Dr. Asfahani is one of the best Drs I've ever worked with. He cares deeply and is passionate about his profession. I actually remember asking him about this when I worked with him years ago. Folks, this man knows his stuff and does great things.

@neurosurgeryone

2 жыл бұрын

Thanks, James, for sharing this comment. Hope you are doing well.

Thank you very much. Excelente presentation!

Very good information comparing anterior and posterior spinal surgery...

Perfect explanation

@neurosurgeryone

Жыл бұрын

Thank you, glad it was helpful!

This is really useful. I have multilevel (C4 to C7) disc herniation (from a severe whiplash injury a few years ago) and degeneration with mild signal changes in the cord at C4/5. I also have Hypermobile EDS. I have just lost the use of my left hand and so I'm now waiting for a referral to the spinal team (I'm in the UK so the wait may be a long one!) My concern was the impact of a fusion on adjacent vertebra as this is a recognised issue for fusion surgery in EDS - and a problem I've had with other fusion surgery (not spine). It looks like disc replacement and debridement(?) is the best option. Restoring hand function is a work in progress! 😅

@jmd.5899

4 ай бұрын

I hope you better soon. Have you had your surgery already?

The Germans left ball and socket disc replacements more than a decade ago, viscoelastic discs such as cp-esp and lp-esp are far superior to anything in the US, and they are doing many 3 and 4 levels successfully!

@kevinrichardson6686

6 ай бұрын

I watched a video in Germany on it this guy had 4 done and was a new person

I just had this done yesterday 👌I had a nerve caught which was constantly in pain due to auto accident 3 dics came out and nerves were pinched. Waking up I can feel the nerve is free I was bone on bone... I do feel a different kinda pain not nearly as painful as when the nerve was pinched

@msCindyZ

2 жыл бұрын

How are you doing today? Where did you have this done? I’m in California

@neurosurgeryone

Жыл бұрын

Glad to hear you found some relief, we wish you continued health and improvement in pain.

I am fused from either T1 / T2 to L3/L4 is it a possibility that is why i now have a herniation around c5 c6 or could it just be fron pressure transfering to the above unfused segment from lifting items that might be too heavy for the muscles in mt back shoulder and neck becsuee it came on 1 week after i lifted a very heavy child and then i had ear pains from it but relaised i was getting ear pains earlier in the year when i probably lifted things doing house decluttering and house repairs and perhaps it was progressing and got worse with lifting the child?

I’ve had anterior and posterior fusion after a car accident, C4-C5 are fused. Still walking!

Hi, I am Md Rokibul Hossain from Bangladesh, I am suffering with Ankylosing Spondilities from 14+ years. Didn't move my neck because My survical disc (c1,c2,c3) fused, want to know is it possible to resolve?

interested because i get opinion for most spine surgeon in the past that my disc are ok (i will do MRI before 5 years and the image show disc problem and them give me to develop arthritis in facet and i m also suffer from neck and now its arrived to pinch the cord from back

@neurosurgeryone

2 жыл бұрын

Do you live in Colorado? Please call our offices or go on our website to schedule an appointment or telehealth consultation and we can review your images and discuss options with you. Thank you.

@neurosurgeryone

2 жыл бұрын

Because you mentioned that you've been told that your spinal discs are not causing your pain, we wanted to let you know about a new procedure being done by Dr. Mobley in our Lone Tree and Castle Rock offices: www.neurosurgeryone.com/treatment/intracept-basivertebral-nerve-ablation/ This condition is often overlooked. If you are in Colorado, Dr. Mobley can review your MRI and have a phone or telehealth consultation to tell you if this condition is affecting you and whether you are a candidate for this procedure. He also will soon be offering another minimally invasive procedure for back pain caused by muscle failure.

My dr. Wants to fuse neck and back replace 4 disc from commercial vehicle who hit me in which I was a passenger,been over a year, 1st dr. Kept pushing for surgery ,then I got second opinion doing 1st round injects neck next week and and whole round again in lower back soon. Surgery’s are scary as hell 2 fusions 4 disc. I got time I know my case is gonna take years.

