cindy2836ParticipantMay 8, 2020 at 5:33 amPost count: 22
At this time I have had 4 spine surgeries in the last 7 years. Starting at age 59. I have fusions at S1-T10 and C3-C7 with a diagnose of DDD and spinal stenosis.
My problem is the pain I have in my mid back. I noticed it within the first nine months after the S1-T10 fusion. The pain would radiate around front at my lower rib cage (mostly the right side). Now it also radiates into my abdomen. Pain level can be a 9 or 10! When I reported this to the surgeon he quickly said I went back to work too soon but my thought is he signed my return to work slip. He also said this thoracic pain is not fixable by surgery. A second opinion yielded the same and I was told to see a pain management doctor. Which I am currently in the process of seeking a radio frequency nerve ablation in the thoracic.
My question to you is with this year old MRI results, still in pain tells me the disc herniations did not heal themselves.
1. Degenerative marrow changes with associated edema anteriorly at the T8-9 level.
2. 2 small central disc protrusions are present. These are at the T7-8 and T9-10 levels.
3. There is no evidence of spinal canal or foraminal stenosis at any level.
Can you shed some light on this for me?? Thank you! CindyDonald Corenman, MD, DCModeratorMay 8, 2020 at 7:12 pmPost count: 8460
My first thought would be a degenerative hyperkyphosis and a structural malalignment. A lateral scoliogram would help to rule that out.
Dr. Corenmancindy2836ParticipantMay 9, 2020 at 2:21 amPost count: 22
Thank you doctor! Now to figure out how to get a doctor close to where I live to look for that. Or make a trip to see you!!cindy2836ParticipantMay 9, 2020 at 2:30 pmPost count: 22
Hello again Doctor! I would like to paste below the MRI results of my Dec 2019 that led to my ACDF Jan 2020 as your mentioned something about the curvature of my spine. My question is if you often see where a cervical curve could also be part of a thoracic curve?
There is stable reversal of the normal cervical lordosis. There is stepwise anterolisthesis of C3 on C4 and C4 on C5. There is slight retrolisthesis of C5 on C6 and C6 on C7. There are degenerative marrow changes in the endplates at the C5-6 and C6-7
levels. No suspicious osseous lesions are present. The facet joints are normally aligned.
The cervical spinal cord is of normal caliber and signal intensity. The visualized aspects of the posterior fossa are normal.
On the axial images, at C2-C3, there are right-sided facet degenerative changes. There is no spinal canal stenosis. There is moderate severity right foraminal stenosis.
At C3-C4, there is a posterior discussed effect complex. There are bilateral facet degenerative changes. There is mild spinal canal stenosis. There is severe left and moderate severity right foraminal stenosis.
At C4-C5, there are right-sided facet and uncovertebral joint degenerative changes. There is mild spinal canal stenosis. There is severe right foraminal stenosis.
At C5-C6, there is a posterior disc osteophyte complex. There are bilateral uncovertebral joint and facet degenerative changes. There is moderate severity spinal canal and bilateral foraminal stenosis.
At C6-C7, there is moderate severity spinal canal stenosis. There are mild bilateral uncovertebral joint degenerative changes. There is moderate severity bilateral foraminal stenosis.
At C7-T1, there is no spinal canal or foraminal stenosis.
There are no suspicious findings in the cervical soft tissuesDonald Corenman, MD, DCModeratorMay 9, 2020 at 4:05 pmPost count: 8460
The cervical MRI can be helpful in some cases but unfortunately not in yours. You need a lateral (sagittal) Scoliogram to rule out a sagittal plane deformity.
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