Tagged: Cervical MRI, herniated disc, Pinched Nerve
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First Dr. Corenman thank you for taking my question. I’ll be as brief as I can. My Doctor tells me I have a disc herniation with a pinched nerve at the C6-7 but nothing is getting better and it has been over 6 years. Here are the results of just my Cervical MRI, I’m concerned about the other findings? Please tell me if you think more or what is going on. Just a little background on me: I’m 53 and had an accident July of 2011. My questions today are for my Cervical but I also have disc bulge and hernia’s aong with a compression fracture in my lumbar spine. Thank you in advance
KathleenAlignment: Marked reduction of the normal lordotic curvature. Clinical correlation regarding muscle spasm and/or joint dysfunction is advised. In addition, there is an anterolisthesis of C5 upon C6 by 1-2 mm. Correlation with weight bearing x-rays and if necessary, flexion and extension x-ray will be useful to rule out translational hypermobility or instability.
C1-T1: Normal height without commpression fracture. Marginal osteophytes are noted at C4/5, C5/6 and C6/7.
C2-C3: Intervertebral disc space is maintained. Minimal right uncovertebral degenerative changes are present. AP dimension of central canal measures 13 mm.C3-C4: Normal disc height. Diffuse annular bulging by 1.5 mm with identation of the thecal sac. Asymmetric right sided facet joint degenerative changes are present. Mild bilateral uncovertebral degenerative changes are seen. AP dimension of central canal measures 10.5 mm.
C4-C5: Normal disc height. Posterior central protrusion type disc herniation measuring 2 mm X 5 mm in greatest AP and transverse dimensions respectively, accompanied by concentric annular tear. Herniation compresses the thecal sac without cord compression on this recumbent study. Foramen are patent. AP dimension of central canal measures 11 mm. Normal functional reserve. No appreciable facet arthrosis.
C5-C6: Disc height is slightly narrowed with early anterior spurring. Diffuse posterior disc osteophyte complex which is 3 mm centrally and to the left and 2-3 mm in the right paracentral zone. Hypertrophic changes compress the thecal sac and both C6 nerve root sleeves greater on the right. Mild bilateral uncoventebral arthrosis greater on the left. Left neural foramen: Moderate to severe stenosis due to uncinate hypertrophy and facet spurring.Right neural foramen: Moderate stenosis due to uncinate hypertrophy and facet spurring. AP dimension of central canal measures 10.2 mm
C6-C7: Normal disc height. There is a posterior central/right central protrusion type disc herniation with annular tear measuring 2.5 – 3 mm. AP diameter by 6 mm in width at the base, compressing the tehcal sac and the right C7 nerve root sleeve. Cord is not compressed but this is a recumbent study. Foramen are patent. AP dimension of central canal measures 11.5 mm.
C7-T1: AP dimension of central canal measures 13 mm.
T1-2: No annular bulging or herniation but there is a concentric annular tear affecting the outer fibers posteriorly and centrally.
With a slip of C5-6, you should always have weight bearing X-rays with flexion/extension views.
You need to describe your symptoms as imaging findings may not correlate with your symptoms. See https://neckandback.com/conditions/cervical-central-stenosis-and-myelopathy/.
Your most significant MRI findings are compression of the C6 nerve (“Moderate to severe stenosis due to uncinate hypertrophy and facet spurring.Right neural foramen: Moderate stenosis due to uncinate hypertrophy and facet spurring”). See https://neckandback.com/conditions/symptoms-of-cervical-nerve-injuries/ to understand what a C6 nerve root problem looks like.
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. -
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