Best education on the whole procedure I've seen. He's brutally honest and spot on with the time frames. THE go to video.
@mariellenhawthorne
3 жыл бұрын
Your explination and animation video is absolutely Top Of The Line. My surgeon has been painstakingly clear on this procedure that I have been avoiding but will finally be going through within a few days. We've reviewed X-rays and MRI films showing the spinal cord compression and the entire process that you show. Your presentation is clear and concise. I actually felt relief seeing Laminectomy animation in your video !
@ArmaghaniSpine
3 жыл бұрын
You're very welcome
@yvonneattard7415
3 жыл бұрын
Wow I am a smoker and my dr never mentioned that I should quit but truly appreciate watching your video and I’m booked for my surgery in one month from today and quitting smoking first thing in the morning ; wish me luck and I’m hoping for a speedy recovery.
@brendajenkins2544
2 жыл бұрын
Best of luck to you. I have 4 bulging discs that are compressing my spinal cord. I see my surgeon the 24th of this month to schedule surgery. I'm a nervous wreck about having spine surgery. May you have a successful surgery & speedy recovery!
@alexrivera4602
2 жыл бұрын
@@brendajenkins2544 Hi. I might need the same surgery for my c4 and c5 how did it go for you? Thank you!
@susans.7189
9 ай бұрын
@@alexrivera4602 I am looking at the same surgery for C4 and C5 and am also nervous. I currently have few symptoms but my spinal cord is compressed. How did your surgery and recovery go?
@schenkerssister
2 жыл бұрын
...6 months later, I have to remind myself, that I had that surgery ! I had x-rays, to check, that the "hardware" is in the right places !! ... YES !!! ...it is !!! ... I asked that question to "ArmaghaniSpine" -6weeks after- and he kindly responded, ...if you are not in pain, it should be alright !!! ...he was right !! Thank you again !!! ...still numb hands, but I know, it is a matter of time .... I can do everything, even playing guitar !!! ...rocknroll !!!
@ArmaghaniSpine
2 жыл бұрын
wonderful to hear!
@badgirlhollywood9741
Жыл бұрын
@@ArmaghaniSpineMy ex abused me by pushing my head where are you located?
@darrencorcoran3508
Жыл бұрын
Hi was in lower back L5 S1
@vonholland64
5 ай бұрын
What surgery did you have?
@joepublisher166
3 жыл бұрын
I was just noticing your willingness to answer questions. You are my hero! Thank you for your kindness!!!
@ArmaghaniSpine
3 жыл бұрын
You are so welcome!
@JocelyneStAmour
2 жыл бұрын
I found this very interesting. In 2019 I got a C-5, C-6 and C-7 laminectomy. Now almost 3 years later, my right hand has remained numb and my neck very sore. In 2010 I had an L-3 and L-4 laminectomy. That really helped me a lot. I could barely walked for 9 years and finally the specialist noticed the way that I walked. The morning that I had my operation did me so much good. I was able to walk without pain after so long. In 2000, they found out that I had Thoracic outlet Syndrome. In 2005, I had my left 1st rib removed. I felt so good. In 2006, I had my right rib removed. I could barely use my right hand. There was complication when the specialist cut my lung. It took me quite some time before I was ok. Like I said, after all that I went through my neck has been the worse and I can't seem to get better. Thank you so much for sharing your channel. It does really help me with what I'm going through. From Ontario, Canada
@ArmaghaniSpine
2 жыл бұрын
Glad the videos could be of some assistance to you. Good luck!
@themysticmuse
Жыл бұрын
You are a WARRIOR.
@Tazman1966
2 жыл бұрын
BTW your videos helped me a great deal in my cervical fusion and now my recent L5/S1 surgery. I appreciate your time and thorough explanation. My surgeon is phenomenal but not great on communication. I like to have a thorough explanation along with expectations. I even watch surgeries online prior to having mine. I’m weird like that I guess. Thanks again.
@ArmaghaniSpine
2 жыл бұрын
Glad it could help!
@Tazman1966
2 жыл бұрын
@@ArmaghaniSpine thank you for responding to my inquiries
@riseup6112
Жыл бұрын
such an amazing teacher. Never had services from him but the confidence and competance is unparalleled
@martimcclain7460
7 ай бұрын
I'm looking at possibly having my C-4, C-5, C-6, C-7 and T-1 and T-2 fused like this. It scares me to think about. This video actually answered a lot of my questions. My last MRI showed bulging discs in C-4 thru C-6, and bone spurs on C-6, C-7 and T-1 and T-2. All of this is causing me severe problems with numbness, pain, severe distorting cramps in parts of my hand, loss of strength, uncontrollable shakes at times, and I'm down to all plastic dishes because I am tired of not being able to hold the dishes dependably. After that MRI showing all of that, I was rear ended when sitting still. I was hit at about 40-50 mph. Dr said I'm lucky not to be paralyzed due to the force of the impact and the compression already on my spinal cord. One question not answered in this video is what kind of protection the cord has after the fusion when you have removed the bones that protected it????? Can you help me understand what the limitations would be and the protection long term?? Thanks.
@ezrashine4945
4 ай бұрын
I am having this soon, and you really made me feel so much better and confident.
@joerobert-qe9cn
3 ай бұрын
great info but the older you are the recovering well be harder
@denisemariner9755
3 жыл бұрын
Your videos would be excellent pre-op tools for a Spine Camp! They are informative without being overwhelming. Thank you for presenting the information.
@ArmaghaniSpine
3 жыл бұрын
Thank you!
@bigdawg7703
3 жыл бұрын
Thank you for such a simplistic explination for the layman who have a limited understanding of the spinal anatomy. Your information delivery here is excellent. I have had a two level lumbar surgery in 2010. Unfortunatly I have had many complication with my spine since. I have been diagnosed with cervical stenosis and I was looking for info on this issue and came across your post. I have been walking with a cane since the surgery and my posture has changed dramatically. My my entire spine has been effected and I'm currently dealing with a diagnosis of cervical stanosis. I now need to begin the process of finding solutions for my spinal issues. Again, thank you so much. I feel much more informed and will use this as a reference through this process so I can understand and communicate with my Doctor on a more informed level.
