It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Spinal Cord Disorders Message Board
Post New Thread   Reply Reply
LinkBack Thread Tools
Old 12-11-2012, 12:46 PM   #1
Junior Member
(female)
 
Join Date: Dec 2012
Location: Stayton, OR - United States
Posts: 22
SueBee796 HB User
Post Please Help with my Spinal MRI Results

Hi, I am new to here and would really like some help with figuring out my MRI's of my Cervical Spine. Any help is really appreciated.
I am including MRI results from 2010 and 2012 as well as symptoms I have now. I've also had a lot of Thyroid issues, have blood tests repeated all the time and my thyroid levels fluctuate. However, I want to know how bad is the Spinal Stenosis, Degenerative Disc Disease, Edema of the spinal cord (which I can clearly see on my MRI CD myself and I'm not trained in reading MRI's!) and whatever anyone else can tell me about it. PLEASE NOTE: THERE IS AN ADDENDUM TO THE MOST RECENT MRI.
SYMPTOMS: AND SIDE EFFECTS EXPERIENCED SINCE CHANGES IN SPINE:
Nerve Shocking sensations shoot down both arms from top of neck all the way down to finger tips of both right and left arms/handsĖ Feels like a jolt of electrical shocks and leaves arms unusable

Sharp Gripping burning pain across the top of my left shoulder, with pins and needles and a stabbing feeling, weakness, cramping of arms, hand/thumb getting stuck into a folded under palm of hand position, muscle spasms, pins and needles in both my left and right hands and fingers, thumbs, pointer fingers (All fingers and thumb on my right hand and on my left hand, thumb and pointer finger are pins and needle tingling as well.
Excruciating pain across left shoulder and down arm when walking, feeling like my arm is trying to be torn off. Lately the bone on my shoulder feels as if it had been recently cut off Ė like after my rotator cuff repair surgery. I have Pain when sitting and extending arms to type or reach for things.
Right arm and hand constantly feeling numb with pins and needles tingling and loss of feeling when trying to use, or grip items, pull drawers open I have a hard time. Canít lift very much weight with left arm (basically have to use my whole body to lift things with my left arm), and/or use both hands.
Limited mobility canít walk very far and have pain in lower back when I do walk. I also always have pain in the middle of my back sometimes causing it hard for me to breathe.
As far as going places, ie: Shopping, laundry, spending time with granddaughters, washing dishes, go to Dr. Appt.ís, I get wore out very easily and donít have enough energy to do anything for at least 3 days or more and will need naps during those days.
I feel sharp pain in the middle of my back which, it feels as if the back bone is being pinched or stabbed with a sharp knife. And it also feels like itís out of joint and stuck and nothing will put it back in place.
When I walk it feels like parts of my spine is slipping around and also makes a sharp pain shoot down into my sciatica nerve. It used to affect the right side of my buttocks and down my leg, now it is on my left side buttocks and goes down part of my left leg, which makes it difficult to stand for very long or walk. Legs feel weak as if they will give out on me, or sometimes need to use my hips to get my legs to move and concentrate on moving my legs.

MRI Results:
Imaging Report CP-Spine 2-3 views Cervical Spine 6/29/2010:
FINDINGS: Three views of the cervical spine were obtained. There is straightening of the normal cervical lordosis. There is approximate 3mm of anterolisthesis of C4 on C5 and 3 mm of anterolisthesis of C7 on T1. Vertebral body heights are normal. There is moderate disc space narrowing at C5/6 and C6/7 with mild disc space narrowing at the remainder of the cervical levels. Prominent small posterior disc marginal osteophytes are seen at C5/6 and C6/7. There is blunting with irregularity and sclerosis of the uncovertebral joints at C4/5, C5/6 and C6/7. The prevertebral soft tissues appear normal. There is normal appearing articulation of C1 on C2.

IMPRESSION: Moderate spondylitic changes of the cervical spine including multilevel degenerative disc disease most prominent at C5/6 and C6/7. Moderate facet arthropathy is seen at C4/5 through C6/7. Grade 1 anterolisthesis is seen at C4/5 and at C7/T1. If clinical symptoms persist, MRI may be beneficial for further evaluation.
Read by Eric W Palmer MD, Radiologist

OR Advanced Imaging 8/4/2010
Clinical History : Neck pain, stiffness, occipital headaches. Gait difficulty. Intermittent dysesthesia of he hands with radiculopathy and cervical spondylosis.

