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  • Okiemom04
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    Post count: 2

    Hello Dr. Corenman
    I am post C5-6 fusion 19 years, L4-5 laminectomy 39 years. My most recent cervical MRI is concerning at my knowledge level. Any insight you will share is very much appreciated. I have certainly deteriorated over the years and at 58 years old and in good health, I would like to know if and when further intervention is needed.

    OSSEOUS STRUCTURES:  Remote solid noninstumented ACDF at C5-6. Grade 1 anterolisthesis at C7-T1.  No other listhesis is seen. No marrow edema.

    FACET JOINTS:  Bilateral facet arthrosis.  On the left, there is moderate to sever facet arthrosis at C3-4, C7-T1 with mild to moderate changes at the remaining left-sided levels.  On the right, there is moderate to severe facet arthrosis at C3-4. C4-5 and C7-T1, with moderate changes at C5-6 and mild to moderate changes at C2-3 and C6-7.

    DISC SPACES:  C2-3: Trace Disc osteophyte complex.  Spinal canal is patent.  Foramina patent.

    C3-4: Small diffuse disc osteophyte complex contacts the ventral cord with subtle flattening.  The canal is narrowed to 10mm.  Mild to moderate left foraminal stenosis.  Right foramen patent.  C4-5:  Diffuse disc osteophyte complex.  Canal is narrowed to 8 mm.  Mild compression of the ventral cord.  Moderate left and moderate to severe right foraminal stenosis.  C5-6:  Remote solid fusion with minor posterior osteophytic ridging.  The canal is patent.  Foramina patent.  C6-7:  Disc osteophyte complex.  Moderate ligament flavum thickening  Canal is narrowed to 8.5 mm with subtle cord compression.  Moderate to severe left and sever right forminal stenosis.  C7-T1:  Disc osteophyte complex with superimposed central to let paracentral protrusion which measures 6.5×2.5mm.  This contacts and mildly compresses the ventral/left ventral cord.  The canal is patent. Mild to moderate bilateral foraminal stenosis.

    CORD/DURAL SAC:  No abnormal cord signal is seen. PARASPINOUS SOFT TISSUES:  Normal

    Impression:  Remote solid nonintrevenous instrumented ACDF at C5-6.  Cervical spondylosis as described above.  Mild cord compression at C4-5 and C7-T1.  Subtle cord compression at C3-4 and C6-7.  Moderate to severe left and severe right foraminal stenosis at C6-7.  Moderate to severe right foraminal stenosis at C4-5.

    Thank you so much for sharing your knowledge.
     

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    I assume you had some symptoms to prompt a new cervical MRI as normally, patients do not get a new MRI scan until symptoms occur. Could you please list your new symptoms.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    Okiemom04
    Participant
    Post count: 2

    I have never been symptom free, just varying levels of intensity, increasing in severoty over the years. I have constant burning, in my neck, shoulders and into arms, mainly right side. There is lots of grinding when I turn my head, like bubble wrap, almost like gears, catching 5-6 times each way on what I now assume are bone spurs. It is quite exhausting to just hold my head on my shoulders most of the time. Intermittent numbness and muscle spasms strong enough to pull my head back are a regular occurrence. I also had L4-5 laminectomy in 1979 with continuing deterioration there as well. I had the cervical MRI mainly to check on the structural integrity and will be checking the lumbar region again soon.
    Thanks again.

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