I had acdf surgery back in 2016 my surgeon told me that he didn't want me too go paralyzed so i done the surgery.for about six months i was doing fine then i got back like i was before the surgery. I am still getting worse. I have congenital spinal stenosis foremenial stenosis.ddd spondylosis, spondylolisthesis. And myelopathy. I was 45 when i had surgery. My neck started hurting me when i was 11 years old as a child i went to the doctors and they said that i was to young to hVE NECK PROBLEMS AND NOTHING WAS WRONG WITH ME. Now i am disabled. I wish the doctors would have listened to me when i was a child maybe they could have done something then.

I was diagnosed with moderate myelopathy 5 months ago. Only effects I've noticed is sensation of being on a trampoline while walking. Running is more awkward. Surgeon and I at the time agreed to hold off surgery until symptoms worsen. But after viewing this, I'm having second thoughts.

There are options ive read to fusions

Let me ask some questions: 1. Is adjacent segment disease real? Like, as soon as you get a fusion (which is the usual treatment), dont the other adjacent segments begin to immediately deteriorate faster? Do most people who get one fusion, end up having to get more parts of their spine fused down the road? 2. How many of your patients who get one neck surgery (fusion) , need another one within 5 years? 3. How many people in the general population over 40, have cord compression and mild myleopathy for the rest of their life, and never even know it because they dont go and get mris or live in countries where mris are not readily available? The problems with understanding this is the data sample. People who you have data on -- are the people who went and had mri's done. Many many many people have neck pain and never even bother going to a doctor, or live in countries where spine mri's are only for the rich. It would be nice if for a random study, a university could take like 5,000 random people over the age of 40 -- and mri all their spines and see what the results look like. The thing that scares me the most is adjacent segment disease. If you start having fusions in your 40s , what are the chances that by 70 youll have your entire neck fused? This doctor seems to indicate that their are no downsides of getting neck surgery for stenosis. But is that true? I dont know. Every spine surgeon you talk to seems to have a different take on this stuff.

My friend had posterial cervical fusion its not going great at home .

What cervical procedure would you use on an 84 yr old with moderate symptoms? Laminoplasty or fusion? And why? Appreciate your response.