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Need help with recent MRI results.

Started by 101542507414572... on 05/23/2016 3:20pm

Hi. I'm new here and I need your help.
In 2008 I was involved in an automobile accident where a deer knocked my car off the road. I was doing 45mph, and my car hit someone's driveway ditch, became airborne and pancaked on top of their driveway.
I only had one injury from the wreck. I had a burst fracture of my L1 vertebrae.
Since then I have become completely disabled and am now (over the last 5 years) showing severe symptoms of severe pain, immovability and numbness of my hands.
I just had my spinal cord stimulator removed last month (it hasn't worked in two years) and had a MRI ordered by my neurosurgeon to see exactly how bad it's gotten in the cervical and thoracic parts of my spine.
Here is exactly what the MRI report states (bare with me on the length.):
Technique: Multiplaner, multisequence imaging was obtained through the cervical spine without IV contrast.
History: Cervical spine pain and radiculopathy.
Comparison: CT scan dated 5/8/2008.
Findings: The signal within the cervical vertebral bodies appears normal. There is straightening of normal cervical lordosis. The cervical cord shows normal signal. There is no focal anterolisthesis or posterior listhesis identified. The craniocervical junction and atlanto-axial articulations appear relatively well preserved.

C2-3: The disc space appears normal. There is no neuroforaminal or central canal stenosis.

C3-4: There is disc space narrowing and broad-based posterior projecting disc osteophyte complex slightly asymmetric to the left. There is flattening of the ventral thecal sac and mild narrowing of the central canal. There is moderate narrowing of the left neuroformen. The right neuroformen appears widely patent.

C4-5: There is disc space narrowing and a broad-based osteophyte complex asymmetric to the left. There is flattening of the ventral thecal sac and moderate narrowing of the central canal. There is moderate narrowing of the left neuroformen. Right neuroformen appears patent.

C5-6: There is a moderately large left paracentral disc osteophyte complex. This effaces the ventral thecal sac and posteriorly displaces the cord. There is mild central canal stenosis. There is mild bilateral neural foraminal stenosis.

C6-7: There is mild disc desiccation and annular disc bulging. There is no neuroforaminal or central canal stenosis.

C7-T1: There is mild disc desiccation and a tiny left paracentral disc protrusion. This effaces the ventral thecal sac. There is no neuroforaminal or central canal stenosis identified.

Impression: Multilevel degenerative cervical spondylosis as described above. Spinal canal stenosis at C3-4, C4-5, and C5-6 as described above.

Whew!! A lot of typing!
Now. Here's the report on the thoracic MRI that was also done at the same time.

----------------------------------
Magnetic resonance imaging of the thoracic spine noncontrast.

Clinical history: Back pain. Thoracic spine pain. Previous spinal cord stimulator placement status post removal.

Comparison: CT scan dated 3/6/2014.

Findings: Multisequence multiplanar MR imaging of the thoracic spine performed noncontrast only.

Signal with the thoracic cord appears normal. The spinal stimulator device at the T7-8 level has been removed. There is artifact within the posterior soft tissues on interlaminar space consistent with recent surgery. There is fluid signal intensity in the paraspinal soft tissues posterior to the T7-8 level. This measures up to 3.7x0.9cm.

There is anterior osteophyte formation at T5-6, T6-7, T7-8, T8-9, and T9-10.

Vertebral body heights appear well-maintained.

There is mild disc space narrowing and disc desiccation at T10-11.

There is no neuroforaminal or central canal stenosis identified at any level.

Conclusion: Postoperative changes. Thoracic osteophytosis. No focal thoracic disc herniation identified. No neuroforaminal or central canal stenosis identified at any level. The thoracic spinal or maintained normal signal.

There is a compression deformity of L1 which is incompletely evaluated on this exam. There is retropulsion of the superior posterior endplate with mass effect upon the anterior aspect of the ventral thecal sac at this level. This does not appear to cause frank neuroforaminal or central canal stenosis.

Ok. That's it. The entire enchilada.... Please send me any info you can get from this.
I go back to the neurosurgeon tomorrow for him to look at the MRI disc and give me my next options.

Thanks so very much.

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