Comparison : Plain films of the cervical spine performed on 6/29/2010 at PMG.

FINDINGS: there is straightening of the normal cervical lordosis with mild reversal at the level of C3. The vertebral body heights are normal. The marrow signal is fairly homogeneous. No focal marrow edema is evident. The facet joints appear normally aligned. The cervical cord is normal in caliber and appearance. The posterior fossa contents appear normal. The prevertebral soft tissues appear normal.
C2/3: The posterior disc margin appears normal. The central spinal canal is patent. The facet articulations appear normal. The neural foramina are patent.

C3/4: The posterior disc margin appears normal. There are minimal posterolateral disc marginal osteophytes. The central spinal canal is patent. There is minimal facet hypertrophy on the left. There is probable mild narrowing of the right neural foramen.

C4/5: There is a posterior disc marginal osteophyte complex. The central AP dimension of the spinal canal measures 8mm. /there is mild facet hypertrophy, greater on the left. There is mild narrowing of the bilateral neural foramen, greater on the right.

C5/6: There is a posterior disc marginal osteophytes complex, greater on the left. The central spinal canal is patent. There is mild facet hypertrophy, greater on the left. There is severe narrowing of the left neural foramen and mild narrowing of the right neural foramen.

C 6/7: There is a small posterior disc marginal osteophyte complex. The central AP dimensions of the spinal canal measures 9 mm. The facet articulations appear normal. There is mild narrowing of the left neural foramen.

C7/T1: The posterior disc margin appears normal. The central spinal canal is patent. The facet articulations appear normal. The neural foramina are patent.

IMPRESSION:

Straightening of the normal cervical lordosis which may be positional or related to muscle spasm.
Multi-focal mild to moderate degenerative disc disease, most prominent at C4/5, C5/6 and C 6/7.
Minimal to mild central spinal stenosis at C4/5 and C 6/7.
Multi-factorial disease contributes to severe narrowing of the left neural foramen at C5/6.

Cervical Spine-Neck: 11/20/2012
Multiple sequences were obtained in the sagittal and axial planes. Images obtained demonstrate an anterolisthesis of approximately 3 mm of C4 anteriorly on C5. There is approximately 2 mm Retrolisthesis of C6 posteriorly on C7 and a 1-2 mm anterolisthesis of T1 anteriorly on T2. The visualized portions posterior fossa demonstrate no focal signal abnormalities. At the C4-C5 level there is some faint signal change in the cord suggesting early edema. There is no significant abnormality at the C2-C3 or C3-C4 disc levels.

At the C4-5 disc level there is facet degenerative change, anterolisthesis of C4 anteriorly on C5, a broad disc protrusion, which flattens the ventral cord, displaces it posteriorly, producing a moderate canal Stenosis and degenerative change of the uncovertebral joints producing some minimal neural foraminal narrowing.

At the C5-C6 disc level there is an asymmetric disc protrusion greater to the ventral left canal on the right. It minimally encroaches upon the ventral left canal and left lateral recess. Degenerative changes in the facet joint produce mild left neural foraminal narrowing.

At the C6-C7 level there is a broad mild disc protrusion, which minimally flattens the ventral aspect of thecal sac. The disc extends out laterally and produces moderate left and mild right neural foraminal narrowing.

At the C7-T1 and T1-T2 levels no significant abnormality is seen.

IMPRESSION: Degenerative disc disease and hypertrophic changes producing significant canal Stenosis at the C4-C5 level. Hypertrophic degenerative changes of disc disease producing neural foraminal narrowing up to the moderate level.

ADDENDUM DATED 11/28/12
Comparison of the C4-C5 disc shows the disc-osteophytes has increased significantly since the prior examination particularly in the central to left canal and left lateral recess. This extends approximately another 2 mm into the canal. The faint cord signal in the spinal cord is slightly more definite on todayís study than on the prior examination though it appears to have been there. (What does this last sentence mean???)

At the C5-C6 level the compromise of the left neural foramen has also progressed from the prior examination due to further protrusion of the disc to the left.

At the C6-C7 level no significant change is seen.

