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Neurology (Expert Forum)
Cervical spondylosis
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Cervical spondylosis
by pragati, Apr 05, 2004 12:00AM
Suffering from cervical spondylosis for several years.
A neurosurgeon suggested surgery involving
titanium plates - screws etc. Neurosurgeon’s note
& MRI report given below. Is Endoscopic surgery OK for me.
Can it be done at the Cleveland Clinic?
Multi-level spondylotic changes within the cervical spine greatest at C5-6 and C6-7 levels. Prominent
posterior extensions of disc spur material are seen at C5-6 and C6-7 asymmetric towards the right. There is straightening of the cervical lordotic curvature which suggest presence to underlying muscle spasm. No areas of edema or internal high-signal are seen within the cord substance.
Axial sequences -> C2-3,C4-5 level to be intact.
C5-6 and C6-7 -> posterior disc spur complexes asymmetric towards the right.
The disc spur complex at C5-6 does appear to produce deformity of the right half of the
cervical cord. There is mild left-sided foraminal narrowing at C5-6 secondary to
uncovertebral and facet hypertrophy.
Disc spur complex at C6-7 produces some compression in far-lateral
aspect of cervical cord as well as producing significant right-sided foraminal narrowing.
SURGEON NOTE
Normocephalic, atraumatic. TMs intact without otorrhea. No epistaxis or rhinorrhea.
Neck, throat supple. Trachea midline. No adenopathy. No thyromegaly. No JVD or HJR. His right lateral rotation is 15 degrees diminished from normal.
Otherwise flexion extension intact. No pain with flexion extension otherwise. Patient with
right infraspinatus tenderness, mild left infraspinatus tenderness. Otherwise none
A neurosurgeon suggested surgery involving
titanium plates - screws etc. Neurosurgeon’s note
& MRI report given below. Is Endoscopic surgery OK for me.
Can it be done at the Cleveland Clinic?
Multi-level spondylotic changes within the cervical spine greatest at C5-6 and C6-7 levels. Prominent
posterior extensions of disc spur material are seen at C5-6 and C6-7 asymmetric towards the right. There is straightening of the cervical lordotic curvature which suggest presence to underlying muscle spasm. No areas of edema or internal high-signal are seen within the cord substance.
Axial sequences -> C2-3,C4-5 level to be intact.
C5-6 and C6-7 -> posterior disc spur complexes asymmetric towards the right.
The disc spur complex at C5-6 does appear to produce deformity of the right half of the
cervical cord. There is mild left-sided foraminal narrowing at C5-6 secondary to
uncovertebral and facet hypertrophy.
Disc spur complex at C6-7 produces some compression in far-lateral
aspect of cervical cord as well as producing significant right-sided foraminal narrowing.
SURGEON NOTE
Normocephalic, atraumatic. TMs intact without otorrhea. No epistaxis or rhinorrhea.
Neck, throat supple. Trachea midline. No adenopathy. No thyromegaly. No JVD or HJR. His right lateral rotation is 15 degrees diminished from normal.
Otherwise flexion extension intact. No pain with flexion extension otherwise. Patient with
right infraspinatus tenderness, mild left infraspinatus tenderness. Otherwise none
Doctor's Answer
by CCF-Neuro-M.D.-CS, Apr 07, 2004 12:00AM
It is impossible for me to tell you if surgery, and what surgical procedure would benefit you without examining you, and reviewing the films. Depending on your examination and MRI you may require a EMG (muscle and nerve test) to determine which nerves are affected. You can make an appointment by calling 1-800-CCF-CARE and ask for the spine center appointment line. Good luck.
being in scotland, i've no benefit to gain from posting this information, but, as a long time sufferer of spondylosis, sciatica and arthritis and a recipient of an artificial hip, i wish i'd known of those therapies earlier in my painful life.
best wishes, whatever you do
robert m.
ps
should you wish to investigate further, just type the names as above and you should straight onto the sites.
The cervical spine is totaly dehydrated, with cervical plug plate and screws at c5-c6. bulging disc at c6-c7, c3-c4, c4-c5, c7-t1 and chronic neck pain, also in shoulders arms elbows and back.
pain in lower back and reight hip and leg with chronic muscle spasms. This has been going on almost five years now.
I was told that at this stage there is nothing that can be done other the medications and excerise and to just deal with it the best I can and still go to work everyday. So good luck with yours.