@ArmaghaniSpine
3 жыл бұрын
I'm glad I could be of help, Big Dawg.
@joannekozaroff7500
8 ай бұрын
I am facing fusion surgery from C2 -C7. This was very easy to understand and addressed a lot of my questions about outcome and recovery time. Thank you.
@LisaK-lj3vt
6 ай бұрын
@joannekozaroff7500 I may need this surgery too. Already have ACDF C4-C7. Did you have the surgery? Would you mind sharing how you're doing if you did? I hope all is well for you.
@joannekozaroff7500
6 ай бұрын
@@LisaK-lj3vt having surgery April 12th
@LisaK-lj3vt
6 ай бұрын
@@joannekozaroff7500 I was just reading about it. I found a PubMed article, a Dr. Shroeder, was saying they found less complications if they fused down to the T1 because it stabilizes the neck from adjacent disc disease there. I'm wishing my ACDF went one level more to my T1 now, so I wouldn't possible be looking at PCDF. Just something I read. I hope your surgery goes well. Sending you healing wishes.
@kathystewart6091
2 ай бұрын
Husband having c3-c6 cervical Laminectomy with fusion using his own bone. Is that possible??? No collar unless he needs it. 7/9/2024, no hardware !! ???
@mayasantanna260
Жыл бұрын
Thank you doctor excellent information my second surgery will be very soon the first one was in front ,this time it will be on the back of my neck . God bless you 🙏
@christynegerbasi4775
5 ай бұрын
How did your posterior surgery go? My husband had an anterior fusion 3 years ago and is now scheduled for a posterior procedure.
@mayasantanna260
5 ай бұрын
@@christynegerbasi4775 Hello I feel blessed with God and the doctor everything went wonderfully. I remember The next day my leg had a sensation of pain, that meant that my numbness was going away . But be honest the recovery was slow and painful. After a year and 3 months i just back to work last week im happy 🥴 I am talking about myself because not all bodies heal. In the same way, we hope you husband have a satisfactory surgery blessing .
@johnellington7057
Жыл бұрын
I've had this done in SA 8 years ago. My question is what protects the spinal cord from a back strike! Kind of scarey
@thomasutesch6600
Жыл бұрын
Very good question.
@ml2539
6 ай бұрын
This was an excellent summation and animation of the procedure. Thank you for this explanation!
@ireneryans4266
2 жыл бұрын
Thank you for such a precise and informative video of an ACDF surgery. Because of this video, I am far more confident about my upcoming procedure.
@ArmaghaniSpine
2 жыл бұрын
Good luck!
@salleecinnamon9670
Жыл бұрын
Awesome overview!!!! My mom just had surgery a few days ago and your explanation of everything she had done is amazing! Thank you :)
@mikem6213
Ай бұрын
Super! Best video given great graphical presentation... and explanation was very good too. I wish I had found and viewed this before my surgery... C3 to T2 with laminectomy.
@DukeFan1971
3 жыл бұрын
I had a 5-level cervical laminectomy and fusion surgery (C2--C7) done on May 20, 2019, attempting to alleviate severe OPLL that affected the entire cervical spine, but especially C3-C4 and C6-C7. Unfortunately, I developed severe complications starting a month post-op, which worsened over time. I was originally planning on returning to work about 3 months post-op, but by the end of month 2, it was obvious that I would be unable to do so. By February 2020, I was relegated to my house approximately 50-60% of the time, but I was still able to do most of the things I had done before. However, by the end of that May, the pain, debilitation, lack of mobility, and radiating symptoms were so bad that I became bedridden 95% of the time. Bad weather makes my pain and debilitation levels worse, and the 4-month period from the beginning of December 2020 to the end of March 2021 was pretty much the worst period of my life, due to not having a period longer than 3 days without rain or thunderstorms. Unfortunately, I can never work again. I had to apply for Social Security Disability in early January 2020, and after being denied (as 80% of all applicants are) at both the initial application phase and the appeals phase, I reached the third and final stage--Disability Court, and after having my hearing April 14, 2021, I just got approved by the judge on May 7, only 4 days ago. Those having this surgery should be aware that no surgery is a guaranteed cure-all, and that is especially true of spinal surgeries. There are a lot of potential risks associated with the spine, because between the spinal cord itself and the hundreds of individual nerves spawning from it that control the vast majority of your body, there is ALWAYS the possibility that something could go wrong. The other thing to know is that you could have the best surgeon with the most knowledge...and your surgery could go flawlessly...and you can even come out the other side feeling better than you have in a long time...and complications can STILL happen. I know, because that's what happened to me. I had a perfect surgery. For the first month afterwards, I felt like a million bucks. I was recovering faster than expected, and the belief at the time was that I might be able to return to work 2-3 weeks earlier than originally planned. But on June 22nd, a month almost to the day after my surgery, the complications began to set in. First, my pain started increasing with no obvious signs or reasoning behind it. My left arm, which was--by far--the most affected area other than the cervical spine itself, became more painful and debilitated than before the surgery. I went from taking 80mg of Oxycodone during the 3-4 days after surgery to 30mg 10 days post-op, but after June 22, it didn't take long to reverse that trend, to the point where I was at 60mg, then 70mg, and finally 80mg again. I have lost the ability to do most of the normal, everyday things I used to do with ease prior to the onset of my condition. My motor functions are limited--I cannot stand or walk without a 4-point safety cane. I have significant gait issues, balance problems, migraines, and inability to lift more than 8-10 lbs due to my left arm debilitation. My pain level before surgery was 6-7 consistently, with spikes to 10 on occasion. Immediately post-op, that dropped to 2 or 3, with no spikes. But once the complications began, I was regularly at 8 or 9, even 10....especially when storms came through. In fact, storms led to pain that affected my entire upper body, and still do. Along with the pain, debilitation and loss of functionality, I have several severe mental and psychological issues, such as depression, anxiety, panic attacks and suicidality. I am waiting for the Medicare I receive automatically along with my SSDI to start on August 1st, so I can finally--hopefully--find out exactly why I'm having these complications, and maybe figure out some type of treatment plan for them. I couldn't afford to before this, so I had to suffer while not knowing why. But what happened to me, while rather extreme, CAN HAPPEN. Or other lesser complications can happen. Or in rare cases, WORSE ones, like paralysis, infection or death. There are a lot of reasons why spinal surgery should be a last resort, only used in cases where no other medications, treatments, injections or therapies have worked. There are risks associated with EVERY surgery, but some--such as spinal surgeries--have more than others.
