CT Scan findings:There is a anterior interbody bone plate fixation of C3-C4-C5--C6. there is not evidence of fracture or subluxation. There is ossification of the posterior longitudinal ligament region primarily at c3-c4. this results in canal diameter narrowing to 0.65 cm. lateral recesses are patent throughout.
Impression- Shows Ossifications of the posterior longitudinal ligament primarily at C3-C4 with narrowing of the Thecal sac diameter.
Hi there. Cervical spine stenosis implies canal narrowing with possible neural compression. the various causes could be acquired degenerative changes and the components that contribute are facets; hypertrophy or arthropathy, ligamentum flavum hypertrophy, posterior longitudinal ligament OPLL, vertebral body spurs, intervertebral disk and epidural fat. Stenosis of central cervical spine may result in myelopathy from cord compression. Treatment can be conservative like rest, physical therapy with strengthening exercises for paraspinal musculature, bracing, NSAIDs, antispasmodics. Surgical decompression is indicated if one experiences incapacitating pain, claudication, neurological deficit and myelopathy. Hope this helps. Take care.
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