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Forum: Spinal Disorders 11-13-2008, 09:36 PM
Replies: 8
Views: 1,502
Posted By maryland3824
Just a few comments: 1. If you have evidence...

Just a few comments:

1. If you have evidence of significant spinal stenosis and signal changes on your MRI you are probably not even a candidate for disc replacement. Cervical myelopathy/stenosis...
Forum: Spinal Disorders 11-13-2008, 09:12 PM
Replies: 19
Views: 1,109
Posted By maryland3824
The electrical sensations you describe sound like...

The electrical sensations you describe sound like a L'hermitte's (?sp) sign that usually indicates active compression of your spinal cord.

You really need to demand to talk to your surgeon.
Forum: Spinal Disorders 11-13-2008, 01:39 AM
Replies: 19
Views: 1,109
Posted By maryland3824
What symptoms are you having? You are most...

What symptoms are you having?

You are most likely going to need a C4-5 ACDF.
Forum: Spinal Disorders 01-30-2007, 11:32 AM
Replies: 10
Views: 3,428
Posted By maryland3824
Mark: I disagree a little with everyone's...

Mark:

I disagree a little with everyone's opinion here.

If you truly have severe cervical stenosis along with reverse lordosis (i.e. kyphosis) and you are having true weakness -- and not...
Forum: Spinal Disorders 01-29-2007, 10:48 AM
Replies: 9
Views: 1,467
Posted By maryland3824
Did you have a L4-5 or L5-S1 fusion? hard to tell...

Did you have a L4-5 or L5-S1 fusion? hard to tell from that saggittal.

The left pedicle screw on the axial (is that L4 or 5?) is way too medial. It actually appears to be completely out of the...
Forum: Spinal Disorders 01-09-2007, 02:20 PM
Replies: 20
Views: 3,959
Posted By maryland3824
Sandi-- I would consider getting a consult...

Sandi--

I would consider getting a consult from another surgeon.

Some of your symptoms may be (and this is a big "may be") referable to your central stenosis at 3-4 and foraminal stenosis at...
Forum: Spinal Disorders 01-09-2007, 01:38 PM
Replies: 6
Views: 1,244
Posted By maryland3824
This is a recent study that showed that fusion...

This is a recent study that showed that fusion rates of single-level instrumented lumbar fusions were better with BMP than with Iliac Crest autograft. There are also several other clinical studies...
Forum: Spinal Disorders 01-09-2007, 08:35 AM
Replies: 6
Views: 1,244
Posted By maryland3824
BMP at the fusion site is believed to improve...

BMP at the fusion site is believed to improve fusion rates.

Use of steroids definitely reduces fusion rates (this may be related to inflammation, but more likely is due to general loss of bone...
Forum: Spinal Disorders 01-08-2007, 02:09 PM
Replies: 11
Views: 2,255
Posted By maryland3824
Most surgeons believe that instability is the...

Most surgeons believe that instability is the cause of mechanical neck and back pain (relieved by lying down) -- that's why so many fusions are done.

If you have abnormal motion (i.e. subluxation)...
Forum: Spinal Disorders 01-08-2007, 12:51 AM
Replies: 20
Views: 3,959
Posted By maryland3824
I think you've mislabeled some of your axial...

I think you've mislabeled some of your axial cuts.

The cuts that youve labeled L3-4 are actually L2-3. And some of the L2-3 cuts are actually at L1-2 (see the topograms at the bottom right of...
Forum: Spinal Disorders 01-08-2007, 12:42 AM
Replies: 6
Views: 1,164
Posted By maryland3824
The recent SPORT trial re-affirmed that disc...

The recent SPORT trial re-affirmed that disc herniation with sciatica does get better over time with conservative treatments (though prob not as fast as with surgery).
...
Forum: Spinal Disorders 01-06-2007, 04:50 PM
Replies: 2
Views: 5,253
Posted By maryland3824
Which fingers? and is it on the arm that you that...

Which fingers? and is it on the arm that you that your are sleeping on or the one that is up? Does it happen when you sleep on your back?

Either way, it's more likely due to peripheral nerve...
Forum: Spinal Disorders 01-06-2007, 04:41 PM
Replies: 20
Views: 3,959
Posted By maryland3824
Can you post some T2 axials? (Particularly at...

Can you post some T2 axials? (Particularly at L3-4)
Forum: Cerebrospinal Fluid (CSF) Leak 01-04-2007, 01:55 AM
Replies: 12
Views: 5,611
Posted By maryland3824
Did you start having low-pressure headaches after...

Did you start having low-pressure headaches after a lumbar puncture or was it spontaneous? Are you actively leaking fluid out your nose/mouth?

Sometimes an abdominal binder can help with some of...
Forum: Spinal Disorders 01-04-2007, 01:41 AM
Replies: 20
Views: 3,959
Posted By maryland3824
Spondylosis/Spondylotic is just a general...

Spondylosis/Spondylotic is just a general catch-all phrase referring to a degenerative process of the spine -- it doesn't really mean anything specifically.

It sounds like you have some...
Forum: Brain Cancer and Tumors 01-04-2007, 01:32 AM
Replies: 2
Views: 2,189
Posted By maryland3824
Melanoma metastases to the the brain are usually...

Melanoma metastases to the the brain are usually very aggressive, so Im not sure what is meant by "slow growing".
Forum: Spinal Disorders 01-04-2007, 01:23 AM
Replies: 20
Views: 3,342
Posted By maryland3824
You cannot inject BMP percutaneously. If you...

You cannot inject BMP percutaneously.

If you havent had an interbody fusion already, an ALIF procedure might be a possibility.

Regardless, I would definitely seek multiple opinions before...
Forum: Spinal Disorders 01-04-2007, 12:45 AM
Replies: 9
Views: 1,650
Posted By maryland3824
You can't really get around the artifact caused...

You can't really get around the artifact caused by the metal in a MR scanner.

CT myelography is sometimes used as an alternative to visualize the spinal cord, but is obviously more invasive.
...
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