First time poster, but long time lurker
I' a 44 year old male with a long history of RA and joint pain. Went to see the doctor as my mid and lower back were very sore, right leg completely numb. She ordered a MRI and what appears to be the main results are:
T1-T2: Normal disc height and T2 signal. Bilateral paracentral through far lateral shallow protrusions partially efface ventral CSF. Left ligamentum flavum calcificaion with a minimal extradural mass effect upon the thecal sac. Bilateral moderate foraminal narrowing. Mild facet degenerative degenerative change.
T3-T4: Normal disc height and T2 signal. Bilateral paracentral through far lateral shallow protrusions partially efface ventral CSF. Right moderate and left mild foraminal narrowing. Right moerate and left mild to moderate facet degenerative change. Prominent ligamentum flavum calcification bilaterally indents teh dorsal aspect of teh cord and deviates the cord anteriorly. There is near complete effacement of CSF surrounding the cord. Subtle increased T2 signal within the cord at the interspace level is poorly circumscribed.
T6-T7: Normal disc height and T2 signal. Right paracentral tiny protrusion just abuts the ventral cord. Bilateral moderate facet degenerative change. Mild foraminal narrowing. Bilateral ligamentum flavum calcification indents the posterior aspect of the cord and deviates teh cord anteriorly at the mid T6 level.
She referred me to a neurosurgeon, who took a look at my MRI and report and is recommending T3 and T6 laminectomy. Based on some research, it seems like laminectomy in the thoracic region is much less common than elsewhere.
I plan on getting a second opinion (heck, maybe even a third!). I guess what I am asking is whether the laminectomy is the best course of action, and what is the urgency of getting this taken care of - I can deal with the pain, etc. but I do not want to risk causing more damage!
Also - if anyone can recommend a good neuro in the Seattle area it would be appreciated.