I had scoliosis surgery in 1978 with Harrington rod on my thoracic spine. I have had a lot of pain over the years worsening with age. I had an MRI of my cspine due to arm and some fingers going numb and pain in my brachial plexus area and neck. I knew my cspine was a mess in 15 years ago when I had mris done but it is really bad now and am being referred to a neurosurgeon. I can't help but think I am headed for a complete revision or fusion of cspine.
cervical spine was performed without and with iv contrast using 19 ml of multihance.
findings: the cervical junction posterior fossa are unremarkable. straightening of the normal cervical lordosis. moderate to severe degenerative disc disease at c5-6 and c6-7 with moderate anterior osteophytes. small anterior osteophytes at t1 and t2. the cervical spinal cord maintains normal signal intensity. no cord expansion or myelomalacia.
c2-3: mild uncovertebral hypertrophy bilaterally as well as moderate left and mild right facet arthropathy. there is moderate left-sided neural foraminal stenosis.
c3-4: moderate to severe right and moderate left facet arthropathy. mild uncovertebral hypertrophy bilaterally. moderate bilateral neural foraminal narrowing.
c4-c5: moderate to severe left and mild right uncovertebral hypertrophy as well as mild bilateral facet arthropathy produces severe left and mild right neural foraminal narrowing.
c5-6: disc bulge with posterior osteophytic spurring along with mild ligament flavum hypertrophy producing mild concentric centcentral canal narrowing. moderate to severe uncovertebral and mild bilateral facet arthropathy produces severe bilateral neural foraminal stenosis.
c6-7: disc bulge and posterior osteophytic spurring produces mild central canal narrowing. uncovertebral hypertrophy produces severe bilateral neural foraminal stenosis.
c7-t1: no central canal or neural foraminal stenosis.
t1-t2: central disc bulge, uncovertebral and facet arthropathy produces moderate to severe central canal stenosis and severe bilateral neural foraminal stenosis.
1. straightening of the normal cervical lordosis with mild grade 1 anterolisthesis of t1 on t2.
2. moderate to severe degenerative disc disease at c5-6 and c6-7.
3. multilevel disc bulges, facet and ligamentum flavum hypertrophy produces central canal narrowing which is mild at c5-6 and moderate to severe at t1-t2. no cord edema/cord expansion or myelomalacia.
4. neural foraminal stenosis is moderate on the left at c2-3, moderate bilaterally at c3-4, severe left and mild right at c4-5, severe bilaterally c5-6 and c6-7 and t1-t2.