IMPRESSION: Progression of the disc disease at the C4-C5 and C5-C6 levels. Stable neural foraminal narrowing at the C6-C7 level. Further definition of the cord signal abnormality at the C4-C5 level.


Here is what my MRI of my Cervical Spine says from 7/2010: Findings: There is a straightening of the normal cervical lordosisi with mild reversal at the level of C3. The vertebral body heights are normal. The marrow signal is fairly homogeneous. No focal marrow edema is evident. The facet joints appear normally aligned. The cervical cord is normal in caliber and appearance. The posterior fossa contents appear normal. The prevertebral soft tissues appear normal.
C2-3: The posterior disc margin

Spondylosis, Stenosis, Scoliosis, Retrolisthesis, multi-disc osteophytes complex, narrowing of right neural foramen, severe narrowing of left neural foramen, Facet Hypertrophy, narrowing of bilateral neural foramina, there is Blunting with irregularity and sclerosis of the uncovertebral joints and of the articular facets at C4/5, C5/6, C6/7. Moderate facet arthropathy and Anterolisthesis is at C4/5, C5/6,

Cervical Spine Lumbar: (7/7/2010)
FINDINGS Ė Three views on the three images are presented. The normal lumbar lordosis, lumbar vertebral body height, and intervertebral disc space appear to be maintained. Minimal Retrolisthesis of L5 on S1 is thought to be present. Transitional S1 vertebra is thought to be present. Pedicles are intact. No paravertebral mass is seen, Minimal spondylosis is present before vertebral level. No acute osseous or soft tissue abnormality. Post cholecystectomy surgical clips are seen in the right upper quadrant.
IMPRESSION/CONCLUSION Ė
1. Minimal Retrolisthesis L5 on S1.
2. Minimal lumbar spondylosis most prominent L3-L4.
3. Transitional S1 vertebra.
4. No obvious acute osseous or soft tissue abnormality.
Retrolisthesis L5 on S1, Lumbar spondylosis prominent L3-4, Transitional S1

MRI of Lumbar Spine 11/20/2012:
There are signal changes in the S2 vertebra compatible with probable hemangioma. At the L3-L4 disc level there is a mild bulge slightly greater to the left side than right which minimally indents the ventral thecal sac and minimally narrows the inferior neural foramina in conjunction with mild facet disease.
At the L4-L5 disc level there is a broad mild disc bulge which mildly flattens the ventral aspect of the thecal sac producing minimal canal narrowing and minimal inferior neural foraminal narrowing.
At the L5-S1 level there is a broad minimal disc bulge which remains in the epidural fat extending out laterally produces mild inferior right and left neural foraminal narrowing as described above.

IMPRESSION: Multilevel mild degenerative disc disease produces relatively minimal canal narrowing but up to mild neural foraminal narrowing as described above.

 
Reply With Quote
Sponsors Lightbulb
   
Old 12-11-2012, 06:35 PM   #2
Inactive
(female)
 
Join Date: May 2011
Location: So Cal
Posts: 1,385
WebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB User
Re: Please Help with my Spinal MRI Results

This is confusing... first you have a cervical MRI from June 2010, then a cervical MRI from November 2012. THEN, you have an addendum from eight days later. Who did the addendum? The same guy who did the second MRI? WHY did he do it? When he mentions "the prior examination", which MRI is he talking about?

 
Reply With Quote
Old 12-11-2012, 09:03 PM   #3
Junior Member
(female)
 
Join Date: Dec 2012
Location: Stayton, OR - United States
Posts: 22
SueBee796 HB User
Re: Please Help with my Spinal MRI Results

Hi, Thanks for your reply. Yea I have the same questions of why did he do the addendum?...I'm pretty sure it is to the MRI of 11/20/2012 since he is the one that did that one. The one in 2010 was done by a different place and different person. The 2010 MRI's were available to the guy who did my most recent one but he doesn't really seem to refer to it. So I'm confused about it. He doesn't refer to the Spondylosis, Sclerosis, and the part that says I have severe narrowing of the left neural foramen. However, he just seems to add some things. The neurosurgeon wants an updated nerve conduction study done, which I'm going to go get done tomorrow, but when I talked to the nurse she mentioned that I have spondylosis. Anyway, I'm wondering if 8 mm is bad, and/or what is the normal range? and what does "the faint cord signal in the spinal cord is slightly more definite on today's study than on the prior exam though it appears to have been there." What does it mean to have a faint signal in the spinal cord? When I look at my pictures of it, there isn't any fluids surrounding the spinal cord at that level. And it is flattened in a few places. I'm just curious how bad my neck really is.
And what kind of questions are best to ask a Neurologist and Neurosurgeon?
I put off getting an epidural done because I didn't want it to mask or change the way things really are affecting me. And If I'm going to be having a recommendation for surgery I don't really want the extra cost for an epidural if I'm gonna have surgery.

