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  • ACDF 2014 having issues still see recent CT scan

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    Old 06-20-2016, 01:48 PM   #1
    ladybug5563
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    Post ACDF 2014 having issues still see recent CT scan

    What does this all mean??? Any help greatly appreciated. Can some please explain this CT Scan so I have some idea what it means???

    FINDINGS: Straightening of usual cervical lordosis. No osseous sclerotic or osseous loose lesion appreciated. The usual low attenuation visualized portions mastoid air cells. Mild hypertrophic changes C1-C2 with small spurs. On scout image, mild dextroconvex curvature thoracic spine. Anterior metal plate extends from C5 through C7, with 2 anterior screws, C5, C6, C7.

    C2-C3: No significant herniation or osseous stenosis.

    C3-C4: No significant herniation or osseous stenosis. Slight anterolisthesis, 1 mm.

    C4-C5: Bulging disc/osteophyte, 1.6 mm. Minimal uncovertebral joint degenerative changes. Prominent anterior osteophyte with endplate changes and bone loss, superior endplate C5, anteriorly. No significant osseous canal or osseous foraminal stenosis.

    C5-C6: Postoperative hardware and postoperative changes at disc space with incorporation of the osseous construct noted. Residual posterior spur, 2.2 mm, and mild residual anterior osseous encroachment of the canal. No significant osseous stenosis of the right foramen. Mild osseous narrowing left foramen.

    C6-C7: Postoperative hardware and postoperative changes at disc space. Osseous construct does not appear incorporated to superior endplate of C7. The left C6 screw appears to extend below the inferior endplate of C6 to the osseous construct/C6 inferior endplate junction region. The right C6 screw extends along the inferior most extent of the vertebral body near the interface with the osseous construct. Residual posterior spur, 1.4 mm, minimally encroaches anterior canal. No significant osseous foraminal stenosis.

    C7-T1: Broad-based posterior disc protrusion/osteophyte, 1.5 mm, left paramedian. Mild uncovertebral joint hypertrophy. No significant osseous canal stenosis. Mild left osseous foraminal stenosis.

    T1-T2: No significant osseous canal or foraminal stenosis.

    T2-T3: Bulging disc/osteophyte, 1.5 mm, minimally encroaching anterior canal. Anterior osteophyte also present. Mild to moderate disc narrowing. Facet hypertrophy bilaterally. Moderate bilateral osseous foraminal stenosis.

    T3-T4: No significant osseous canal or osseous foraminal stenosis. Mild to moderate disc narrowing with endplate degeneration. Anterior osteophyte.

    T4-T5: Bulging disc/osteophyte, left foraminal, 1.4 mm. Mild left foraminal stenosis. No significant osseous canal or osseous right foraminal stenosis. Mild to moderate disc narrowing with mild endplate degeneration. Anterior osteophyte.

    IMPRESSION:

    1. Postoperative residuals C5-C6, C6-C7, with hardware as detailed above.

    2. Osseous construct at C6-C7 does not appear to be incorporated to superior endplate of C7.

    3. Posterior bulging disc/osteophyte, C4-C5, C7-T1, T2-T3, T4-T5, as above.

    4. Canal stenosis: Mild C5-C6; minimal C6-C7, T2-T3.

    5. Foraminal stenosis: Mild left C5-C6, C7-T1; moderate bilateral T2-T3; mild left T4-T5

    Last edited by ladybug5563; 06-24-2016 at 07:04 PM.

     
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