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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurrent Neck Pain Despite Having A Fusion Surgery On Cervical Spine?

Thank you for your time sir, I have been diagnosed with multilevel moderate to severe degenerative spondylosis. 1mm at C3-4 and 2mm at C7-T1....I have had fusion and rods surgically implanted (obviously). Also have rods and pins at L3-S1..... my neck is getting progressively painful and am really becoming very limited in my daily activities. This pain is waking me up and noticing the loss of strength in my left arm. What are your thoughts? Again, thank you for your time. Michelle
Mon, 8 May 2017
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Orthopaedic Surgeon,  's  Response
Hi Michelle, Following surgery to the C spine, what you can develop after a period of time is called as adjacent segment disease or degeneration. What is means is that the cervical vertebrae are subjected to increase movements and following fusion surgery this places additional stress on the intervertebral discs above and below the fusion levels, the superior levels being more affected. This can lead to narrowing of the cervical canal and cause nerve root compression if its severe enough. So kindly get Cervical spine x rays done, get a neurological checkup done to see if you're having any sensorimotor deficits and consult a spine surgeon if these levels will require decompression and fusion as well.
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What Causes Recurrent Neck Pain Despite Having A Fusion Surgery On Cervical Spine?

Hi Michelle, Following surgery to the C spine, what you can develop after a period of time is called as adjacent segment disease or degeneration. What is means is that the cervical vertebrae are subjected to increase movements and following fusion surgery this places additional stress on the intervertebral discs above and below the fusion levels, the superior levels being more affected. This can lead to narrowing of the cervical canal and cause nerve root compression if its severe enough. So kindly get Cervical spine x rays done, get a neurological checkup done to see if you re having any sensorimotor deficits and consult a spine surgeon if these levels will require decompression and fusion as well.