[meni learn]

#35256

for your opinion to what images show and also past MRI this process(buckling of the ligament more and smashing the spinal cord posterior its going to continued?
when you looked to other parts of the spine the disc on the front and arthritis.
maybe it is going to take some years but my opinion(based on some education I learn) that this process going to happen.
what is your opinion about that ?

Meni

[meni learn]

#35284

CSM, such as increased signal intensity of the spinal cord on T2-weighted imaging, typically occur late in the course of the disease and are predictive of poor neurological outcome even with decompression surgery.
so it is important to know you needed to know before myelopathy appears to do early surgery.
you don’t think this ?.

Meni

[Donald Corenman, MD, DC]

#35288

I disagree. You don’t have compression that will cause compressive myelopathy. Don’t try to reach conclusions that don’t fit your disorder.

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.

[meni learn]

#35292

“You don’t have compression”
in the level of c3-4 when i do a measure the canal from ap it is 9.5 mm in the center left side ,on the right it is 13 mm
so why this is not can call stenosis even if this not significant area .
hypertrophy of the ligamentum can causes my symptoms ,even this is very tiny it is enter to the spinal cord even with not compress it is little compress in small area,and maybe over times this lead to more compress and then we can call this compressionon the cord (and this maybe lead to damage the spinal cord and myomalecia
the time will say what is going in the future ,but what i m reading it is important to followed with the symptoms, physical examination , reflex test , and images , and to do the surgery before myelopathy is coming.
need to check the risk to do surgery and risk of not to do the surgery .
it is very important to determine if this will lead to myelopathy or not bfore white spot on the cord .

Meni

[Donald Corenman, MD, DC]

#35293

I understand that you are fixated on this infolding of the ligamentum but there is minimal if any pressure on the cord. If it eventually leads to myelopathy (unlikely) you can deal with it at that time.

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.

[meni learn]

#35297

“I understand that you are fixated on this infolding of the ligamentum but there is minimal if any pressure on the cord”
I have a lot of reasons TO thinks that.
off course before to surgical fixed it is important to negative any other neurologic issue or other disease
what i was be doing by do brain MRI and neurologic test by neurologist .
because the pressere on the cord it is very minimal but it not was excist before (mri 2020 show that )
also if invesitagtion the mri of 2020 and 2021 and 2022 on the small area (posterior of ligamentum c3-4 i see the coreltion and the progress of ligamentum more compress on the cord even very little ther is evidence that the ap diameter become from 13 to 12 9.5 mm ,
but it is also important to see that i have anterior losses disc high and degeneration disc diesase .
if we combained all of this paremeters and we know what effected on the ligament to compress the spinal .cord posteriory .
we suspect that this ligamentum causes the symptoms .

.

Meni

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