[westie California]

#20488

Hello Dr. Corenman,

The following are results from my most recent thoracic MRI

Interpretation: At the T2/3 and T3/4 disc space levels, left paracentral disc herniations are noted at both levels deforming the thecal sac. There is no evidence of neural foraminal compromise appreciated. Loss of disc space height and signal is noted at both levels.

At T4/5, T5/6 and T6/7, disc bulges are noted at all three levels deforming the thecal sac. Bilateral paracentral components are notes at T4/5. Right paracentral components are noted at T5/6 and T6/7.

At T7/8 and T8/9 , paracentral didc herniations are noted at both levels deforming the thecal sac. There is no evidence of neural foramina compromise.

Loss of disc signal is seen at T2/3 – T8/9

There is no evidence of a herniated disc or spinal canal compromise identified at T9/10, T10/11, or T11/12.
The conus Medullaris is visualized at T12/L1

There is evidence of thoracic vertebral body compression fracture, bone marrow infiltrative disorder, spondylolisthesis, signal abnormality within the thoracic spinal cord, or syringohydromylia.

Impression: T2/3, T3/4, T7/8 and T8/9 Disc herniations Deforming the Thecalsac

T4/5, T5/6 and T6/7 Disc Buldges

Can the above be the pain source and if so what is treatment? Thanks

[Donald Corenman, MD, DC]

#20489

Multiple disc herniations in the thoracic spine could be a sign of thoracic Scheuermann’s disorder (see website). This disorder is diagnosed with a standing lateral thoracic X-ray by measuring the amount of curve (called the kyphosis). Even if your curve is not greater than 50 degrees, these disc herniations can still cause local pain.

I assume that the sentence that starts with “There is evidence of thoracic vertebral body compression fracture….” should really be “There is no evidence of thoracic vertebral body compression fracture …..”.

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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