should I have cerival fusion surgery?
C4-5 chronic disc protrusion asymmetric to left with osteophtic changes and facet arthropathy causing mild central canal stenosis measuring 8.4 mm in AP dimension and encroachment upon the anterior subarachnoid space, left greater than right recess proximal neural foraminal narrowing.
C5-6 sizeable broad based right sided disc protrusion and prominent osteophytic changes causing moderate canal stenosis. canal narrowing to 6mm in AP dimension. There is indentation upon the rightward aspect of the cord which is slightly flattened. There is right greater than left neural foraminal narrowing potentially symptomatic involving right sided exiting nerve root.
C6-7 again there is modest sized right osteophyte disc complex causing right greater than left recess stenosis and mild central canal stenosis.
Impression: This unenhanced MRI of cerival spine shows degenerative changes and chronic disc protrusions at C-4,C-5 and C-6-7 where changes appear more pronounced when compared to previous study. At C5-6 there is a sizable chronic disc protrusion osteophyte asymmetric to right causing moderate central canal stenosis as well as right lateral recess and nerual foraminal stenosis that potentially could be symptomatic involving the exiting right C6 nerve root at this level. At C6-7 there is also predominantly right paracentral disc protrusion and osteophyte complex that causes modest recess and neural foraminal stenosis and mild central canal stenosis that could potentially be symptomatic involving the exiting right sided nerve root at this level.
At C4-5 there is an osteophyte disc complex that is asymmetric to the left causing mild central canal stenosis and left greater than right neural foraminal narrowing without definite neural element compromise.
I have moderate to severe pain with numbness and nerve pain down my right arm into hand. I have just recently started to drop things and have been having difficulty working as a dental hygienist. I have been progressively getting worse since 2002 when this was first diagnosed with MRI. Contemplating cervical fusion at C5-6 and C6-7 due to pain levels and inability to work. Just getting opinions outside my spine surgeons advice.