@rubyfenn1730
3 жыл бұрын
I was told I have the same issue c2 to c7 opll is being recommended for surgery. I have no other symptoms right now other than muscle pain on my shoulders
@DukeFan1971
3 жыл бұрын
@@rubyfenn1730 If you can get that taken care of before it gets to the same point mine did, you stand a lot better chance of recovery. Unfortunately, I had to wait 2 1/2 years to get my surgery done, during which time the company I used to work for did more damage, to where it went from a single-layer C6-C7 disc replacement surgery to a five level laminectomy and fusion. I was also unlucky because I developed complications afterwards, though my doctors still don't know exactly what happened, or why. But the sooner you get that fixed, the less likely you are to end up like me. And trust me, that's a good thing.
@ArmaghaniSpine
3 жыл бұрын
I am sorry to hear about your outcome, DukeFan. Spine surgery is incredibly difficult to predict because of many of the points that you have mentioned. Posterior cervical laminectomy and fusions tend to carry these risks to a higher degree than other surgery and are really only performed or suggested because of conditions like OPLL that make it too dangerous to approach from an anterior approach. OPLL is a very difficult and hard to treat condition to have because progression has a high likelihood of occurring. It is like being stuck between a rock and a hard place. I wish you the best of luck
@DukeFan1971
3 жыл бұрын
@@ArmaghaniSpine Absolutely. At one point in early 2018, my surgeon had planned on a C6-C7 artificial disc replacement. However, because of the company I was working for at the time, they intentionally made my condition worse, and refused to listen to multiple doctors and ortho specialists who all told them I needed to be put into a different area. And because of that, by the time my doctor had done not one but THREE sets of medical disability paperwork, and they finally let me out after 2 1/2 years of repeatedly forcing me to go back, the damage was already done. And instead of severe C6-C7 damage and minor C3-C4 damage, I had severe damage throughout my entire cervical spine, requiring this surgery. And I think the hardest part is knowing that what happened to me was done deliberately, and that without that intentional harm being done, the surgery would never have been necessary, and therefore the complications never would have happened. But because that entire chain of events DID happen, now I am permanently disabled, unable to work for the rest of my life before I turn 50, and will be completely dependent on Social Security Disability for income. And the worst part? Because the damage happened over a 2 1/2 year period, I cannot legally prove that they did all the damage (I've talked to 3 lawyers and 2 doctors who testify in these types of lawsuits regularly...and all told me the same thing), so I can't even sue them for what they did...and they get to get away with it. Talk about no justice at all...
@anthonymisell8845
3 жыл бұрын
@@DukeFan1971 I can never understand the American health insurance where the employer has all the say, Here in Australia we have Medicare, payed by every working Australian, with a small percentage taken out of their income every year at tax time. Then on top of that you can take out private health insurance, at different tears, bronce, silver and gold, you pay for this yourself out of your own pocket, gold covers with Medicare you can have whatever spinal operation you want, and has nothing to do with anyone else
@dorelizahall-hammond9499
2 жыл бұрын
Thank you for explaining the full surgery which I will be having on 3/31/22 in Atl. I'm more of visual even though my surgeon explained its better visually. I'm more at ease and feeling positive with the my outcome even with diabetes (use metformin/low reading).
@ArmaghaniSpine
2 жыл бұрын
Good luck!
@mokabokal101
2 жыл бұрын
how's everything going on for you ? any update plz ?
@54sabu
2 жыл бұрын
I had this surgery a month ago and I had nerve damage..I can not lift my right arms and I was so worried but now that I know that it can take a year to recover feel more confident
@houseofwarmth2578
2 жыл бұрын
How are you doing now. My dad had this surgery and is having issues with his left arm. He is almost a month out of surgery.
@viyanayera
Жыл бұрын
I wish you do well. But it seems, you keep having problems. I will postpone this surgery as long as I can. So far I have only neck pain and headache at back of my head. I think I can live with that rather to take such risks like nerve damage.
@HaiderKhan-f4t
7 ай бұрын
My father has also such a problem . He can't lift his right hand. He done such surgery 10 days ago . What is Your condition Now???
@timknowles9730
3 жыл бұрын
thank you for that video. I am out 7 weeks from surgery and one night in the hospital. I do have some aching in my neck but it's tolerable. I have, as the day progresses terrible pain in my hands and the crooks of my elbows. I also feel like I have something like palsy, which I never had before the operation.Sure do hope things get easier and less painful.
@ArmaghaniSpine
3 жыл бұрын
Hi, Tim. 7 weeks is still very early in your recovery. Continue to give yourself and your body time to heal the nerves that were compressed. Posterior cervical laminectomy and fusion surgery is one of the most painful operations for the patient to undergo. To have tolerable neck ache at 7 weeks is great result and should continue to improve.
@timknowles9730
3 жыл бұрын
@@ArmaghaniSpine thanx for the encouragement
@savgirl3413
3 жыл бұрын
@@ArmaghaniSpine so I have had 4 back surgeries. 2 microdiscectomy, 1 discectomy and a fusion all at L-4-S1….. And I honestly think that that recovery was WORSE than my fusion at c4-c5……my relief, most of it, has been immediate. Once the anesthesia was gone, I could “feel”’things and just like my Dr said, it was pretty instant. I’ve had the nerve compressed for 2 years so obviously it’s gonna take a little bit longer to heal than some people who had the surgery pretty soon after the nerve became impinged. I am sooo grateful for my Dr and just thankful for the relief I’m already having!
@martinadoley2764
Жыл бұрын
@@savgirl3413 how are you doing now ?
