Re: MRI Cervical Spine with & w/o contrast
soo,you have been seeing only an ortho and not an actual neurosurgeon? you really DO need a second opion for an actual neurosurgeron just becasue of where this is in your spine. also, did they actually do traction on you AFTER having a fusion surgery at some point or was this before it? i am only asking since with fusion,traction is kind of contraindicated,mostly becasue you never truely know for 100 percent certainty whether or not a full fusion took place,so anything that is going to "pull' on your spine like traction can just create many more problems if things did not actually go the way they were supposed to,ya know what i mean? did you experience ANY worsening of your already present symptoms after the traction was done? have you had any type of real scan done since traction was done? its just a bit risky for any fusion patient when someone decides for some insane reason to want to cause pull on your spine.if you have a set of films and the reports if that last MRI was after your traction,they really do need to be compared for any possible real movement of the endplates or the vertebrae after all that pulling was done on it. i would definitely bring this up to your ortho.
the thing is with fusion,no scan can actually really show with that 100 guarenteed certainty that a total fuision actually took place. my MRI and CT both stated i was fused when i clearly wasn't(only one of the two endplates had actually fused in my situation). kind of scarey actually. i often wonder how many people who actually had fusions done are really walking around without one just becasue some scan said they were. this just happens alot more often than most docs would be willing to actually admit. you always have to remeber that any scan is just only that,a scan of an area and not a full on kodak moment ya know? things can often get missed on any scan or not seen clearly enough to know anything for one hundred percent certainty either. found this one out the hard way.
in your situation,i would seriously obtain that second opinion on everything from an actual neurosurgeon(and make sure to tell him or her that traction was done) and not just settle for the orthos. NSs just really are much more aware of the things up in the c spine/cord and brain and that possible connection to having problems too than any ortho could possibly be. the c spine is just a whole different animal than any other area of our spine is. it is the most heavily innervated area of our spine. very different than the rest of the lower spine segments are. while i would not have a real proble letting my really great ortho do a basic spine surgery on any other area of my spine,we would have an issue with the c spine area. you just really need that level of expertise with that area to really know what you are dealing with here. please keep me posted on all things,K? good luck with your next appt. Marcia
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.