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

来源: 0dark30 2016-05-20 11:43:46 [] [旧帖] [给我悄悄话] 本文已被阅读: 次 (1767 bytes)
本文内容已被 [ 0dark30 ] 在 2016-05-20 11:53:55 编辑过。如有问题,请报告版主或论坛管理删除.

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. 薛成大师?

 

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

 

Thank you so much!!!

 

所有跟帖: 

你有没有问文中的neurosurgeon为什么他认为要做neck surgery,而且要先做它?理由是什么? -蓍草为yarrow- 给 蓍草为yarrow 发送悄悄话 蓍草为yarrow 的博客首页 (0 bytes) () 05/20/2016 postreply 11:51:21

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

哦。那你们要进一步请他解释,帮助你们最大程度地充分理解。还有 -蓍草为yarrow- 给 蓍草为yarrow 发送悄悄话 蓍草为yarrow 的博客首页 (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。 -家有小女初长成- 给 家有小女初长成 发送悄悄话 (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 -家有小女初长成- 给 家有小女初长成 发送悄悄话 (0 bytes) () 05/20/2016 postreply 13:29:06

你那是常见的神经根型。脊髓型就不一样了。而且脊髓型是手术指证。 -薛成- 给 薛成 发送悄悄话 薛成 的博客首页 (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- 给 0dark30 发送悄悄话 (0 bytes) () 05/21/2016 postreply 22:06:40

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

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

能够花钱得到second opnion当然是好的。还要看你们有多少时间可以充分 -蓍草为yarrow- 给 蓍草为yarrow 发送悄悄话 蓍草为yarrow 的博客首页 (41 bytes) () 05/20/2016 postreply 16:47:16

如果伴有反射亢进,那是颈部脊髓受压,就要做颈部手术。颈部问题也可以出现下肢疼痛,但是一般没有典型的坐骨神经受压症状, -薛成- 给 薛成 发送悄悄话 薛成 的博客首页 (260 bytes) () 05/20/2016 postreply 17:05:04

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

颈椎病也会影响下肢,所有去腰椎和下肢的神经都要通过颈椎里的脊髓。 -cxz2509- 给 cxz2509 发送悄悄话 cxz2509 的博客首页 (143 bytes) () 05/20/2016 postreply 17:09:43

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

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