 
Reply With Quote
Old 12-12-2012, 05:58 AM   #4
Inactive
(female)
 
Join Date: May 2011
Location: So Cal
Posts: 1,385
WebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB User
Re: Please Help with my Spinal MRI Results

The addendum is rather bizarre. It's almost as though it's written by someone who was reviewing the work of someone else who did the first interpretation. If so, he seems to have good reason to review it, because he notes some significant differences. If I were you, I'd call the radiologist's office and get an explanation.

Let me just give a reaction to the addendum...

<<ADDENDUM DATED 11/28/12
Comparison of the C4-C5 disc shows the disc-osteophytes has increased significantly since the prior examination particularly in the central to left canal and left lateral recess. This extends approximately another 2 mm into the canal.>>

Assuming that by "prior examination" he means the 2010 MRI, then this is cause for concern, since in 2010 you were already down to 8mm at this level. 8mm is not necessarily all that bad (I have been down to 5mm), but you don't want it getting narrower than that. The pre-addendum write-up also says that the disk-osteophyte complex had pushed the cord backward somewhat. This may or may not be symptomatic.

<< The faint cord signal in the spinal cord is slightly more definite on today’s study than on the prior examination though it appears to have been there. (What does this last sentence mean???) >>

I doubt that a "signal" is a good thing here, just based on the context. Perhaps a sign of distress in the cord?

<< At the C5-C6 level the compromise of the left neural foramen has also progressed from the prior examination due to further protrusion of the disc to the left.>>

This part is really odd. The first 2012 write-up completely omits mention of the C5-6 foraminal narrowing, even though it was deemed "severe" in 2010. The addendum seems designed to correct that, and even goes so far as the say that the narrowing has "progressed". If it was "severe", and now it has "progressed" (and not in a good way, I'm sure), then it's really something that needs attention. C6 radiculopathy (which is what you seem to have) could have a variety of symptoms. You could look up C6 + myotome or C6 + dermatome and maybe get some info. C6 problems could include biceps weakness and symptoms down into the thumb.

None of your MRI's explain your right-hand symptoms, as far as I can tell, at least not from a foraminal-narrowing standpoint. Of course, cord compression can cause symptoms anywhere downstream, so your C4-5 compression may be to blame.

And it's always possible that you have symptoms originating your cervical spine AND ALSO have symptoms due to unrelated causes.

Since you may have something of a Keystone Cops situation with your radiologist(s), you could just rely on the neurosurgeon for interpretation of the MRI. After all, a specialist in spine surgery really needs to be BETTER than a radiologist at reading spine MRI's.

Last edited by WebDozer; 12-12-2012 at 06:03 AM.

 
Reply With Quote
Old 12-12-2012, 09:17 AM   #5
Junior Member
(female)
 
Join Date: Dec 2012
Location: Stayton, OR - United States
Posts: 22
SueBee796 HB User
Re: Please Help with my Spinal MRI Results

Thank you so much for your reply, it really is greatly appreciated. I was confused on the part where it says it has extended an additional 2 mm. I was thinking he meant in a different area that it would've ended up making it be at 4 mm....but this changes and clears it up for me (now down to 6 mm? Wow! That's not good)

Yes, I have definitely been thinking about calling the Radiologist and ask him what's going on with it and what caused him or someone to go back and redo it? Maybe the Neurosurgeon I plan on seeing or a Neurologist saw the films and got on him about it? I'm not sure of the reason but I will call them today to find out. I guess I just kept thinking that I probably wouldn't get an answer from he himself. Or not the truth anyway.