@ruthburley7386
28 күн бұрын
That was an excellent video. So easy to understand. The only question I have is after removing the bone and putting the screws in, what's protecting the spinal cord?
@TheHellnfire
3 жыл бұрын
This was just bloody brilliant! Please continue to make these! Never has my problem been explained so intricately!! Words I can understand! Just found your channel & have subbed for sure. I just genuinely can't thank you enough!
@ArmaghaniSpine
3 жыл бұрын
Thank you!
@nickh1182
Жыл бұрын
Excellent overview. Very informative. Your patients are very lucky to have you.
@ArmaghaniSpine
Жыл бұрын
thank you so much
@sarbrit
3 жыл бұрын
Thank You for a great video of helpful understanding for those of us without a medical degree. I am facing a C2-T3 Laminectomy and Fusion. I can't find much info on such a long multilevel fusion or how crossing the CT joint will effect my quality of life. Are there any groups - websites that might point me in the direction of more detailed info or potential emotional support. Thanks again!
@ArmaghaniSpine
3 жыл бұрын
Hi sarbrit. Unfortunately, I do not know off hand any emotional support groups for patients undergoing this procedure. One thing that may be a good idea would be to ask your surgeon if he knows of any patients who have had this procedure and would mind speaking to you about how their recovery went. Sometimes other patients are the best support because they have gone through the same procedure and have dealt with the ups and downs that are inevitable. Good luck to you.
@samanthamartin344
2 жыл бұрын
Hello. My husband just had this procedure last week c2-t1. He is 1 week out and in incredible pain at the base of his skull. I was wondering how your recovery is going and if anything seemed particularly helpful for the pain.
@barbaraheller3461
3 жыл бұрын
I’m having this done on June 1st and really appreciated all the details...thank you..👍🥴
@ArmaghaniSpine
3 жыл бұрын
You're most welcome, Barbara.
@immadkhalid1887
2 жыл бұрын
how did i go barbara?
@barbaraheller3461
2 жыл бұрын
@@immadkhalid1887 I am now 7 mos post opt and for the most part, much improved, still wearing my bone growth stimulator but unfortunately, my neurosurgeon has been expelled from my Health plan and was by court order not able to see me for my 6 month Follow up till today (a ($200 copay) so I’m anxious to see if fusion is working & have a knob on the back on my neck that I want him to identify. I have no pain, just getting use to stiffness but much more flexible and no more numbness….we’ll see how today goes…..
@immadkhalid1887
2 жыл бұрын
@@barbaraheller3461 so glad you are doing well my father needs this and we are so anxious so the recovery time is can be a long time? was it worth the surgery and how bad was the pain after wards i appreciate you replying thank you so much
@TPHB5011
2 жыл бұрын
I'm having this done on the 28th of May and I'm terrified
@Michael-tt6kv
Жыл бұрын
I have OPLL and I have to have 7 sectors of my neck fused I'm trying to find information on if having fusion is a good idea For if it will affect my ability to move my head Or body, my neck is already fused From classification I have to make a decision And I don't know the right one
@trinysbridal
7 ай бұрын
Thank you very informative ❤
@reneeron6552
2 жыл бұрын
Best explanation I've found on you tube. Very informative. Thank you!
@ArmaghaniSpine
Жыл бұрын
Thank you for the kind words!
@ayla279
4 ай бұрын
Thank you so much Dr Armaghani for clear and full describe of laminectomy cervical neck operation, ì had surgry on first of may 2024and i have problem with my right hand pain and numbness i was very wory but after watched your video i fell better, and in hospital didnt give me hard collar is make problem?🙏🙏💐
@dr.patriciahorton8394
Жыл бұрын
Excellent teaching. I know doctors don’t have time for this much detail during appointments. This is a perfect answer to that problem. I may be having a posterior fusión after two artificial discs being placed at C5/6 and C6/7. My bone spurs are in the facet area. I waited too long for my first surgery and have permanent muscle loss in my dominant arm.
@ArmaghaniSpine
Жыл бұрын
i love doing artificial disks but one of the downsides is that because there is still motion, bone spurs can still form. good luck!
@avfan967
3 жыл бұрын
All of your videos are phenomenal sources of knowledge. Thank you for the time and effort you’re putting into these!
@ArmaghaniSpine
3 жыл бұрын
Glad you like them!
@kathystewart6091
2 ай бұрын
Only 1/3 show approvement? Whats the point of surgery then ?
@vijayanpeter7407
3 жыл бұрын
Thank you-What for a brilliant presentation - Victor South Africa . I'm going to see my surgeon soon & have a better understanding now.
@ArmaghaniSpine
3 жыл бұрын
Happy to have helped!
@carolynhamilton3316
2 ай бұрын
Very in formative. With those rods, am I able to bend my neck at all?
@sne47
2 жыл бұрын
Thankyou for an excellent educational video on this procedure! And including the risks involved with commonly asked questions outlined and explained👌 My dad just had this done and I felt so in the dark until I found this video. Many thanks and blessings
@ArmaghaniSpine
2 жыл бұрын
Glad it was helpful!
@Sandrella007
Жыл бұрын
Four years post op- this surgery shattered my life. My traps are severely spasmodic, I have a hole in the back of my neck with mangle neck muscles and I am in more pain than ever before in my traps and down my arms. I still can not use my arms..
@themysticmuse
Жыл бұрын
❤😔
@42Librarians
Жыл бұрын
Only 1/3 of patients get relief? Good God! What happens to the rest?
@themysticmuse
Жыл бұрын
We get used to it.🙄😭🥳
@themysticmuse
Жыл бұрын
I guess....
@zhengross1667
3 жыл бұрын
Thank you very much for sharing this excellent video! It's very clear and helpful. I have 2 quetions: 1. you menioned the patients can walk for as long as they want, should this be 6 weeks after surgery? Or should this be when patient is out of the hosptial , shortly after the surgery? 2. My Dad had this surgery two weeks ago, his walking problem (poor leg/body coordination, sense of powerlessness, etc) seems evern worse than it was before the surgey. But the doctor told him it's ok and normal, because it will take time for the nerve to recover and heal, usually it will be one year, or one and half years for the nerve to reach its optimal functioning. Is this true? Thanks again!
