What are the signs of post-ACDF complications?

Question

Hello doctor,

I am 31 years old, and before I was 16 years old, I underwent an anterior discectomy of C3-C4 and C4-C5 with fusion. Even had neck pain, and the pain radiated to my neck and back while working. Suffering with pain for 16 years, but I got used to it. But for the past few months, my neck has become very weak. I am not able to bear my head weight, and not able to keep my neck in a straight position.

Now, for the past 20 to 25 days, I have been having severe neck pain, weakness in both hands and legs, sometimes with numbness. Eye pressure and back pain. I am not able to keep my neck in a straight position. I get a breaking sound if I rotate my neck. Neck movement is restricted. I have attached my recent MRI report, can you please tell me what is the actual issue with this.

Kindly help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I have gone through your query and medical history along with the attached reports (attachment removed to protect patient identity). The problem does not seem to be due to the fused C3-4 or C4-5 levels. In fact, a disc prolapse at C5-C6 with nerve compression is causing the present symptoms.

I would suggest you go for physiotherapy sessions, including cervical traction, along with neck strengthening, passive and active exercises, SWD/IRT. It would always be better to avoid going through another surgery, considering the post-operative complications. Hence, in my personal opinion, you should avoid a re-surgery and go for a conservative line of management. Analgesics, anti-inflammatory tablets, hot fomentation, and the use of a cervical soft collar will help. If the symptoms do not improve, you can consult an Orthopedist or Neurosurgeon for further management.

I hope this helps you.

Take care.