![Rory Murphy MD](/img/default-banner.jpg)
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Rory Murphy MD
United States
เข้าร่วมเมื่อ 14 ส.ค. 2022
Answering spine questions people ask me in clinic
Education resource for people with spine conditions. Intraoperative videos to help visualize condition and surgical treatments.
Up-todate information on symptoms, diagnosis and treatment guidelines as well as options.
Raising awareness of cervical myelopathy
For appointments call,
19636 N 27th Ave Suite 203
Phoenix AZ, 85027
Phone: 623-562-5050 Option 2
Fax: 602-294-8277
Education resource for people with spine conditions. Intraoperative videos to help visualize condition and surgical treatments.
Up-todate information on symptoms, diagnosis and treatment guidelines as well as options.
Raising awareness of cervical myelopathy
For appointments call,
19636 N 27th Ave Suite 203
Phoenix AZ, 85027
Phone: 623-562-5050 Option 2
Fax: 602-294-8277
วีดีโอ
Thoracic Ependymoma resection with intra op ultrasound and gross total resection
มุมมอง 721 วันที่ผ่านมา
Thoracic Ependymoma resection with intra op ultrasound and gross total resection
L5 scwhanoma resection , dumbbell with extension out foramen
มุมมอง 13หลายเดือนก่อน
L5 scwhanoma resection , dumbbell with extension out foramen
Cervical Myelopathy symtoms caused by C2 meningioma , Simpson Grade 2 resection
มุมมอง 813 หลายเดือนก่อน
Cervical Myelopathy symtoms caused by C2 meningioma , Simpson Grade 2 resection
Intramedullary thoracic metastasis resection causing thoracic myelopathy
มุมมอง 1124 หลายเดือนก่อน
Rare cause of myelopathy
Degenerative Thoracic Myelopathy, Calcified disc pre and post removal ultrasound
มุมมอง 2096 หลายเดือนก่อน
Degenerative Thoracic Myelopathy, Calcified disc pre and post removal ultrasound
C1-2 fusion augmented with Fibrewire
มุมมอง 1556 หลายเดือนก่อน
FiberWire® suture is constructed of a multi-strand, long chain ultra-high molecular weight polyethylene
Cervical Myelopathy & Radiculopathy , Core Knowledge for Management and Surgical Treatment
มุมมอง 22K9 หลายเดือนก่อน
@cervicalspineresearchsociety @Myelopathyorg
Cervical C6 /superior trunk schwanoma resection
มุมมอง 4311 หลายเดือนก่อน
Cervical C6 /superior trunk schwanoma resection
Osteophytes reabsorbing over 6 months post cervical arthroplasty (disc replacement)
มุมมอง 7611 หลายเดือนก่อน
Osteophytes reabsorbing over 6 months post cervical arthroplasty (disc replacement)
Type 2 Dens Fracture reduced and stabilized with PSF , C2 laminar screws Wright technique
มุมมอง 77ปีที่แล้ว
Type 2 Dens Fracture reduced and stabilized with PSF , C2 laminar screws Wright technique
Cervical Myelopathy Case of the Week, Acute deterioration post fall , OPLL severe cord compression
มุมมอง 71ปีที่แล้ว
Cervical Myelopathy Case of the Week, Acute deterioration post fall , OPLL severe cord compression
Cervical Myelopathy Case of the Week, Meningioma causing myelopathy resection & laminoplasty
มุมมอง 127ปีที่แล้ว
Cervical Myelopathy Case of the Week, Meningioma causing myelopathy resection & laminoplasty
What does a structural fibular allograft placement for cervical corpectomy lookalike? Bone Graft
มุมมอง 95ปีที่แล้ว
What does a structural fibular allograft placement for cervical corpectomy lookalike? Bone Graft
Cervical Myelopathy Case of the Week, Rapidly progressive myelopathy improved with laminoplasty
มุมมอง 74ปีที่แล้ว
Cervical Myelopathy Case of the Week, Rapidly progressive myelopathy improved with laminoplasty
Steps for a lumbar disc arthroplasty/ replacement.
มุมมอง 74ปีที่แล้ว
Steps for a lumbar disc arthroplasty/ replacement.
