Årsager til en Cervical Spinal Fusion
Hvis nakkesmerter holder dig ude af at udføre daglige opgaver eller gør de ting, du nyder, kan cervikal spinal fusion være en behandlingsmulighed. Denne procedure indebærer at forbinde rygsøjlen i nakkeområdet for at forbedre stabiliteten og potentielt lindre symptomer forårsaget af nerve- eller rygmarvskompression. Afhængig af det underliggende problem kan cervikal fusion være til gavn for visse typer akutte og kroniske livmoderhalssygdomme.
Disc Herniation
Dine backbones er adskilt af puder kaldet intervertebrale diske, som fungerer som støddæmpere. En cervikal disk herniation opstår, når en intervertebral disk i din hals er skubbet ud af sted. Den fordrevne skive kan trykke mod nerver i nærheden og forårsage nakkepine. Andre mulige symptomer omfatter udstrålende smerte, prikken og følelsesløshed ned på din skulder og arm. Cervikal disc herniation kan holde dig fra at udføre aktiviteter som at skrive, skrive og løfte på grund af smerte og svaghed i din arm og hænder.
Ifølge en anmeldelse fra 2011, der blev offentliggjort i "Musculoskeletal Journal of Hospital for Special Surgery", forbedres 75 til 90 procent af patienter med symptomer på grund af cervikal nervekompression uden kirurgi. For de mennesker, hvis symptomer ikke lindres ved ikke-kirurgisk behandling, kan cervikal spinal fusion være en mulighed. Ca. 90 procent af personer, der gennemgår cervikal spinal fusion med diskefjernelse, oplever symptomlindring fra proceduren.
Cervikal spondylotisk myelopati
Cervikal spondylotisk myelopati er en langsomt progressiv lidelse forårsaget af degenerering af nakkes vertebraer og skiver, som fører til kompression af rygmarven. Denne tilstand er den mest almindelige rygsygdom blandt amerikanere 55 år og ældre. I de fleste tilfælde er degenerative forandringer i cervikal rygsøjlen aldersrelateret.
Rygmarv er kompression forbundet med cervikal spondylotisk myelopati forårsager typisk nakkestivhed og nakke-, skulder- og armpine. Andre tegn og symptomer kan omfatte svaghed i arme og hænder; klodset og faldende ting; ben svaghed; og unsteadiness når man går.
Kirurgi kan være en overvejelse for nogle mennesker med cervikal spondylotisk myelopati. Målet med kirurgi er at lette trykket på rygmarven ved at fjerne plader, knogleboller eller begge dele, der forårsager kompression. I mange tilfælde udføres cervikal fusion på samme tid for at stabilisere rygsøjlen i den berørte region. Beslutningen om at have kirurgi, og i bekræftende fald hvilken type skal diskuteres med din læge. Hun vil forklare de potentielle risici og fordele, og hjælpe dig med at træffe en velinformeret beslutning.
Ustabilt fraktur
En kirurgisk fusion anbefales normalt, hvis du oplever en halsfraktur, der komprimerer en nerve eller forårsager ustabilitet i din cervikal rygsøjle. Denne type skade forårsager typisk pludselig nakkepine, stivhed og kan være forbundet med dyb følelsesløshed og svaghed i dine arme og ben. Immobilisering af nakken med trækkraft eller en bøjle kan være en behandlingsmulighed i nogle tilfælde. Men cervikal fusion er ofte nødvendig for alvorlige brud, især hvis hvirvlerne er dislokeret og presser på nærliggende nerver eller rygmarv. Cervikal fusion kan lette trykket på de berørte nerver og beskytte rygmarven ved at stabilisere rygsøjlen.
Spinal tumorer
En spinal tumor, der forårsager brud, rygmarvs kompression eller ustabilitet er en anden mulig indikation for cervikal spinal fusion. Symptomer på cervicale spinal tumorer varierer, men kan omfatte klodsighed i hænderne, problemer med at gå, nakke og arm smerte, svaghed og følelsesløshed. Du kan også falde ofte på grund af balance problemer. Fusionen i sig selv vil ikke fjerne tumoren, men udføres for at hjælpe med at stabilisere rygsøjlen og lindre smerter og andre symptomer.