As for the signal in the spinal cord...I didn't know if there should be one or not. which is why I was questioning it. I've been trying to look things up on the internet to learn as much as I can, at least until I have the chance to see a neurologist or neurosurgeon because I didn't have one.
I had been going to the Pain Clinic and kept telling them of the changes I had been having and mentioning that I think I needed an updated MRI so they finally ordered one BUT, they don't have a Neurologist to go over the results with me, AND they are a couple hundred miles away! And I certainly didn't want to see one that far away! They don't personally know of any in my area. So I had to find one. Which, I have. Yay! I'm going through the process and waiting to see one. We used to live that area but have moved. And I've had to find a urologist to find out why I was having problems in that area. I'm told I have an Atonic Bladder. That can stem from nerves not getting signal from the brain and causes the bladder to stop functioning, and go flaccid, and/or the bladder gets stretched out...anyway, I have a lot of problems emptying my bladder and it's kind of had me wondering if any of my neck and back problems have had anything to do with it. Don't worry about though.
I have several questions to ask the neurologist today that will be doing my Nerve Conduction Study. And I feel better (with your help) in the way of understanding some of this a little more.
You're right, it is very confusing the way these last reports have been written and problem facts totally omitted. It is very frustrating! I don't think I will EVER use this radiologist place again! This last time has really enlightened me of how it has been a "Keystone Cops" type of place. This isn't the first time I've been confused and frustrated with this place, and been their subject incompetence. My husband had a kidney stone they were able to see on a CT and Ultrasound. Then a couple days before his surgery the urologist wanted an updated Ultrasound to confirm the location of the stone was still in the same place and was UNABLE to LOCATE it. So that created a whole new set of problems. I could tell of a few other examples but I will save you the reading. However, this time has really made up my mind of never using them again.

You have been so very helpful! Thank you so much! As far as there being other reasons for (None of your MRI's explain your right-hand symptoms, as far as I can tell, at least not from a foraminal-narrowing standpoint.)
I have had a Left Rotator Cuff Repair that could be causing some of my problems but still it doesn't explain symptoms for on the right side though.

If you think of any other problems to enlighten me about, that would be awesome, as I'm not sure how much I will learn from the Neurologist today. However I will try to let you know what he has to say...if anything.
Hugs for your help...thank you!
Sue

 
Reply With Quote
Old 12-25-2012, 11:09 PM   #6
Junior Member
(female)
 
Join Date: Dec 2012
Location: Stayton, OR - United States
Posts: 22
SueBee796 HB User
Re: Please Help with my Spinal MRI Results

"Why the Addendum was done". I happened to somewhat know a good radiologist and I was so flustered that I went and had a talk with him. The first thing he asked me is if the 2010 MRI was available to the other radiologist at the time of the 11/20/2012. I said, yes I made sure of that. And now that I think about it...I mentioned to the Tech that they should have the previous one available to them to compare. Anyway, the radiologist that I know, said, when I asked, what would prompt him to go back and redo it 8 days later? He said, the old report was probably just handed to him and that it happens to him all the time. However, I do remember letting them know that it was there and available to compare with. That being said, In the area where I live, they have a Spine Center you have to go through before actually seeing a Neurosurgeon...so, my Dr. sends in a referral to the Neurosurgeon, the Neurosurgeon then sends it to the Spine Center where they have nurses that screen everything for the Dr. then they get it back to the Dr. and thus it just keeps going like that. Anyway, the surgeon wanted me to get an updated Nerve Conduction Study done. I've had that done, and it shows that I have mild carpal tunnel and moderate cubital tunnel syndrome (which is from the elbow to the ring and baby fingers - but starts with the Ulnar Nerve which branches off of the spinal cord (2010 Study showed it started from my neck, but this current one says no it's only causing problems from the elbow down.). I will write up the results. As I've mentioned before, my Thumb, pointer and middle fingers and over half my hand are all numb, tingly, pins and needles and have pain. My ring finger and baby finger are a lil slower to reaction. I don't know if you have had any experience with this but will just write it here for now anyway.

Nerve Conduction Study 12/12/12
Summery/Interpretation:
Nerve Conduction Study and Electromyography for the Bilateral Upper extremities reveals:

1) Mild Bilateral Carpal Tunnel Syndrome with impairment of myelin function for the Median sensory, but not motor nerve, across the wrist segment without axonopathy nor radiculopathy. (Double peak for the Left APB CMAP may reflect her description of Duypetrens type trigger finger of the thumb).