@alang4193

Жыл бұрын

I'm in kinda the same boat -- I've seen 3 neurosurgeons now and they all say that I need from 2-4 laminectomies in lumbar and either 3 ACDF or 3 disk replacements in cervical spine. I'm not excited to jump into something so invasive. I just found Sonospine in Phoenix, AZ and I'll have them review my case. They look/sound very promising and their process makes a lot of sense to me, but IDK yet if I'm a candidate. They sure have a lot of positive reviews from patients!. I hope that you find success 👍

I’m seeking medical opinions for disk replacement vs fusion and was told by a neurosurgeon that because my spinal cord is being compressed and showing sign of damage I couldn’t do a artificial disk replacement. Fusion is the only way to go. But a orthopedic surgeon said I he could perform disk replacement. I would much rather as I’m only 37. Which is the best way to go?

@kaitlynwiggins2328

8 ай бұрын

Did you get any answers? I’m 38 and my neurosurgeon is recommending fusion. I don’t want a lifetime of surgeries

@brians2328

6 ай бұрын

Consult Dr Schmitz in Dusseldorf Germany, he has massive experience!!

@guysmiley643

5 ай бұрын

@@kaitlynwiggins2328 I had the disc replacement at c4-c5 neurosurgeon did the procedure. I never got any relief and the pain is almost worse now. It’s been 8 months and now the neurosurgeon is saying he needs to remove the artificial disc and do a fusion from c4-c7

@guysmiley643

5 ай бұрын

I’m only 39. That’s why I went for the artificial disc. The surgeon said my body didn’t like that space to be open. He said bone spurs are already growing at the level I had the surgery. I was told a fusion would fix it.

@MiklaDfar

Ай бұрын

BULLSHIT...this is a typical conservative response by MANY doctors. I was told the same thing before seeing Dr. Choll Kim in San Diego. I had to fly from FL to CA to have the surgery, but it was worth it.

What about DISH destruction.

Hi, I did a 2 level ACDF (C4,C5) 2014.. now it seems that C3 above and specially C6 below are also impacted and I would need to make a 4 level ACDF !! is there any way to take away the current 2 level ACDF C4&5 and replace it with the Protese Disk for better mobility ?

@rakishman1313

Жыл бұрын

Yes for better mobility

@eddiemiranda469

Жыл бұрын

Excellent question I have 3level fusion don’t want to have this kind of surgery too tough for me and I just have 2 month. Since

@brians2328

6 ай бұрын

99 percent no.. in the 1% chance the fusion of the vertebrae fails, maybe.. there aren't many guys in the world doing that though

Thank you for answering some of my questions. I have cervical spine stenosis pain numbness tingling. One surgeon would like to do ACDF C3 four C4 5C65 and C67 fusion. Another surgeon suggest three disc displacements., Though he said he may have to fuse one when he got in there due to the fact there was a cyst on a vertebrae. The opinions were within the last month within the same MRI or MRIs. I’m extremely active 57 year-old weight training, w nine-year-old boy. far from normal in that department. I also have stenosis in my lower back that doctors have discussed operating since my 20s. I’ve learned to live with that kind of at a certain level cervical pain really went south two months ago. I’m confused exactly what to do. Anyone can help. Let me know. I live in Florida.

@teemack202

5 күн бұрын

Elon musk has 2 level cervical Fusiiin , 8-10 pain level down to 1-4 daily. So not gone but greatly reduced. I bring him up bc you know the richest man on the planet has the BEST , team , surgeons , advisors and they told him ARD- but my point is - he still has some pain but he has full range of motion practically. I’d do the disk replacement . Maybe give it a few months to see how it is but I’d go for that if they actually think you are a candidate for the ADR. Best of luck. Awesome you have a 9 yr old son at 57 - that gives me hope.

