characterized by the progressive degeneration of the intervertebral discs, resulting in deformity and dysfunction. The structural and functional integrity of the spine in essence is compromised due to several issues, including inflammation, diminished oxygen, and deficiency of essential water and sugars, which are key components of intervertebral discs balance and proper function. In the United States, roughly 5% of the population experience chronic lower back pain problems, much of which is associated with the disorder. Intervertebral disc degeneration develops with age, and tends to be more prevalent in people who have problems with

In September of 2010, I was diagnosed with sever degenerative disc disease, with a prognosis of possible paralysis within 6 months. Considering the severity of my condition and the complexity of the surgery, I was referred to Dr. Herzog. Because of the urgency of my situation, my surgery was scheduled and, on October 12, 2010, Dr. Herzog performed an anterior cervical discectomy fusion involving

The aim of the study was to determine the surgical outcome of lumbar discectomy as a treatment option for lumbar degenerative spine disease. This study evaluated the outcomes after lumbar discectomy for degenerative spine disease at six months post operative period. From the study it is evident that most of the patients benefited from surgery. The ODI questionnaire pertaining to tolerance of pain, well-being, walking, standing, sitting, personal life, social life, lifting, traveling and sleeping was compared in the pre-operative and post-operative stages which clearly showed that there was a significant change with reference to nearly all variables among post-operative patients. The study goes in line with the findings of literature