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Old 01-08-2012, 12:02 AM   #1
Join Date: Jan 2012
Location: Murray, Kentucky
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77hopegirl HB User

Can anyone help understanding a back MRI?

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Old 01-08-2012, 11:29 AM   #2
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Re: Mri

[QUOTE=77hopegirl;4906623]Can anyone help understanding a back MRI?[/QUOTE]

There is members on here that might be able to help you. Know that no one on here are doctors though. We can only tell you from our experiences. There is alot of back sufferers on here that have had mri's and do understand what they have been shown.

So, by all means show us your results from radiologists. Be patient and someone will help you.

Old 01-08-2012, 06:17 PM   #3
Join Date: Jan 2012
Location: Murray, Kentucky
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77hopegirl HB User
Re: Mri

Thanks alot for your comments.. Here is what the MRI states:

The cord signal and contour are within normal limits. Verebral body height and alignment are preserved. Scattered Schmorisers nodes and hemangiomata. Mild dextrocurvature . Minimal disc degeneration at several levels. No alarming marrow signal features. Multiple perineural root sleeve cysts are present bilaterally at several levels. Bilateral pieural effusions present.

Posterior interbody hardware from L4- through S1 generates susceptibility artifact limiting local detail evaluation. Vertebral body height and alignment are preserved. There is mild disc degeneration at several levels with relative preservation of disc height.
Spondylotic bulging at L3-4 with mild facet hypertrophy resulting in mild to moderate central/lateral stenosis and minimal foraminal narrowing. Sacral Tarlov cyst present at the S2 level, measuring 2CM maximally.

There is no nerve root clumping or compression of the cauda equina.

* They also did an EMG and they said that looked good. I just felt like because I have had problems in the past and have a spinal fusion that no one wants to mess with my fusion. Of course I would have gone back to my original neurosurgeon but unfortunately that cannot happen due to personal problems and a substance abuse problem. It is a very sad situation. It recently has been all over the news here

I am just hoping to get some feedback. I have actually googled the Tarlov cyst and found almost all of my signs and symptoms! I am just so confused as why they couldnt go in and remove this and then fix the bulging discs while they were already in there. I just dont want to lay down and give up, I just didnt realize what a fight I was in for

Old 01-08-2012, 08:22 PM   #4
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Re: Mri

You have to keep in mind that the surgeon doesn't just slice open the patient's back so he has access to the entire spine. They open or access as little as possible so as to retain as much stability and integrity as possible.

The Tarlov cyst is at the Sacral 2 level, and your fusion stops at L5-S1. Even though it sounds close, it wasn't within the field of operation.

The bulging discs do not sound severe enough to warrant surgical intervention, at least from what the radiology report indicates. A surgeon wants to fuse as few levels as possible. Each subsequent level lowers the odds that the fusion will be successful. There is nothing to indicate that one or more spinal nerves are being compressed, as the EMG was normal, and the amount of stenosis is described as mild or moderate. So there really is no reason to justify additional surgery at this point. There are things that could be a cause of pain, but nothing jumps out as needing to be dealt with surgically.

Of course the MRI is just one piece of the diagnostic puzzle. This is where the spine specialist takes the information gathered from a physical exam, a basic neurological exam and an oral description of the patient's history and description of the symptoms, and correlates this information to what is found on MRI or other tests to determine a diagnosis.

But I am still curious why you were told you were in danger of not walking again.

It is standard practice when a fusion is done on an adjacent area to remove the first hardware, or part of it, so that the fused area can be added into the area that is being newly fused.

I had surgery in 08 at L4-L5. Then 18 months ago it was added onto at either side (L3-L4 and L5-S1). The doctor had planned on leaving the screws in place, but it turned out they were not compatible with the new screws, so they had to be removed. So he took off the rods, removed the screws, drilled new holes, put in new screws and then ran two long rods that connect from L3 to S1. Just a little carpentry project....what happened to me is fairly typical of a revision surgery....

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