My mother is facing problem in her lower back since around 2 yeasrs. She feels burning sensation in her thigh region in leg. We consulted many physicians but nothing helped, we even did home massage with oil, hot water with salt, but nothing helped. one week back we went to Neuro Surgeon and he recomended surgery as he diagnosed my mother with Cervical SpondylosisCervical spondylosis. Since 2-3 months my mother is feeling numbnessNumbness and tingling in her both hand fingers. But she has no pain in neck region.We counsulted two neurosurgeons and both said to operater her from back and neuro spine surgeon said to operate her from front. I am presenting the MRI report of her.
MR imaging of the cervical spine was performed and high resolution T1- & T2-weighted serial sections obtained in the sagittal & axial planes usng a phased-Array surface coil on a 3.0Tesla scanner with high strength gradients.
The study reveals evidence of a lobulated band extending from lower border of C3 to D2 vertebral body causing commpression over underlying spinal cord. It demonstrate hypointense signal on both T1 & T2W Images. There is posterior displacement, effacement of anterior subarachnoid space & thining atrophy of cervical spinal cord.
Subtle Intramedullary hyperintensity is seen involving cervical spinal cord at C3 to C7 level suggests cord oedma/myelomalacia. The intervertebral disc spaces appear normal. No prevertebral and paravertebral soft tissue abnormality seen. Posterior fossa structures appear normal.Screening of lumber spine reveals posterior bulging of L4-L5 intervertebral disc.A few Schmorl's nodes are seen involving lower dorsal & upper lumbar vertebrae.Uterus appears bulky with presence of fibroids.
1) MR findings are suggestive of ossified posterior longitudinal ligament extending from lower margin C3 to D2 level causing compression over underlying spinal cord.
2) Cord oedema/myelomalacia involving cervical spinal cord at C3 to C7 level.
The above are the MRI findings. I would appreciate any comment on these as what should be the treatment and if surgery has to be done then what should be the approach i.e. from front or from back
HI...I can not begin to advise u on how to proceed or what all this means for ur mother, but this info I found below may explain more what is going on. And from my personal experience, in dealing with drs and which is the best method...ie- from the back or the front....u need to find a dr u r comfortable with to help guide u on the best method for ur mom....many can tell u I had it this way or that, but u need the dr to advise u on what is best of r her, and no one but a dr that has examined her can give that advice.
I understand ur frustration and confusion, but do try and find a dr that u and ur mom really like and understand the options he/she is offering.
Posterior longitudinal ligament
a spinal ligament that extends behind the intervertebral discs and vertebral bodies within the vertebral canal from the axis and membrana tectoria to the sacrum. This ligament is strung like a bow over the central concave portion of the vertebral body.
A specific disorder, ossification of the posterior longitudinal ligament or OPLL, with variable clinical manifestations, may occur. Patients may exhibit cord signs, manifested by dominant motor and sensory disturbances in the lower extremity; segmental signs, represented by dominant motor and sensory disturbances in the upper extremity; and cervicobrachialgia, which causes no obvious neurologic deficits but is associated with pain in the neck, shoulder and arm.
The radiographic features of OPLL are characteristic. The cervical spine (and rarely the thoracic and lumbar spine) reveals a dense, ossified strip of variable thickness along the posterior margins of the vertebral bodies and the intervertebral discs . Conventional tomography, CT and MR imaging provide additional diagnostic information.
myelomalacia (my-ĕ-loh-mă-lay-shiă) n. softening of the tissues of the spinal cord, most often caused by an impaired blood supply
I was recently diagnosed with spondylosis deformans on my cervical spine. But my intraverbral discs, vertebral body height is normal as well as my soft tissues thickness is normal.
And my lumbar 5 is bilateral partial sacralization.But my intraverbral discs, vertebral body height is normal as well as my soft tissues thickness is normal. I have lower back pain all the time, and I can hardly walk a long distance, because my legs begin to hurt as well as my feet
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