Update: Laminoplasty for my dad, 76 --- Caling for 薛成大師 and all

本文內容已被 [ 0dark30 ] 在 2016-05-20 11:53:55 編輯過。如有問題,請報告版主或論壇管理刪除.

My dad's neurosurgeon now insists on two laminoplasty surgeries on the neck area and lower backarea. My dad has trouble walking but has no complaint about arm pain or neck pain. I tried to talk to the surgeon about getting only the lower back surgery, but he can't be swayed. The surgeon also insists on getting the neck surgery done first. Is there any reason neck has to be done first? My dad is only looking for some pain relief while walking, he does not want two surgeries. Anyone with similar experience please advice. 薛成大師?

 

Please let me know if you want to see the MRI pictures.

 

Thank you so much!!!

 

所有跟帖: 

你有沒有問文中的neurosurgeon為什麽他認為要做neck surgery,而且要先做它?理由是什麽? -蓍草為yarrow- 給 蓍草為yarrow 發送悄悄話 蓍草為yarrow 的博客首頁 (0 bytes) () 05/20/2016 postreply 11:51:21

yes, he said compression in both areas contributed equally to le -0dark30- 給 0dark30 發送悄悄話 (0 bytes) () 05/20/2016 postreply 12:45:28

哦。那你們要進一步請他解釋,幫助你們最大程度地充分理解。還有 -蓍草為yarrow- 給 蓍草為yarrow 發送悄悄話 蓍草為yarrow 的博客首頁 (68 bytes) () 05/20/2016 postreply 14:05:29

如果是走路困難是腰椎問題,頸椎是反映在手和手臂。手術千萬要慎重。 -家有小女初長成- 給 家有小女初長成 發送悄悄話 (0 bytes) () 05/20/2016 postreply 13:20:00

手不疼頸不疼為啥要手術?如果我是你,我會換醫生 -家有小女初長成- 給 家有小女初長成 發送悄悄話 (0 bytes) () 05/20/2016 postreply 13:29:06

你那是常見的神經根型。脊髓型就不一樣了。而且脊髓型是手術指證。 -薛成- 給 薛成 發送悄悄話 薛成 的博客首頁 (0 bytes) () 05/20/2016 postreply 17:36:11

how to tell if it is 脊髓型? Can you tell from MRI image? -0dark30- 給 0dark30 發送悄悄話 (0 bytes) () 05/21/2016 postreply 22:06:40

I said the same thing, but the doctor would not budge, it has to -0dark30- 給 0dark30 發送悄悄話 (0 bytes) () 05/20/2016 postreply 15:56:09

both if he's doing it. It just feel unreasonable -0dark30- 給 0dark30 發送悄悄話 (147 bytes) () 05/20/2016 postreply 15:59:20

能夠花錢得到second opnion當然是好的。還要看你們有多少時間可以充分 -蓍草為yarrow- 給 蓍草為yarrow 發送悄悄話 蓍草為yarrow 的博客首頁 (41 bytes) () 05/20/2016 postreply 16:47:16

如果伴有反射亢進,那是頸部脊髓受壓,就要做頸部手術。頸部問題也可以出現下肢疼痛,但是一般沒有典型的坐骨神經受壓症狀, -薛成- 給 薛成 發送悄悄話 薛成 的博客首頁 (260 bytes) () 05/20/2016 postreply 17:05:04

Thanks!! My Dad's pain is localized in one leg, starting from -0dark30- 給 0dark30 發送悄悄話 (494 bytes) () 05/21/2016 postreply 21:55:05

頸椎病也會影響下肢,所有去腰椎和下肢的神經都要通過頸椎裏的脊髓。 -cxz2509- 給 cxz2509 發送悄悄話 cxz2509 的博客首頁 (143 bytes) () 05/20/2016 postreply 17:09:43

yes agreed. The goal is to improve his quality of life through s -0dark30- 給 0dark30 發送悄悄話 (82 bytes) () 05/21/2016 postreply 22:05:11

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