Cervical Myelopathy Case of the Week, Osteomyelitis causing Paralysis ASIAB improved to ASIAD
มุมมอง 31ปีที่แล้ว
Cervical Myelopathy Case of the Week, Osteomyelitis causing Paralysis ASIAB improved to ASIAD
What cervical arthroplasty options are there? Synergy Disc
มุมมอง 1732 ปีที่แล้ว
What cervical arthroplasty options are there? Synergy Disc
Cervical Myelopathy Case of the Week: Myelopathy from meningioma and degenerative changes
มุมมอง 532 ปีที่แล้ว
Cervical Myelopathy Case of the Week: Myelopathy from meningioma and degenerative changes
What cervical arthroplasty options are there? Simplify Disc, Nuvasive
มุมมอง 3972 ปีที่แล้ว
What cervical arthroplasty options are there? Simplify Disc, Nuvasive
What cervical arthroplasty options are there? Medtronic Prestige LP implant
มุมมอง 1172 ปีที่แล้ว
What cervical arthroplasty options are there? Medtronic Prestige LP implant
What cervical arthroplasty options are there? M6-C implant
มุมมอง 1222 ปีที่แล้ว
What cervical arthroplasty options are there? M6-C implant
What is Infuse- BMP? Step 3 Placing in ALIF Cage
มุมมอง 6272 ปีที่แล้ว
What is Infuse- BMP? Step 3 Placing in ALIF Cage
First Step of Discectomy: Cutting the Annulus and Removing Disc
มุมมอง 812 ปีที่แล้ว
First Step of Discectomy: Cutting the Annulus and Removing Disc
Cervical Disc Replacement/Arthroplasty Implant Loading Implant
มุมมอง 1002 ปีที่แล้ว
Cervical Disc Replacement/Arthroplasty Implant Loading Implant
What does a cervical nerve look like after taking the pressure off as part of arthroplasty?
มุมมอง 1432 ปีที่แล้ว
What does a cervical nerve look like after taking the pressure off as part of arthroplasty?
Cervical Titanium Intervertebral Spacer/Cage
มุมมอง 3442 ปีที่แล้ว
Cervical Titanium Intervertebral Spacer/Cage
This is without surgery?
Yes no surgery
I'm curious about your thoughts (or from others here) about endoscopic approaches for decompression that don't involve fusion. I've seen a neurosurgeon who suggested a 4 level ACDF. I'm very concerned about that because of the possible need for a revision down the road due to adjacent segment issues. If decompression can be achieved without fusion, I'd be really happy. I'm just not certain about the efficacy of that procedure. I realize that ACDF has been around for a long time. It just seems like an endoscopic approach is much less invasive, lower blood loss, and shorter recovery time. Thanks for any input from anyone here.
Both work very well, it really depends on symptoms and imaging that a experienced cervical surgeon can explain carefully to help you achieve your goals
Thank you for the quick tutorial Dr. Murphy. Have you seen any long-term Simplify Disc patients displaying instabilities at the facet joints with this disc?
I have used the simplify disc for a number of years with good results , to my knowledge no specific disc has been shown to be superior to another
I have cervical stenosis had injury . And symptoms gotten worse over year , it started in left arm now both arms , I can not use both arms, doctors keep going back n forth.. say it could be in my head. But I'm losing muscle n function of my arms.
Yes the waiting time in Dublin Ireland is very long but the doctors and nurses are excellent.❤❤❤
Amazing explanation.my husband is presently in the hospital matei Misericordia in Dublin looking like radiculophaty...thank you so much ❤❤❤
I hope he does well and wish him a healthy recovery
Is this translaminar fixation?
Yes c2 translaminar acres
Screws
@@cervicalspine where does the bone graft go in this technique? It seems like it would be difficult to chisel out a piece of bone graft to fit over the c2 spinous process while also securing it to the posterior arch of c1 like in a goel harms technique.
Where are dr. And how to reach you so i can do a surgery
yu can educate people so much more with narration to the video, I have no idea what this video means or anything
Excellent
Thank you for this wonderful presentation. I just wanted to point the fact that the patients have no control over the waiting times before they get their surgery especially in Canada where I live. It takes at least a year to have an MRI done followed by at least another year to see a spine or neurosurgeon and more waiting before the surgery finally happens. It is imperative to shed more awareness about this condition, especially as the prognosis after surgery is much better if it’s performed within 6 to 12 months from the onset of the noticeable deterioration. Thank you again for being passionate about this topic
So, does the rupture in the disc heal?
