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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Numbness And Tingling In Legs With Burning Sensation Due To ACDF?

had a acdf 10 weeks ago having pretty much the same symptoms i began with. numbness and tingling down left arm also left ear ringing and buzzing feeling down legs to feet mostly left side also travels burning sensations down chest to thighs and calves . call dr going to schedule mri again
Mon, 15 Feb 2016
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Neurologist, Surgical,  's  Response
Hello. Thanks for asking from HCM.


I can understand your concern. As you have had ACDF 10 weeks before and similar symptoms have recurred, it might be due to compression at same level. This has happened due to

: Displacement of graft or cage - It can happen after ACDF if proper fusion and compression over graft are not present. It leads to displacement of graft or cage and compression over cord/nerve.

It can be confirmed by CT cervical spine and MRI of cervical spine. CT is advised to look for bony anatomy and MRI for cord status. After confirmation, you might need another surgery to fix it and relieve compression. Rescue screws may be used to fix plate.

: Another cause could be vertebral collapse due to osteoporosis/osteomalacia leading to displacement of graft and collapse of bone in canal.

Management will be similar to above mentioned condition. Bone cement may be used to fix screws in bone.


At home, you can follow few tips to avoid further deterioration

: Avoid neck movement specifically flexion
: Use rigid neck collar
: You can take B12 supplements with other nerve specific elements like chromium, Folic acid, Thiamine
: For tingling, you might take Pregabaline after proper prescription
: Avoid weight lifting
: Get your Vitamin D3 level checked. If it is low, start Vit D3 supplements after proper prescription

Hope it will help you.

Thanks. Take care.

Dr Ishu Bishnoi
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Are Numbness And Tingling In Legs With Burning Sensation Due To ACDF?

Hello. Thanks for asking from HCM. I can understand your concern. As you have had ACDF 10 weeks before and similar symptoms have recurred, it might be due to compression at same level. This has happened due to : Displacement of graft or cage - It can happen after ACDF if proper fusion and compression over graft are not present. It leads to displacement of graft or cage and compression over cord/nerve. It can be confirmed by CT cervical spine and MRI of cervical spine. CT is advised to look for bony anatomy and MRI for cord status. After confirmation, you might need another surgery to fix it and relieve compression. Rescue screws may be used to fix plate. : Another cause could be vertebral collapse due to osteoporosis/osteomalacia leading to displacement of graft and collapse of bone in canal. Management will be similar to above mentioned condition. Bone cement may be used to fix screws in bone. At home, you can follow few tips to avoid further deterioration : Avoid neck movement specifically flexion : Use rigid neck collar : You can take B12 supplements with other nerve specific elements like chromium, Folic acid, Thiamine : For tingling, you might take Pregabaline after proper prescription : Avoid weight lifting : Get your Vitamin D3 level checked. If it is low, start Vit D3 supplements after proper prescription Hope it will help you. Thanks. Take care. Dr Ishu Bishnoi