MRI w/o contrast cervical spine

MRI w/o contrast cervical spine
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  • Avatardamecu
    Participant
    Post count: 2

    Numbness/tingling left arm/hand x 7 weeks. Neck injury following MVA in distant past (1987) with only minor flare ups every couple of years. Neck/arm pain in 2011 revealed bulging disc. Returned to clinic a few weeks ago for the numbness/tingling. Started Medrol dose pack and Neurontin 100mg tid until f/u appt for MRI results. Recommended cervical epidural. Repeated steroid course and continued Neurontin. He did say something about ordinarily I would fuse these. What might I expect as a future recommendation from my neurosurgeon?
    Study Result
    Impression
    :

    1. Focal cervical kyphotic angulation C5-C7 and C6-C7 retrolisthesis. Right eccentric disc osteophyte complex at C5-C6 causes mild right paracentral cervical cord impingement. Left eccentric disc osteophyte complex at C6-C7 causes minimal impingement of ventral left paracentral cervical cord.
    2. Facet arthropathy and uncovertebral proliferative changes cause high-grade foraminal stenoses – severe on the left and moderately severe on the right at C5-C6 and severe on the left at C6-C7.

    Signed By: Joseph S McMonagle, MD on 9/24/2019 1:57 PMbness/tingling. MRI:

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7070

    You have significant degenerative disc disease at C5-6 and C6-7 associated with severe degenerative facet disease at both levels. This causes kyphosis (reverse angulation of the neck at these levels), Mild cord impingement (hard to know how significant this is) and severe foraminal stenosis (narrowing of the nerve exit zones) is noted. Depending on the results of your conservative care (physical therapy and epidural injections) you might be a candidate for a fusion of these levels. However, if you obtain great relief from conservative care, you might not need surgery.

    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.
    Avatardamecu
    Participant
    Post count: 2

    Thank you! I so appreciate your insight and opinion.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7070

    Please keep in touch with the forum regarding your progress.

    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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