A soft disc herniation often does
@@cervicalspine So what kind of recovery will there be? weak or medium, strong or strong?
i am a 51 years of age. have both myelopathy and radiculopathy. started with severe back shoulder pain and electric pain shooting down my arm at the worst when running jump roping during my cross fit work outs. ortho surgeon order MRI- (had one from over 1 year that only showed DDD at c5 and c6) now tolf have budge disk and stenosis that is flattening my cervical spine at those disk area. Doctor , said i have some weakness on left side of arm and hyper reflex on knee cap test. HE told to cease cross fit and any impact sport as it is damaging the cells inside my spinal cord. This is a huge set back for me to have to stop my fitness work outs when dealing with pre menopause symptoms. I had an epidural injection that relieved the radiculopathy symptoms for the first 2 weeks. The Surgeon is recommending a 2 level subtotal corpectomy. He explained that he would use an ultra sonic tool to remove the stenosis around my nerve and fuse my c5 and c6 in. he said due to my age this will help me been able to work out after 3 months recovery although is recommend I switch to something else than cross fit. I am getting a second opinion from a neuro surgeon only because I was not offer any other treatment options. I just downloaded the Movemed app. What do think about my case?
How long it takes?
It varies but many peoples symptoms improve over 6-8 weeks
Thank for this very thorough presentation, it’s very informative. I’m a 60 years old female, retired paediatrician since 2 years. I experienced some subtle pain and weakness of my right hand and wrist along with loss of temperature sensation in 2013, had a normal EMG normal head MRI but no neck MRI was ordered then, my symptoms lasted for few weeks and resolved spontaneously. After that I started experiencing intermittent neck pain with limited range of motion along with episodes of unbalance, lower limb debilitating cramps, upper limb and skull allodynia, this led to a sole diagnosis of Fibromyalgia that lasted for about 5 years and wasn’t questioned by my providers despite me having most of my symptoms on the right side and developing increased lower limb weakness along with progressive loss of mobility and extreme fatigue. I ended up retiring at age 58 to be able to recover as I was made to believe that all my symptoms were related to anxiety and stress. Retiring helped with my fatigue and reduced the frequency of my symptoms, however as I became more active doing some walking and hiking in Spring 2023 I developed shouting electric pain in my arms along with scalding sensation of my upper body that finally prompted my doctor to order neck X-rays and cervical MRI which showed severe protruding disc at c6c7 along with multilevel foraminal stenosis and degenerative disc disease. These findings were made in September 2023, in the meantime I haven’t been very active except for some indoor biking as it’s the only activity that I tolerate without triggering any pain. Walking causes me severe mid back pain along with numbness of the right thigh and sharp heel pain, I had a lumbar MRI that showed multilevel mild degenerative disease with mild foraminal stenosis. My painful symptoms still come and go but my loss of mobility is progressive, I had an EMG that was normal, and I had 2 neurological examinations one performed by a physiatrist that was positive for both upper and lower extremity hyperreflexia along with a positive Hoffmann on the right hand, the other exam was performed few weeks later by a neurologist and was negative. Based on the EMG my providers put a hold on consulting a spine surgeon and preferred to keep relating my symptoms to Fibromyalgia which by the way is not a convincing diagnosis for me as most of my symptoms are on the right side and there are major positives findings on the cervical MRI as I mentioned before. I feel strongly that I should have a spine surgeon opinion and your presentation convinced that I should fight to get it as soon as possible. Thank you so much for this informative video.
This was a great presentation and i took notes. I have watched it twice. Very informative.
Glad it was helpful!
super large incision..
Hypoplasia of right carotid artery and cervical myelopathy and radiculopathy will having a ACDF be a problem can you talk about. Thanks
I was told I had myelopathy and had 3 level ACDF 2 years ago. My arm became numb and my hands weakened. Also progressing back pain along scapula and shoulders. Original surgeon said partial fusion at C6/7 and put in Dtrax wedges. No improvement. Xrays and CT show foramen compression, severe. Saw a neurosurgeon and had myelogram. That report says Partial bony fusion across the disc space is seen at the C6/7 level with incomplete fusion laterally. There is no bony fusion at the C4/5 level. Original surgeon says I fused completely. Not sure what to do next, if anything. Thanks. And thank you for this interesting video.
Hopefully the a&e in RVH Belfast get an update...I was sent home 3 times...last time by a neurologist reg who lied told me I'd see neurologist and have mri in 2 weeks! I'd been suffering from Oct 19 and had to have emergency posterior laminectomy after eventually being admitted for 6 weeks and still sent home with wrong diagnosis end Feb 2020..op April 2020 and I'm left with permanent damage and complete life change! So cross I knew there was something wrong with me but just ignored!
