post op C5

MRI READS:
There is residual deformity of the cervical spine with retrolisthesis at C5 and deformity with slight cord indentation extending from the C4-5 level down to the inferior C5 level.

I had surgery 21/2 years ago. Pain is still bad.

Is this something that can be treated?  I am going in to get a epudural shot for the pain do you think that will help?
I was told I may need more surgery? okay what now?
Thanks for any advise.
Shari
40 something young
San Diego Ca

[dr_simran]

Hello Dear,
Revision surgery often requires correcting a deformity. The type of revision depends on the type of problem. The procedure may include operating on both the front and back of the neck.
The incidence of complications from cervical spine revision surgery is higher than in first-time procedures. It is also more difficult to relieve pain and restore nerve function in revision surgery. Patients should also be aware that the chance of having long-term neck pain is increased with revision surgery.

Retrolisthesis is the relative posterior displacement of vertebra on the one below it. Retrolisthesis is the result of degenerative disc changes. Indications for surgery are based on severity and duration of symptoms and a neurologic deficit rather than on degree of slip. Also, if there is an obvious increase in deformity, surgery is indicated.
The pinch occurs due to buckling of the post longitudingal ligament and narrowing of the spinal canal as a result of displacement of the two vertebra. Treatment initially is activity modification and medicines  for pain control.you can give a try to epidural. If the pain is unrelenting despite best efforts or if a progressive neurologic deficit develops, then surgery may be indicated
http://www.spine-surgery.com/327_359.htm#FAQ5
Best

[spierce4]

Thanks Doc. Some how I knew you would say that. Living years and year in pain and having so many surgeries is my way of life. I am going to try my best to live with this and move forward as surgery is so hard on not only on me but my family. The surgery days were hard on all of us. I think the only way I would go back to the operating table is if I HAD NO OTHER CHOICE......I will work this out and take care of myself. One thing I dont understand is my doctor does not think I pain meds will help?
Moving on and staying strong is all I can do.

Thanks again and God Bless.
Shari