2) Moderate Bilateral Cubital Tunnel Syndrome with impairment of myelin function for the Ulnar motor nerve without axonopathy across the elbow segment. No evidence of radiculopathy.

Electromyography of the Bilateral Upper extremities reveals:

1) Normal Insertional and membrane resting activity. No spontaneous irritability, fibrillations, fasciculations nor positive sharp waves observed.

2) No Motor Unit Potential morphology and interference's pattern to voluntary contraction. Myopathic morphology was not observed.

FINDINGS: Mild Bilateral Carpal and Moderate Cubital Tunnel Syndromes on Nerve Conduction Testing, with normal Electromyography not revealing denervation nor myopathy.

Thank you for any help.
I am curious as to what type of surgery they will suggest for all these problems?
Would they do just the neck, and if so, what type might they suggest?
Would they do both Neck and Hand/Arm at the same time?
Would they wait and see if taking care of the nerve in my neck would it take care of the problems in my hands/arms...mainly right side.?
Thanks again,

Last edited by Administrator; 12-27-2012 at 12:30 AM. Reason: Please remove long quotes before saving a post

 
Reply With Quote
Old 12-25-2012, 11:17 PM   #7
Junior Member
(female)
 
Join Date: Dec 2012
Location: Stayton, OR - United States
Posts: 22
SueBee796 HB User
Re: Please Help with my Spinal MRI Results

Oh, I almost forgot to include the part that the radiologist said that the Addendum is done to the 11/20/12 MRI since it was most likely just handed to him and having the older one handed to him as well.
Thanks,

 
Reply With Quote
Old 12-26-2012, 07:42 AM   #8
Inactive
(female)
 
Join Date: May 2011
Location: So Cal
Posts: 1,385
WebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB User
Re: Please Help with my Spinal MRI Results

The latest study was mostly looking for entrapment in the elbows (cubital) and wrists (carpal). I don't know if they would think they've found anything serious enough there to operate. I guess you will hear from them about that.

Still leaves the neck problems. You have the radiologist's reading, but what about the neurologist/neurosurgeon? What do they say about the C4-5 level, and the foraminal problem at C5-6?

I suppose someone might propose taking out that C4-5 disk. Seems like the kind of thing that doctors would not agree on, at this point.

If I were having both wrist and neck surgery, I would not want them done at the same time, for recovery reasons. I also would want them done by a wrist specialist and a neck specialist, not by the same guy.

 
Reply With Quote
Old 12-26-2012, 11:20 AM   #9
Junior Member
(female)
 
Join Date: Dec 2012
Location: Stayton, OR - United States
Posts: 22
SueBee796 HB User
Re: Please Help with my Spinal MRI Results

Good Morning and I hope you had an awesome Christmas!

I won't get to see the Neurosurgeon until Jan 7th. Our good acquaintance Radiologist said that the part that needs attn right now is the C4-5, 5/6 since it is in such bad shape. Also C6/7 (posterior disc osteophytes, and canal were at 9mm in 2010) needs attn too but not as bad as C4-5, 5/6. However, I can't imagine going in and just fixing part of it and not all of what really needs it?
However, nobody has said what they recommend to do and I don't know much about the surgeries. He also said that since it was in severe shape 2 yrs ago, that doesn't leave much room for getting worse without more serious side effects. And that since it was 8 mm in 2010, and has progressed at least 2 mm more, then it is VERY Tight in that area. So I guess it would be nice to know and understand the differences in the surgeries that might be suggested to me so that I can know what I should research and understand.

I have a sister that had neck surgery about 20/25 yrs ago, and back then it was way different! They cut around the base of the back side of her neck and got in there and realized "OMGosh!" This is worse than I thought and proceeded to cut all the way around the front too! Her neck is in bad shape but I think because of how that was done to her (the old style) she hasn't wanted to go back for her neck at all!