@ArmaghaniSpine
3 жыл бұрын
Hi, Zheng. Thank you for the questions and watching. 1. I like my patients to walk shortly after surgery and to walk as much as they feel comfortable. They don't have to push it so listen to your body if it is telling you that you may be over doing it but more gentle, low activity is encouraged. 2. In general, your surgeon is correct. If he needed this surgery he likely had severe spinal cord compression and spinal cord damage. The spinal cord does take a very long time to recover. It will be an up and down recovery especially early on but how he feels at around 1 year will be about how he will be long term. Hang in there!
@martinadoley2764
Жыл бұрын
How is your Dad doing after 2yrs now..my mom is going have this procedure within this week 🙁
@AilsaPehi
3 жыл бұрын
I'm getting this done on the 21st as well as an ACDF. You've alleviated my anxiety enormously. I'm freaking out less. TRULY GRATEFUL. Will I attract lightening? I'm an all weather walker.
@ArmaghaniSpine
3 жыл бұрын
You are most welcome. I'm happy these videos have helped you. And luckily almost all the rods and screws on the market today are made of titanium and will not attract lightning!
@mokabokal101
2 жыл бұрын
how's everything going on for you ? any update plz ?
@viyanayera
Жыл бұрын
@@mokabokal101 Most people who had surgery do not answer. I am afraid most of them still having problems even after surgery. I see quiet few positive comments about after surgery.
@themysticmuse
Жыл бұрын
@@viyanayerat's also yt. I don't get most of my replies.
@viyanayera
Жыл бұрын
@@themysticmuse well this one I got.
@jayfinn6698
3 жыл бұрын
Thank you for your time kind sir.
@ArmaghaniSpine
3 жыл бұрын
You are very welcome
@jumpbox1809
2 жыл бұрын
EXELENTE TU PRESENTACION, MUY DINAMICA, MUY ILUSTRATIVA, MUY FACIL DE ENTER CON TU METODOLOGIA, FELICIDADES.
@ArmaghaniSpine
2 жыл бұрын
Thank you!
@sagemaster3408
2 жыл бұрын
What protects the openings straight to the nerve root after the spinous process are removed ? Muscle and skin ? Are people that had this done on high risk of injury. Especially with the bone not there covering it anymore . ?
@betteryourgerman
3 жыл бұрын
....6 weeks after and now I have a few basic tips, that could be important for some.
@betteryourgerman
3 жыл бұрын
@@sonjakettles3057 ... Good Luck Sonja !! ... mine went well so far .... after care was zero !!! ...so I hope, you are in good hands !
@betteryourgerman
3 жыл бұрын
@@sonjakettles3057 ...watch the video-what hurt most !!!
@gunsmoke6230
3 жыл бұрын
@@sonjakettles3057 Stay the night in the hospital and get that authorized prior to surgery. BCBS would not authorize one night stay in the hospital so we went home a huge mistake. The next morning I couldn’t sit up or get out of bed. We called 911 for an ambulance that took me to a horrible hospital not the nice one where I had the surgery. My surgeon told the doctor to ambulated me? I could not get up even after morphine injections at the crappy hospital. They would not keep me overnight and forced me to leave. I was shaking from the pain in my neck and shoulders. I forced myself in my wife’s smaller car to go home. I was moaning and crying from the pain. I’ve had artificial disc replacement which was a breeze compared to this nightmare. I was holding myself trying to stop the pain lying in bed but it wouldn’t stop. I was getting ready to pull my 357 out and end it when my wife through an ice pack over the incision and my shoulders. That cut the pain in half so I put the gun away. I’ve never in my life felt so much pain and terror. My surgeon gave me hydocodone and some weak muscle relaxer that did nothing. I had to ask her for Percocet and Trizanadine thankfully she complied. For ten days I had to use a bedpan because I still could not sit up and go to the toilet. Finally after the tenth day the pain in my neck and shoulders stopped and I could sit up and walk to the toilet. I just saw my surgeon and she didn’t bring up any of what I e just told you. She removed my staples and agreed to pain meds the hydrocodone not Percocet. I go back in four weeks to see if the fusion has failed. She didn’t apologize for anything at all I was completely shocked. She’s considered the top nurrosurgeon in Houston. I won’t recommend anyone to her not even my worst enemy! STAY IN THE DAMN HOSPITAL UNTIL YOUR PAIN IS UNDER CONTROL, bowel movement and you can walk on your own. If I was wealthy I’d sue BCBS for not authorizing my hospital stay after surgery. Posterior laminectomy, fusion should not be a day surgery! I’m 52 6’1” 185 lbs in good health how in the fuck did this happen ?
@Georgefindley1969
16 күн бұрын
I'm getting C-2 thru T-1 in weeks hopefully it goes well had a lot of fusions but this one scares me
@mokabokal101
2 жыл бұрын
Very informative video from one of the best Dr . I just have a question , do you use the ultrasonic tools surgery ? Thx
@ArmaghaniSpine
Жыл бұрын
I have used them in the past but did not see a big difference with traditional instruments
@gregorybrown5842
2 ай бұрын
Thank You Dr. Armaghani, Your Educational Videos , for OUR Type Surgeries, Are ON Point And So Understanding, Im About to Undergo , The Anterior and Posterior Fusion , (2) Days Apart Would That Be Wise?
@DeboraTait
4 ай бұрын
great explaintion. I had 2. Going in for redo. I have a screw loose its a joke in my house now.
@reneesmith3235
Жыл бұрын
Great explanation. I have to have this surgery on 2/20/23. I just have question, what protects the spinal cord since now there is no bone covering the cord? I understand why the screws, bolts. and rods are present, just not understanding nothing covering the spinal cord since the bone is removed.
@ArmaghaniSpine
Жыл бұрын
good question. your soft tissue, muscles, fat, and skin all protect the spinal cord. In the neck area, you have at least 4cm of tissue to protect it.
@reneesmith3235
Жыл бұрын
@@ArmaghaniSpine Thank you for answering my question Dr. It makes sense to me now.
