I have degenerative disc disease in the spine. I have had numerous surgeries on the lower spine. Now I have severe neck pain and was sent for an CT Scan and to see an ortho surgeon. Can you help me with explain the report. It is as follows: TECHNIQUE: Axial images from skull to base through T2 are obtained without intravenous or intrathecal contrast. Coronal and sagittall reformations. FINDINGS: Cervical region show degenerative straightening without vertebral body compression. No posterior element fracture or prevertebral soft tissue swelling. C2-3 and C3-4 Unremarkable. C4-C5: Small uncovertebral region osteophyte pairs without definitive central or foraminal stenosis. Anterior osteophyte formation. C5-C6: No osteophytic central or forminal encroachment. C6-C7: Schmorls node, endplate herniation into the superior endplate of C7. Discogenic scelerosis through the inferior endplate of C6. No osteophytic central encroachment. Very small uncovertebral region disc ostephyte pairs encroach upon each neuroforamen. C7-T1 and T1-T2 unremarkable levels..
Please help me understand this report before I see the ortho surgeon next week. Thank you
The report describes degenerative changes of the cervical spine with possible associated inflammation and muscle spasm causing straightening on the cervical spine. At C4/ C5 there is formation of a small degenerative body with compression of adjacent structures. At C6/ C7 there are degenerative changes and endplate herniation. There are degenerative fibrotic changes seen towards the inferior part of C6 with associated mild narrowing of the spaces that carry the spinal nerves.
Hope this is helpful.
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