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Mri help...aka can I skip surgery?

Started by logannamath on 05/30/2010 1:03am

Previous ACDF at C6-7.
No evidence of fracture. Retrolisthesis of C5 over C6. Mild osteoarthritis of the anterior C1-C2 articulation. Normal craniocervical junction.

C2-C3: Unremarkable

C3-C4: Left uncovertebral process osteophyte/disc bulge complex slightly flattening the left anterior margin of the left lateral recess. No significant central canal stenosis or neurologic compromise.

C4-C5: Broad based disc bulge. Bilateral uncovertebral process osteophytes. Ligamentum flavum hypertrophy. Narrowed anterior and posterior CSF spaces with moderate central canal stenosis. Patent intervertebral neural foramina.

C5-C6: Decreased disc height and hydration. Prominent broad based disc bulge. Large central and bilateral central disc protrusion which impinges upon the ventral aspect of the spinal cord. Associated ligamentum flavum hypertrophy which obliterates the posterior CSF space. Normal T2 signal of the spinal cord. Severe central canal stenosis. Mild stenosis of the right intervertebral neural foramina and severe stenosis of the left side.

C6-C7: Patent central canal and intervertebral neural foramina. Postsurgical changes in anatomical alignment.

C7-T1: Shallow, broad based disc bulge but not significant central canal stenosis or intervertebral neural foraminal compromise.

IMPRESSION:

1. Large central and bilateral central C5-6 disc protrusion with uncovertebral process osteophytes and broad-based disc bulge, coupled with ligamentum flavum hypertrophy obliterating the CSF cleft around the spinal cord which indicates loss of normal functional reserve of the central canal. Preserved T2 spinal cord signal. Severe stenosis of the left C5-6 intervertebral neural foramina.

2. Moderate C4-C5 central canal stenosis secondary to disc bulge and ligamentum flavum hypertrophy.

3. Status post anterior spinal fusion at C6-C7 in anatomic alignment and patent central canal.

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3 Responses

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Hi,
It does not look that bad, why would you need surgery, Is this the radioligist reading of MRI, Your neurologist will not look at this , but read it himself.
JIm

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Well the NS and Ortho spine drs seem to think surgery is absolutley necessary because of the c5-6 level and want to operate asap. I am not a newbie to spinal surgery. My c6-7 level was done in 2001. I definetly dont want surgery but basically I was told I was very close to paraylisis (sp?) Does it not sound as bad as they are saying? Any surgery that can be avoided is great :)

Here is the c5-6 level in my report.

C5-C6: Decreased disc height and hydration. Prominent broad based disc bulge. Large central and bilateral central disc protrusion which impinges upon the ventral aspect of the spinal cord. Associated ligamentum flavum hypertrophy which obliterates the posterior CSF space. Normal T2 signal of the spinal cord. Severe central canal stenosis. Mild stenosis of the right intervertebral neural foramina and severe stenosis of the left side.

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Sorry, good thing I am not a doctor, "Severe central canal stenosis". This looks very serious, What does your doctor say about this. This looks like the radioligist report, many doctors do not look at these, especially surgeons, they want diagnosis pride.

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