@sn00pzhit
5 ай бұрын
Excellent video! Thank you! What about the long term effects such as limited ROM?
@goliath9081
Жыл бұрын
Great video thank you for the information
@krishnareddyboilla3790
2 жыл бұрын
Ur great doctor.Explained minute details.Ur services required in India
@ArmaghaniSpine
2 жыл бұрын
Thank you!
@richmel6245
3 жыл бұрын
Thank you for this video, I am having this type of procedure June 4th, I have a bunch of questions and watching this video, I can ask smart questions!
@ArmaghaniSpine
3 жыл бұрын
I am happy to be of help to you, Rich.
@jenniferdonelson1374
2 жыл бұрын
Hi @Rich Mel, I am having the same surgery July 25th of this year, and just wanted to know how your surgery went, and some healing process 😊
@richmel6245
2 жыл бұрын
@@jenniferdonelson1374 Hi, well it's been a year for me and I am doing really well. I play golf, do yard work, anything I want to do...just like I used to. My neck tells me when to stop...I still have some numbness in my index finger and thumb,still better than it used to be. The surgery is tough...four days in the hospital, there were some hit and misses on my meds but I'm a guy, and guys are big babies. The most important step forward is rehab!! Please do it and follow through with it, it's what got me back on my feet. Good luck.
@hilarydavidneidhart1001
2 жыл бұрын
After you have performed the laminectomy and put in the scres/rods/plate, what happens? What covers and protects the spinal chord? T%hank you.
@ArmaghaniSpine
2 жыл бұрын
About 4-5 cms of muscle, soft tissue, and skin. It is actually fairly deep in the neck.
@dr.dhasbi7210-kd8us
3 ай бұрын
Post ope When will we start neck exercise
@paulwilliams442
2 жыл бұрын
This was a blessing watching this video. I'm scheduled for this procedure in 9/7/22 and am so afraid. Great video 😊 Thanks Paul
@ArmaghaniSpine
2 жыл бұрын
Best of luck, Paul!
@martinadoley2764
Жыл бұрын
How are you doing Paul ? My mother is going to have the same surgery this week.
@paulwilliams442
Жыл бұрын
@@martinadoley2764 , Martina, I'm doing well. I have not had the surgery yet. I'm looking at other options. I just exercise more and eat healthily as possible. I pray and hope your mother is doing ok.
@Sam-od9qu
2 жыл бұрын
Amarghani spine I’m from Sydney Australia would love to know if you may help me with my query as I may be facing this surgery in the coming weeks. I have severe spondylosis that I have had 4 neck surgeries for already and unfortunately the last operation seems to have been a fail and I started to get terrible symptoms in the last 2 months and a mri which revealed a c7 7mm anterilothesis causing severe canal stenosis. My question is am I looking at this kind of surgery for this injury? As I’m so scared I’ve had the posterior approach once before and I have to say I have never ever felt such pain like that in my life and I have had many surgeries but this was something else. Would love if you can reply!
@billyhamlen9610
9 ай бұрын
Thank you for the video, Is there a minimum number of level that needs to be opened for the spinal cord to float into the newly created space? Without the Spinal process, would there be no protection of the spinal canal from the back of the neck?
@Leenailsalon
9 ай бұрын
So what protects your spinal cord? What if your hit in the back of the neck? Idk, this seems really intrusive.
@Holiday48000
2 жыл бұрын
Thank you for describing the procedure In detail, as I now understand it so much better. I will be having a Laminectomy done on my cervical spine next month. My spine on 4 levels is compressed to the point that I am suffering severe pain going down my left arm and I am starting to have a balance problem from time to time. My surgeon now recommends a Laminectomy to decompress my cervical spine so hopefully I can be pain free again.
@ArmaghaniSpine
2 жыл бұрын
Good luck!
@mariastone1615
3 жыл бұрын
I am having C7-T3 fused soon. Your video is the best that I have seen. I appreciated the clarity which you explained everything. I am already fused from C3 to C7 anteriorly. The posterior techniques is scarier. My question is, "how is the spinal cord protected after you remove the bone?
@ArmaghaniSpine
3 жыл бұрын
Great question, Maria. While there is no longer bone protecting your spinal cord, you will typically have at minimum of 5cm of soft tissue, muscle etc that will heal together and protect the spinal cord. It is very deep in the neck and the soft tissue is plenty to protect the spinal cord after surgery. Thank you for the kind words.
@JerryEsthay
9 ай бұрын
You forgot the possibility of a blood clot occurring at site of surgery compressing the spinal cord and leaving the patient a quadriplegic.
@jennifergorman7723
Жыл бұрын
There is nothing though protecting the spinal cord after the laminectomy?
@열공3분법
3 жыл бұрын
Thanks for your clear explanation. I have a question. After being fused like that, how and how much is the mobility of the neck affected ?
@ArmaghaniSpine
3 жыл бұрын
Great question. It depends on how high the fusion goes. If the fusion goes up to the C2 level you probably are going to lose a minimum of 50% of your motion up and down and side to side.
@djkim23
7 ай бұрын
does the spinal canal stay open from the posterior after this surgery? No structural bone/hardware to protect the spinal canal, where the lamina used to be?
@Beaches314
3 жыл бұрын
I have been told so many different things and been treated so unprofessional by drs I don't know if I'm coming or going. My neck is so messed up..Don't know if it can be fixed..
@kristinepark214
7 ай бұрын
💔 Me too
@pinakisatapathy6788
3 жыл бұрын
Sir,with the lamina and spinous process removed,the spinal cord is exposed in the back.Will it only be protected by soft tissue now?
@ArmaghaniSpine
3 жыл бұрын
Yes, Pinaki. Sometimes people get concerned that there is no bone protecting the spinal cord but remember that you will have layers of muscle and other soft tissue protecting the spinal cord just as it was before. These layers can be at least 5cm deep so it is still well protected even after surgery.
@shawndapowell7824
3 жыл бұрын
That was going to be my question.as well. Thought they were going to put that part back
@garyarbach2570
3 жыл бұрын
@@ArmaghaniSpine So someone could press on the muscles of that area where there is no bone and that could compress the spinal cord. Doesn't sound right to me..