FAQ - 💬
❓ How many years does a cervical fusion last?
👉 After cervical fusion surgery, some people can develop cervical disc problems above and/or below the previously affected disc. One study found that about 12% of the patients developed new cervical disease that required a second surgery over a 20 year period after the first surgery.
❓ What can you not do after neck fusion?
👉 You need to avoid twisting and bending. You also need to avoid lifting, pushing or pulling objects greater than 5 to 10 lbs. Lifting and activity restrictions will be gradually removed as the healing process takes place. Remember to keep your spine in the neutral position and maintain good posture throughout the day.
❓ How long does it take for nerves to heal after cervical spinal fusion?
👉 It may take 4 to 6 weeks to get back to your usual activities. How long it takes depends on what kind of surgery you had. Your doctor may advise you to work with a physiotherapist to strengthen the muscles around your neck and back.
❓ What are the long term effects of a neck fusion?
👉 Cervical fusion alters the biomechanics of the structures in the neck. When two vertebrae are fused, the process transfers an increased load to adjacent vertebrae and joints. Increased load bearing can cause muscle tension, tightness and accelerated degeneration of surrounding joints, bones and spinal discs.
❓ Is cervical fusion a disability?
👉 You may qualify for Social Security disability benefits for your cervical neck fusion or impairments. However, you must show that your symptoms are severe. They must cause problems doing normal activities. Additionally, they must keep you from working for at least 12 months.
❓ Can a neck fusion come undone?
👉 Occasionally the patient is not able to fuse over a period of time, then the metal may fatigue due to mobility at the fusion site and may fracture. Some of these patients may go on to fuse after the metal breaks, while other may need a revision surgery.
❓ Are there permanent restrictions after cervical fusion?
👉 Most people don't have any restrictions on their activity by about 6 to 8 months after spinal fusion surgery. However, there might be permanent restrictions in certain circumstances. For instance, some people who have had a spinal fusion in multiple places might be advised to avoid contact sports.
❓ Can you bend your neck after cervical fusion?
👉 Unless your doctor gives a specific reason for limiting your range of motion after surgery, they will work diligently to protect the surrounding vertebrae and ensure that you are still able to move your head and neck freely.
❓ What nerves are affected by C6 and C7?
👉 The C6-C7 disc is 6th cervical disc near the lower part of the neck, near the top of the shoulders. The nerve root that would be affected by the C6-C7 disc herniation controls the arms, the shoulders, the heart, the lungs, and more.
❓ Do cervical fusions last forever?
👉 Spinal fusion surgery is, usually, a highly effective procedure. Once the fusion sets, the effects are permanent, so the results can last for life.
❓ Does cervical fusion limit mobility?
👉 Many people worry that fusing the vertebrae together will limit their mobility and prevent them from moving their neck and head normally after the surgery, but that is not normally the case.
❓ What is cervical fusion surgery?
👉 Cervical fusion is a major surgery that involves joining one or more of the spinal bones together using screws, bolts, and plates (1). The hardware may be placed in the front ( anterior) or the back ( posterior) of the cervical spine. The disc between the spinal bones is often times removed and replaced with a bone graft or a spacer.
❓ What is involved in spinal fusion?
👉 Spinal fusion is a common surgery that is performed for correcting problems in the small bones in the spinal cord, known as vertebrae. Spinal fusion can be thought of like a welding process as it fuses together two or more of these small bones or vertebrae. Doctors aim to achieve a single and solid bone at the end of the spinal fusion surgery.
❓ Why would I need an anterior cervical fusion?
👉 However, if the non-operative treatments fail to control your pain, your surgeon may suggest an anterior cervical fusion to try to reduce your neck pain. The purpose of this information is to help you understand: What you can expect from this procedure, including possible complications
❓ What happens after three-level cervical fusion surgery?
👉 Nerve injury can include exiting nerves as well as the spinal cord itself. After Three-Level Cervical Fusion Surgery patient may awaken after surgery with new-onset left arm, face, or lower extremity pain.