I had my neck and back fused a couple of years ago but failed 😞 i had 3 surgeries on my neck I had 4 bones replaced from cadaver I was diagnosed with failed back syndrome I’m in a lot of pain ,getting a lot of headaches in the back of my head down to my neck to my shoulders ,to my back lower back to my legs all the way to my toes my arms are numb I had 4 bones replaced with cadaver bones in my neck my back is numb all the time also a lot of pain feels like I’m been sliced with a very sharp knife , I feel my flesh been torn,stabbing,sharp needles,my lower back feels frozen hard but painful I don’t sleep at night but 1 or 2 hours if I’m lucky ,I can’t seat down for more than 10 minutes because the pain in the back starts hurting really bad after my surgeries my sciatic nerve has been hurting driving me crazy also I was told I have 3 herniated discs in my lower spine can you suggest anything that would help my situation

@1984Brandon

Жыл бұрын

I've heard of something called Tame The Pain where they implant an electric charge to shut off pain receptors.

@nikitagulin536

9 ай бұрын

Omg, how are you now?

@22-abqariyahyakheen59

7 ай бұрын

How are you now?

I have hernias at 4 levels of my Cervical spine which are causing nerve compression. I am experiencing pain, numbness and muscle spasms. Am I a candidate for artificial disc replacement?

@neurosurgeryone

Жыл бұрын

Unfortunately, Kaelin, the FDA has approved ADR for a maximum of two levels so you would not be a candidate. However, there are other surgical procedures that are very effective for patients who do not qualify for ADR. If you live in Colorado, I'd be happy to have a consultation with you to explore options.

@alang4193

Жыл бұрын

@@neurosurgeryone Since when has the FDA done us any favors? I of course don't know why the FDA has only 'approved' up to two levels, but it seems that the FDA operates on bribes & corruption (same as WHO, CDC, NIAID, et. al.) so I wouldn't put much weight in their opinion. I met with neurosurgeon in Reno yesterday who offered me a 3 level cervical disk replacement with the understanding that it's not FDA approved. I asked him if Medicare will cover it and he said that they have covered all the other 3&4 level replacements that he has done. Interesting that one government agency doesn't approve of what another agency covers :-)

@scott5609

6 ай бұрын

I have had posterior c2-c6 fusion at mount Sinai ny Dr. Steinberger he is ausome

I have a disc replaced in 2008 In C5-6 The bone has grown over the replacement. I’m in chronic pain 24/7

@neurosurgeryone

2 жыл бұрын

Hi Cindy. We are so sorry to hear of your condition--no one should have to live with chronic pain. We see that you are in California. Unfortunately, we are in Denver and can only provide telehealth consultations to people in Colorado at the current time. If you have family in Denver and would like to come see us, we can have the first appointment in person and subsequent appointments via telehealth. We also might be able to provide you with a referral to a neurosurgeon in your area if you'd like. Please let us know where in California you live and we can check with our spine surgeons to see if they know anyone in your area. Thank you and best of luck to you.

@tracyfortier1528

2 жыл бұрын

What is the name of your disc replacement? Did you always have pain post surgery, I have MobiC and mine is fusing

@Rollwithit699

Жыл бұрын

​@@tracyfortier1528 Is this a common occurrence? I'm considering disc replacement at C4-5 and C5-6 versus fusion.

@noemithompson6486

10 ай бұрын

I have herniated bulging discs in my c5-7. Pain management did RFA but it did nothing for radiculapothy. My nerves are being affected and I'm always with migraines, neck pain and numbness and tingling down my arms, also pain in my upper arm and weakness. I saw a neurosurgeon and he said I do need a disc replacement. I saw a spine specialist and he agreed. Surgery is terrifying to me. I do have inflammation as well from arthritis. I don't know what to do. I also have same situation with my lower back in l4_7. It's just too much going on. I'm in pain head to toe basically

Which is best ACDf or ADR for long term

@neurosurgeryone

Жыл бұрын

Hi Raja. The answer is not really black and white. ADR has shown slightly decreased rates of reoperation in the long term, compared to ACDF, and there are some recent studies that have shown slightly decreased pain long term. But the caveat is that in patients who have facet arthropathy or spondylolistesis, ACDF is superior. Plus ADR is only FDA approved for 2 levels. I hope that helps. Here is a link to a free guide on ACDF vs ADR: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/www.neurosurgeryone.com/wp-content/uploads/2021/05/2201_NSO_CervicalOptionsDL_FINAL.pdf

@NiccBlacc-NCBC

4 ай бұрын

And what happens if after 2 levels of ADR years after they have problems either above or below the cervical fusion then they would do a ADCF below but can't put ACDF above because of the weight on ADR?