@robalmeida8056
2 жыл бұрын
Awesome video, just have one question. Does activity in both arms mean more than one disc/bone spur?
@ArmaghaniSpine
2 жыл бұрын
Not necessarily. Bone spurs can sometimes be both sides in 1 disc causing pain in both arms or on different sides in 2 discs causing discomfort in both arms.
@Iwant2understand
2 жыл бұрын
Doctor what do you think about the Mobi-C disk replacement? Do you do this procedure?
@ArmaghaniSpine
Жыл бұрын
Cervical disk replacements are my most favorite surgery to do. Not everyone is a candidate unfortunately.
@iamkarelin
2 ай бұрын
Hi Doctor my mom just got one in her cervical spine c2-c4 but she didn’t get fusion. Do you think the spine can be stable without one or is a fusion something you recommend ??
@eudiachow732
2 жыл бұрын
Thank you for this explenation
@ArmaghaniSpine
2 жыл бұрын
You're most welcome!
@davidcheever1055
6 ай бұрын
I just had this done 1 1/2 months ago. It was very painful surgery
@thecannabisrevshow
Жыл бұрын
It’s been 18 months and I’m seul not ok. I had myelomylacia. Spinal cord damage. Now I have to get the rest of the spine done via MRI with dye. I can barely walk.
@divyaanumala7477
6 ай бұрын
Very useful sir thank you
@jrobinson42479
6 ай бұрын
I’ve been having really bad pain in both my shoulder blades. Mostly the left. The whole left side of my torso goes numb as well. I’m having a C4-C7 Laminectomy & Foraminotomies on the 12th. Do you think that’s going to make my problems better? I have some impingements in C6. My MRI shows compression on my spinal cord from C4-C7 as well. Any help will be greatly appreciated.
@NiccBlacc-NCBC
7 ай бұрын
Dr Although I have been fused almost my entire thoracic and lumbar I am so scared of all the neck surgeries I have a c5 c6 herniation, I am wondering if ADR is safe because it can cause speech or vagus and phrenic nerve damage
@GlobeLWarning
Жыл бұрын
Great video!. .i had C2 - T2 done 8 months ago, but have never gotten a clear expectation from my surgeon on time frames during rehab. This spells it out in everyday language and won't gross my wife out, LOL
@ArmaghaniSpine
Жыл бұрын
Best of luck!
@JohnPrest-zu3zw
4 ай бұрын
I am having the same surgery. Can you tell me how you feel after this time that has passed and your range of motion.
@jenniferdonelson1374
2 жыл бұрын
Does anyone know how much hair will be cut/how far up the incision goes?
@ArmaghaniSpine
2 жыл бұрын
great question. while I'm not the best barber, we lift up the back of your hair from the base of the skull and put it in a pony tail, then we shave the head from the bottom up to the point on the back of your head where your skull starts to jut out a bit. Ends up being about 1-2 inches from where your hairline starts at the base of the skull.
@jenniferdonelson1374
2 жыл бұрын
@@ArmaghaniSpine thanks for the reply back. I had a shunt placed in 30 years ago with almost the same surgery and I lost all of my hair, but it's just hair
@ogbitkidane9237
2 жыл бұрын
Very nice education. Thanks
@ArmaghaniSpine
2 жыл бұрын
Glad it was helpful!
@panchamtalkin
11 ай бұрын
Sir i had numbness on the half left upper part on heat after this surgury what should I do
@freecan2508
Жыл бұрын
Thank you for the informative video. I had a c3 - c6 posterior laminectomy without fusion 6 months ago. I experienced a giant pseudomenigocele which was left to resolve on its own. That was a 8 week journey with a mri with contrast to confirm it’s closure. My ongoing and most troubling concern to date is cervicogenic dizziness which was not present preop. I’m attending physio with not much success and will be receiving trigger point injections to see if muscle tension is at play. Do you have any other suggestions I might consider if need be, such as RFA? Thank you for your time Doctor
@earthminus10
3 жыл бұрын
My surgeons PA prescribed ibuprofen. Surgery on 7/20 My surgeon went on vacation next day. I was also released next day, so pa was in charge. Now my first surgery in 1/2021 same surgeon different pa, teaching hospital. This pa said NO ibuprofen it inhibits fusion...and surgeon did not prescribe Ibuprofen. Anyway I'm been using Tylenol and not taking the Ibuprofen. Now that I watched your video I'm certain I shouldn't have been. And he said the neck collar only has to be worn when I'm up in about I take it off when I sleep and shower course. I'm calling the doctor's office in the morning which will be Monday morning and asking about it Thanks 😷😷
@ArmaghaniSpine
3 жыл бұрын
happy to have helped
@binonori
Жыл бұрын
The best video.
@adamfoit419
3 жыл бұрын
Hi, I am currently fused on the front side from C4-C6. I am having this surgery in a couple of weeks and he is going to fuse C5-T1 how will this effect my mobility in my neck area? will it be pretty stiff from here on out? as in, will I have to pretty much turn my shoulders to look left or right up or down?
@ArmaghaniSpine
3 жыл бұрын
You'll still have a fair bit of motion left over because you will still be able to move at C3/4 and C2/3 as well as C1/2. I would say you'd have at least 50% of your motion looking up and down and side to side. Where you may notice some stiffness is if you try to touch your ear to your shoulder like you are talking on the phone with no hands.
@earthminus10
3 жыл бұрын
I was told by doctors PA I can sleep without my hard collar as long as I don't twist my head. I was scared to after posterior spinal fusion cervical. I cannot get any sleep
@carolschmidt3029
Жыл бұрын
Why do some surgeons approach this from front of neck???? I'm literally at point of surgery and have all the balance, walking, numbness issues, but spine surgeon I see keeps talking about Front Cervical Spine approach. Already had fusions from L2 thru S1, then T 11 down to the L 12. Degenerative bone issues and lots of tingling. Seems it just continued up my spine and cervical spine affected. MRI and diagnosis is for C4, C5, C6, and C7 issues. That just seems too much to accomplish from front.... Also, you didn't reference disk replacements with this. I have had to have "cages"/ disk replacements at each level. Is that unusual? Thanks! Very helpful video.
