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MRI Reading? & Surgery
MRI Reading: There is straightening of the normal cervical lordosis with anterior discetomy and interbody fusion C5/6 and C6/7. "Solid bony bridging appears to be present to the extent that the bones are visualized." There is susceptibility artifact present obscuring fine detail. Visualized portion of the posterior fossa & the cervical spinal cord have normal signal & morphology.
C1/2 shows mild hypertrophic change, but no neural comprise on sagittal imaging.
C2/3 shows mild right uncovertebral joint hypertrophy with a large spur causing mild recess stenosis & mild to moderate foraminal stenosis at this level.
C3/4 also shows moderate right uncovertebral joint hypertrophy with moderate right lateral recess stenosis & moderate to severe right formainal stenosis at the level.
C4/5 is limited by suseptibility artifact, but shows no gross high-grade compromise
C5/6 shows small right uncovertebral joint hypertrophy, but no neural comprise.
C6/7 also shows fusion, but no neural compromise.
C7/T1 shows a mild broad-based disc osteophyte complex which does appear to narrow the right neural foramen, at least moderately, with mild narrowing on the left.
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The statement about bones are visualized?? Any reason to be concerned? Had C6-C7 fused 5/1/05 but NS didn't put a plate in to hold it. Changed NS. Had C5-C6 fused with a plate over C5-C7 held by6 screws on 11/29/05. Scheduled for fusion at L4-S1, but had L4-L5 fused as L5-S1 was autofused on 1/18/06.
Scheduled for a cervical laminectomy and decompression at C2-C3 & C3-C4 with possible fusion on 9/11/07. Should I question the bones being visualized at C5-C7 before surgery, or is that the Radiologist way of saying I have a plate. Dang I wish these Radiologist would put MRI's in layman's terms.
Thanks
C1/2 shows mild hypertrophic change, but no neural comprise on sagittal imaging.
C2/3 shows mild right uncovertebral joint hypertrophy with a large spur causing mild recess stenosis & mild to moderate foraminal stenosis at this level.
C3/4 also shows moderate right uncovertebral joint hypertrophy with moderate right lateral recess stenosis & moderate to severe right formainal stenosis at the level.
C4/5 is limited by suseptibility artifact, but shows no gross high-grade compromise
C5/6 shows small right uncovertebral joint hypertrophy, but no neural comprise.
C6/7 also shows fusion, but no neural compromise.
C7/T1 shows a mild broad-based disc osteophyte complex which does appear to narrow the right neural foramen, at least moderately, with mild narrowing on the left.
__________________________________________________________________________________
The statement about bones are visualized?? Any reason to be concerned? Had C6-C7 fused 5/1/05 but NS didn't put a plate in to hold it. Changed NS. Had C5-C6 fused with a plate over C5-C7 held by6 screws on 11/29/05. Scheduled for fusion at L4-S1, but had L4-L5 fused as L5-S1 was autofused on 1/18/06.
Scheduled for a cervical laminectomy and decompression at C2-C3 & C3-C4 with possible fusion on 9/11/07. Should I question the bones being visualized at C5-C7 before surgery, or is that the Radiologist way of saying I have a plate. Dang I wish these Radiologist would put MRI's in layman's terms.
Thanks
I'm having pains in both of my arms. Severe Pain in my neck. In fact, I can only stay up for about 3 hrs & then I have to go lay down. I have no jerk reflex in either arm. I have Severe Degenerative Disk Disease which lead to me receiving SSD. I'm only scheduled for a cervical surgery. I fell on 8/4 in the kitchen away from anything I could grasp. I laid there for about 15 min. before hubby got home from church. I tried & tried to use my arms to push myself up. Left leg is useless as it has nerve pain and foot is numb (which I think is the reason I am falling). I now use my rollator in the house; however hard to navigate sometimes as home is not handicapped home.
In my lower back, I have clumping of the nerve roots at L3-L4 and need a Spinal Cord Stimulator, but I had put off going to see my NS as we went on a Cruise in 10/06 & got back, hubby started in having what we and his Gastro doc thought was Acid Reflux. Nope he had 5 by pass surgery early Feb. We took the month of April and went traveling in our motorhome. May he began having atrial firbillation. Long Story Short - Pacemekar put in 6/11. Then his grandfather was dying, so off we went to Indiana.
First appt. I could get with NS was 8/14/07. I had x-rays taken at my PCP on 8/8 and you could see where the ligament was hanging out at either C2-C4. NS said take care of neck first and then we will do the trial for a Spinal Cord Stimulator as the nerve pain is maddening in my left leg.
In my lower back, I have clumping of the nerve roots at L3-L4 and need a Spinal Cord Stimulator, but I had put off going to see my NS as we went on a Cruise in 10/06 & got back, hubby started in having what we and his Gastro doc thought was Acid Reflux. Nope he had 5 by pass surgery early Feb. We took the month of April and went traveling in our motorhome. May he began having atrial firbillation. Long Story Short - Pacemekar put in 6/11. Then his grandfather was dying, so off we went to Indiana.
First appt. I could get with NS was 8/14/07. I had x-rays taken at my PCP on 8/8 and you could see where the ligament was hanging out at either C2-C4. NS said take care of neck first and then we will do the trial for a Spinal Cord Stimulator as the nerve pain is maddening in my left leg.
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