Hey doctor I have a question I had a mri on my neck like about 9 months ago. Was told I have Cervical Myelopathy with significant cord compression c5 c6. I have symptoms of 24/7 constant lightheadedness/dizziness that never goes away. When I bend over to pick something up from floor, it intensifies my lightheadedness. Been a couple years now feeling these symptoms. Had vertigo twice also (where It feels as if room is spinning). Other than that im brain fogged with lightheadedness/ Dizziness everyday. Does it cause any of these symptoms im explaining?
Yes sometimes can cause these , good to get reassessed by a local neurosurgeon
Dr. Murphy thank you for the wonderful presentation.
Glad you enjoyed it!
I have lost most of my motor skills. Partner and i went over a pothole on the road, That is how i found out through xrays. I am 53. i am dizzy all the time so driving is not an option, I can hardly walk yet doctors havent a clue
Is there supposed to be audio?
😅
Doc.how many days to recover after surgery from cervical myelopathy
It varies , recovery from surgical pain and swelling can range from a few days to weeks, the spinal cord generally improves the most over the first 6 months post op
Would you feel comfortable putting this is an athlete or someone who trains in martial arts
Yes , there are many athletes back competing after an arthroplasty
Thank you. To clarify I’m asking, would you put the simplify disc in a contact athlete?
So will this procedure help with foot drop??
Yes in some cases
Can someone explain briefly what just happened? And in what disease we can see this phenomenon?
Hoffman sign is an involuntary flexion movement of the thumb and or index finger when the examiner flicks the fingernail of the middle finger down. The reflexive pathway causes the thumb to flex and adduct quickly. A positive Hoffman sign indicates an upper motor neuron lesion and corticospinal pathway dysfunction likely due to cervical cord compression. However, up to 3% of the population has been found to have a positive Hoffman without cord compression or upper motor neuron disease.
This is amazing, thank you for sharing! It's so reassuring that complete recovery is possible with time and consistent effort. I've been self-treating a cervical herniated disc with: 1. spinal decompression blow-up pillow 2. red light therapy tried many other things, but this combination along with inflammatory herbal ointments has been the most effective
Are you healed??
Amazing , but can collagen supplement really help to get back a full shape disc ? Thanks Doctor.
Unfortunately no evidence that supplements help. Just time. only good proven way to decrease your risk is to avoid smoking , moderate exercise and maintain your ideal body weight
I was born with this in jury. It sucks in a lot of ways. I can’t do push ups or pulls ups I can’t play basketball or basic things
How long does it last? How many years is it good for?
There is a lot of ten year data for cervical arthroplasty systems
Is it real?
Yes real example healed naturally with time ,
I am having same issue.. should I use collar for 1 yr
Spontaneous regression is very rare in cervical disc buldge
@@cervicalspine age of patient or is that irrelevant? I have a c7 nerve impingement awaiting a steroid injection
Many different variables , soft discs can often revolve on their own
How did this get fixed?
Time , fragment dissolved on its one
Nice upload sir 👍
Thank you 👍
Can the plexus be completely healed by surgery?
Unfortunately not healed entirely but sometimes improved
Wow
What are your opinions on pro disc cervical? And is it possible to still have cervical adr after endoscopic posterior lamintomy form at c34 with 1/3 facet drilled. I'm getting mixed reviews in nyc.
The pro disc is an excellent implant with years of international data supporting it’s use, I use the lumbar pro disc with good results A disc replacement can be carried out after a small laminectomy but very much depends on the amount of bone removed and facet involvement. Results can be variable. An ACDF is probably a safer option in this situation but get guidance from a number of surgeons
I hear lots infections issue w m6
Infection rates with all disc replacement systems are traditionally very low. I am not aware of any conclusive data showing higher infections with one implant over another. I don’t use the M6 implant but it has excellent long term data supporting it’s use. Osteolysis and heterotopic bone formation are more common risks with all cervical implants. Other risks include but are rare cerebrospinal fluid leak, nerve root injury, esophageal injury, dysphagia, prevertebral hematoma, prosthesis migration, implant subsidence, postoperative C5 palsy, and hoarseness
@cervicalspine do you still feel this way? I'm between m6 and prestige.
This looks terrifying
That looks kind of disgusting , but I do want to be a doctor in the future
Amazing how they can tell such details. It's all just a red mush to me.
Wow