@ArmaghaniSpine
Жыл бұрын
the recovery and complications are much lower with surgery through the front of the neck
@Gregpas18
2 жыл бұрын
When the bone is removed from the back of the neck, is that area more prone to injury from behind or is something put over that area Back of the neck?
@ArmaghaniSpine
2 жыл бұрын
Great question. When the bone is removed, it is true, that your spinal cord is exposed. However, after the surgery is done, great care is taken to repair and reattach all the muscles and other soft tissues that were protecting the bones and that provides a good 4-5 cm at least of protection. In my experience, I have not come across a single patient who had an issue with an injury to the back of their neck causing a spinal cord issue because the bone was removed.
@viyanayera
Жыл бұрын
Great job sir! You are touching many people with that. I'm 43 and recently diagnosed for cervical spinal stenosis at C4-5 and 6. Also some hearnia and osteophytes. Clearly seen on MRI. Symptomps are neck pain and headache at back of the head. No numbness at the arms yet. I can swim and play basketball. Neck pain starts usually in the afternoon and evenings. In the mornings almost nothing. I started PT and it helped with headache a lot, with neck pain little though. My question is that if my nerves will be damaged within the time, and if I should have surgery now, otherwise would I miss something like irreversible harms?? At this point, can I stop the worsening process with correct posture, PT, less desk job and more walking etc. May be you can tell something in general. Thank you in advance, please keep the great work..
@ArmaghaniSpine
Жыл бұрын
without significant arm symptoms, surgery is very unreliable in treating only neck pain.
@tylerstokes2147
2 жыл бұрын
What protects the back of the spinal cord once the spinous process and lamina are removed?
@ArmaghaniSpine
2 жыл бұрын
Fortunately, the exposed spinal cord is at least 4-5 cms from the surface of your skin. When we are done with the case, we close up the muscles over the bony defect in multiple layers and that provides ample protection to the spine and nerves. I haven't seen an injury to the spine from a direct blow to the back in my entire career.
@mohammadimohammadi7482
Жыл бұрын
Good job doctor 👏
@ArmaghaniSpine
Жыл бұрын
thanks so much!
@davewilson3897
2 жыл бұрын
I enjoyed how you explained the surgery, I had this done 7 years ago c3toc7 at first he was going to do c2tot1but was not as bad as he thought so he felt it would be better rom. I still Don't have real good rom but the surgery was a success because now they took mri my cord is fine no compression I still have degenerative disease DISH Etc .but the main reason was the cord . What I would say to other people if they really need this surgery not to let fear stop them thank you
@ArmaghaniSpine
2 жыл бұрын
Thank you for your words as a post-op patient, Mr. Wilson. This is a tough surgery to get over and is reserved for patients with severe, multilevel disease.
@davewilson3897
2 жыл бұрын
@@ArmaghaniSpine if I could help others thats what matters
@euthiagoabreu
Жыл бұрын
I'm 39 years old and underwent ACDF in August 2022 for spinal stenosis with bulged disks in C4C5 and C5C6. I had worsening of symptoms when turning my head and the surgeon found my vertebral artery to be possibly compressed. He performed fusion and hemilaminectomy at C4 lamina at right. I continue to experience weakness and gait disorders and he wants to perform full laminectomy C4, C5 and C6. How's life 10 years after cervical laminectomy? I hear of epidural adhesions and kyphosis. What to expect from this procedure at the age of 39?
@ArmaghaniSpine
Жыл бұрын
with you already having a fusion in the front, the odds of kyphosis are much less. it sounds like he may want to get additional decompression from posterior but since you are already fused anteriorly kyphosis should not be an issue.
@TheAngelin2000
3 жыл бұрын
very good information
@ArmaghaniSpine
3 жыл бұрын
Thank you!
@daipayan506
2 жыл бұрын
Sir my father have c3-c4 mylomalacic change which surgery should be done
@963ag
3 жыл бұрын
If I have multiple pathology- herniations, bulges, arthritis, osteopenia and severe stenosis, why would my orthopedist recomend only a laminectomy and not a fusion? C3,4,5 are involved...I am 57. Do I need a neurosurgeon or is an orthopedist fine?
@ArmaghaniSpine
3 жыл бұрын
Hi annette. Laminectomies are sometimes suggested for patients who want to preserve motion. During a fusion procedure, motion is lost. Laminectomies are known to sometimes require fusion in the future so that is something I would ask your surgeon about what that risk is for future surgery. The laminectomy procedure, by itself, will do the job of getting pressure off your spinal cord and nerves which is the goal of surgery.
@joepublisher166
3 жыл бұрын
Dear Dr. Armaghani. I am so scared of back surgery for my spinal stenosis - I do have other health related issues (Crohn's disease, Thyroidectomy due to Papillary Cancer) and I'm no spring chicken - age: 68, not overweight though, if anything petite. I am also concerned about the recovery aspect. Is there anything you can tell me to help alleviate my concerns and worries? (btw: Great videos!)
@muhammadrafique9207
3 жыл бұрын
very nice information sir.
@ArmaghaniSpine
3 жыл бұрын
Thanks and welcome
@surinderkumar-ti9kn
3 жыл бұрын
Sir nut screw remove spine after surgery
@e-spy
Жыл бұрын
Thanks for the explanation! My surgeon is doing surgery at the back of the neck because he says prior surgery to remove nodules on my vocal cord would mean too much scar tissue (he didn't check). And he says he will use no screws or plates for the posterior cervical laminectomy at C3-4. I know I need to do something, as I have gone downhill quite dramatically in the last couple of weeks. two other surgeons recommended a diskectomy and artificial replacement. But my insurance company wouldn't cover those surgeons. Should I be worried here? Surgery in a month.
@ArmaghaniSpine
Жыл бұрын
i think it's always a good idea to get different opinions and go with the surgeon you have the most comfort and confidence in.
@e-spy
Жыл бұрын
@@ArmaghaniSpine Thank you for responding! LOL, maybe tell insurance companies that? 😃
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