Anyway, I'm just confused about my neck and what to do,
what would fix most of it the best way all at once?
I think there are 3 areas (without going back and rereading right now, (have to take my son to town) in my neck with broad disk protrusions DDD, Spinal and foraminal stenosis as well as retrolisthesis, anterolisthesis. and the hypertrophy and the 2 mm or more disc osteophyte complex that was in 2010 at C6/7...(can't imagine it staying the same since everything else has changed for the worse...the C6/7 canal was at 9 mm at that time as well.)
What happens if the narrowing gets tighter than 5 mm?

I'm sorry if I seem a lil flustered and my writing is kind of all over the place...my brain just doesn't want to slow down on this. So please excuse me on it. I really do appreciate all your help! Greatly appreciate it! :-)
And I hope your heath is going good now.
Thanks so much,

 
Reply With Quote
Old 12-26-2012, 11:33 AM   #10
Inactive
(female)
 
Join Date: May 2011
Location: So Cal
Posts: 1,385
WebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB User
Re: Please Help with my Spinal MRI Results

The most common operation for someone in your condition would be an ACDF, that is, taking the C4-5 disk out and fusing the C4 and C5 vertebrae together. They might also do C5-6 at the same time. You might lose about 1/4 of your axial range-of-motion if they did both levels.

Another operation would the laminoplasty, which involves coming in from behind and creating more room in the spinal canal by swinging the lamina open a bit. This would be done when you have a hereditarily narrow canal which is prone to stenosis even from minor protrusions.

I've had both surgeries, about fifteen years apart.

 
Reply With Quote
Old 12-26-2012, 06:44 PM   #11
Junior Member
(female)
 
Join Date: Dec 2012
Location: Stayton, OR - United States
Posts: 22
SueBee796 HB User
Wink Re: Please Help with my Spinal MRI Results

Hi, Thanks for your reply. How was yours or other peoples recovery of those types of surgery?
I don't know if you recall talking about my spinal cord having signal change and edema and I was wondering if that was good or bad...what did it mean? It's not a good thing. It means the spinal cord is permanently damaged. I'm still wondering about the laminoplasty...it looks like it would give a person a little more movement range? However it also seems as though you have more pain related stuff afterwards and spinal stability? And I've also looked at decompression ones which seem to help a lot.

**I'm also still wondering what could happen if the spinal canal gets less than 5 mm? Or at what level will cause what issues? Other than the ones I'm already having.

I was also looking at my MRI cd and compared it to Neurosurgeons showing how the nerves get compressed, (how to read an MRI on Nerve Compression) thus having arm pain and weakness. My point is, I did see the same thing on my MRI as on another persons MRI with nerves being compressed. So I'm hoping the nerves can be released and relieved with the neck surgery as well.

I'm also nervous about surgery due to living in the country, no family close by except my husband and 17 yr son. My son gets stuck doing a lot of stuff as it is and of course he will be in school (1/2 college classes & 1/2 H.S classes). My husband isn't the best at taking care of others when they need it the most or at any time for that matter. But I will survive it and just go with the flow once the time comes. Will stay nervous and have questions until then I suppose. :-)

Webdozer, I hope your health is doing well and I want you to know you are so very much greatly appreciated.
Thank you,

Last edited by Administrator; 12-27-2012 at 12:29 AM.

 
Reply With Quote
Old 12-27-2012, 06:23 AM   #12
Inactive
(female)
 
Join Date: May 2011
Location: So Cal
Posts: 1,385
WebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB UserWebDozer HB User
Re: Please Help with my Spinal MRI Results

If you have a simple ACDF - one or two levels - it should not be that big a deal. That is, you should be able to pretty much fend for yourself in a week or so. A lot depends on the skill of the surgeon. You want to get the BEST and MOST EXPERIENCED surgeon you can get, even if that means traveling a ways for the surgery. Do NOT let someone practice on you. Do NOT schedule a surgery with a doc just because he's the one who told you that you need the surgery.

