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C1-C2 surgery

mike59mmike59 Posts: 1
edited 06/11/2012 - 8:52 AM in Neck Pain: Cervical

I had cervical spine suregery in 1995 to remove an intradural spinal tumor at C1-C2. I believe that laminectomies were performed at C1 and C2. This will be confirmed with a future MRI. The neurosurgeon used x-ray to check the stability of C1 and C2 at the end of the surgery. He decided that a fusion was not required. After researching the mechanics of the C1-C2 joint, I have become fearful that the joint may become unstable, without a fusion. The tapered joint surfaces of the skull and C2 both tend to spread C1 open. So when a section of the the ring of C1 is removed, the strength of C1 against such spreading is greatly diminished. I have read that this can lead to a dangerous vertical translocation. I have done reasonably well over the past 15 years. However I do have some numbness in my left arm/hand and left leg/foot. Does anyone else have a C1 laminectomy without fusion?



  • I have had laminectomies at C1 and C2 without fusion. It has been just about 4 years since. They were done to access the C2 dorsal root ganglion. My Neurosurgeon knows how active I am and is not concerned that the area be fused.

  • I have to undergo C1-C2 hemilaminectomy. I am very afraid as I hear about spinal instability problem in future. I am only 35 years old. Out of 4 surgeons , 3 are suggesting only lamiectomy and 4th surgeon is suggesting to go for fusion. Confused which one will give fix my issue permanetly with out any major risk.

    Mike and Haglandc - Did you check with your doctors about fusion?

    Your input will help me a lot

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  • LizLiz Posts: 9,694
    this is very old thread and neither member are regulars on the site, better to make a new thread


    Veritas-Health Forum Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
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