CHIROPRACTOR SCREWED ME UP

Hello hope your doing well sir I have a problem in my nick I have some images of my MRI can you please have a look what is wrong in my nick because I have pain good one year and doctor are keep giving me muscle relaxation medicine please help me provide email want to share my images and if there is any solution will be much appreciated

@neurosurgeryone

2 жыл бұрын

Please call our offices at 720-638-7500, Option 3 (Parker office is where I work), and my scheduler will work with you to obtain your images. Muscle relaxants have not been studied for long-term use, so you should seek treatment to resolve the underlying condition causing your pain. Thank you.

@romankhan7068

2 жыл бұрын

@@neurosurgeryone sir please provide email because I am living in Switzerland email can be very easy way to contact you thanks for your reply sir

@neurosurgeryone

2 жыл бұрын

@@romankhan7068 I am sorry but our laws prevent me from caring for someone outside of Colorado, USA--even providing an opinion on your MRI images. I am sure there are many good spine surgeons in Switzerland and I wish you well.

@romankhan7068

2 жыл бұрын

@@neurosurgeryone 😭😭😭 sir please have a mercy

But the artificial disc may pop up out of its place after surgery.

@MiklaDfar

Ай бұрын

wrong

Is 31 years old too young for disc replacement surgery?

@shukripetersen8750

5 ай бұрын

I had disc replacement surgery a few days ago, just a few days after my 37th birthday...

@NiccBlacc-NCBC

4 ай бұрын

​@@shukripetersen8750how does the disc feel when you woke up from surgery?

@shukripetersen8750

4 ай бұрын

​@NiccBlacc-NCBC I felt abit tender after surgery but was allowed to move my head immediately after, a few weeks now post surgery I'm back to normal.

I had both done and it did not work

@shannonfarrell1786

2 жыл бұрын

Why did the replacement not work?

@melodymiracle1407

2 жыл бұрын

@@shannonfarrell1786 the cadaver bones were 2 small and crippled me... Thanks to another doctor from Levine Cancer who gave me my life back... I now have rods in my neck and upper back

@neurosurgeryone

2 жыл бұрын

Melody, were you a patient of Dr. Asfahani? If so, we would like to speak with you about your experience. Could you please call 720-638-7500 and ask for our practice manager to provide details? If you had this done elsewhere, we are sorry for your experience and happy to hear that you are now doing well. Thank you.

Aside from thoracic I wouldn’t want fusion.

@neurosurgeryone

Жыл бұрын

When possible, we recommend disc replacement. However, disc replacement is only approved for two levels so if there are more levels involved, fusion is necessary. Thank you for commenting.

@loghmanmostafaei516

Жыл бұрын

@@neurosurgeryone I have been living with headaches all my life, about three yrs ago comes along chronic neck pain. My neurosurgeon diagnosed me with that I born with c5-7 lean forward sending me to pt chiropractor and done rhyzotomy twice on both side of my neck. She wanna discuss ACDF on January 3th, my Q is why not ACDR while is not more than two levels? Do I have a choice? Also I saw a comment saying bone grow over the disc?

Sir I have a doubt about surgery.fusion or disc replacement witch one is better.

@neurosurgeryone

2 жыл бұрын

Both spine surgery procedures have good results if patients are carefully selected. Whether fusion or replacement is better depends on your specific spine condition. I am happy to discuss this with you. Please call our offices at 720-638-7500, Option 3, to schedule an appointment with me. Thank you.

@vissuvishwa7239

2 жыл бұрын

@@neurosurgeryone thanq

@JillyBean1968

14 күн бұрын

I honestly think disc replacement Because it has better longevity, and you shouldn’t have problems moving your neck afterwards. My worry is as not being able to have the flexibility I use to have, but honestly I think it would be best to ask your neurosurgeon which one would be the best for your particular situation. Everyone is different. Beast of luck to you .❤