 
Reply With Quote
Old 12-27-2012, 01:19 PM   #13
Junior Member
(female)
 
Join Date: Dec 2012
Location: Stayton, OR - United States
Posts: 22
SueBee796 HB User
Re: Please Help with my Spinal MRI Results

The Dr I chose to see has done 3 of my sis-in-laws brain aneurysms (with one of them that had burst) and has done my bro-in-laws cervical surgery. So I'm hoping I'm going with the right one. He has like a 8.5 rating out of 10. Otherwise I would probably travel to Portland. They seen to like him and trust he does a good job. I uhm haven't talked to them myself, but my husband has. I guess I will make an opinion on my own when I go see him on the 7th. If I have any uncertainties or uncomfortable feelings then I will find another one to see, most likely in Portland. However, there are a couple ladies at my reg dr office that have had their surgery done by one of the other doctors and they seem to like and trust him.
I do need to be comfortable and trust who is going to be working on such a sensitive area of ones body!
Thanks

 
Reply With Quote
Old 12-27-2012, 01:23 PM   #14
Junior Member
(female)
 
Join Date: Dec 2012
Location: Stayton, OR - United States
Posts: 22
SueBee796 HB User
Thumbs up Re: Please Help with my Spinal MRI Results

The Dr I chose to see has done 3 of my sis-in-laws brain aneurysms (with one of them that had burst) and has done my bro-in-laws cervical surgery. So I'm hoping I'm going with the right one. He has like a 8.5 rating out of 10. Otherwise I would probably travel to Portland. They seem to like and trust he does a good job. I uhm haven't talked to them (In-laws) myself, but my husband has. I guess I will make an opinion on my own when I go see him on the 7th. If I have any uncertainties or uncomfortable feelings then I will find another one to see, most likely in Portland. However, there are a couple ladies at my reg dr office that have had their lumbar & cervical surgeries done by one of the other doctors and they seem to like and trust him.
I do need to be comfortable and trust who is going to be working on such a sensitive area of ones body!
Thanks

 
Reply With Quote
Old 12-27-2012, 01:31 PM   #15
Junior Member
(female)
 
Join Date: Dec 2012
Location: Stayton, OR - United States
Posts: 22
SueBee796 HB User
Thumbs up Re: Please Help with my Spinal MRI Results

The Dr I chose to see has done 3 of my sis-in-laws brain aneurysms (with one of them that had burst) and has done my bro-in-laws cervical surgery. So I'm hoping I'm going with the right one. He has like a 8.5 rating out of 10. Otherwise I would probably travel to Portland. They seen to like him and trust he does a good job. I uhm haven't talked to them myself, but my husband has. I guess I will make an opinion on my own when I go see him on the 7th. If I have any uncertainties or uncomfortable feelings then I will find another one to see, most likely in Portland. However, there are a couple ladies at my reg dr office that have had their surgery done by one of the other doctors and they seem to like and trust him.
I do need to be comfortable and trust who is going to be working on such a sensitive area of ones body!

I do notice as time goes by I get more numb every day and it's an awful feeling!
I'm kind of anxious to see the surgeon and see what he has to say. With your help and Other Health Info places on the Internet I have learned quite a bit. Which, is helpful when going to see a Dr about stuff like this.
Thanks

Last edited by SueBee796; 12-27-2012 at 01:40 PM.

 
Reply With Quote
Reply Reply

Similar Threads
Thread Thread Starter Board Replies Last Post
Please HELP!!! MRI report Pebble Beach Spinal Cord Disorders 19 06-25-2011 04:22 AM
please help with mri results of thoracic spine tnvalleygirl Spinal Cord Disorders 5 10-05-2010 10:07 AM
New - need help understanding my ct results.. chronic pain....help please? LoraB Spinal Cord Disorders 12 08-28-2010 08:56 AM
??? Please help!!!! CincinnatiGirl Spinal Cord Disorders 3 02-06-2010 01:46 PM
here are my symptoms please advise tatsu15 Spinal Cord Disorders 3 07-29-2009 07:32 PM

Tags
degenerative disc disease, mri help, spinal & foraminal stenosis, spinal cord flattening, spinal stenosis



Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added








TOP THANKED CONTRIBUTORS



WebDozer (269), jennybyc (197), Realhousewife (42), kenzibenzi (33), NJ Ldy (32), SpineAZ (31), frenchfri1003 (21), teteri66 (19), ladybud (19), feelbad (18)

Site Wide Totals

teteri66 (1136), MSJayhawk (941), Apollo123 (855), janewhite1 (823), Titchou (769), Gabriel (743), ladybud (667), sammy64 (666), midwest1 (654), BlueSkies14 (610)



All times are GMT -7. The time now is 12:14 AM.



Site owned and operated by HealthBoards.com™
Copyright and Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!