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  • Cervical Spine MRI results

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    Old 03-25-2018, 07:13 AM   #1
    Mom50yr
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    Cervical Spine MRI results

    I recently received the following MRI results. I need help determining if I need to get another opinion.
    They have me in PT and are talking about injections?

    c2 and C3 near fusion (congenital)

    c2-3 there is a small left paracentral disc osteophyte complex with partial effacement of the ventral subarchnoid space. AP diameter of thecal sac at the midline measure 10 mm.

    c3-4 there is a right paracentral disc osteophyte complex with effacement of the ventral subarachoid space on the right side focally.
    AP diamater of thecal sac at the midline measures 9 mm. It is less than this to the right of the midline. There is no neural formainal stenosis. Ther is no mass effect on the ventral cord.

    C4-5 there is a broad based posterior disc osteophytecompletx with effacement of the ventral subarachnoid space. AP diameter of thecal sac measures between 9 and 10 mm. There is mild mass effect on the ventral cord. There is slight right neural foraminal stenosis.

    C5-6, there is a broad based posterior disc osteophyte complex with partial effacement of the ventral subarachoid space. AP diameter of thecal sac measures between 9 and 10 mm. There is mild right neural formaminal stenosis. No mass effect on the ventral cord.

    C6-7There is a small broad based disc osteophyte complex. There is no spinal stenosis or neural foraminal stenosis.


    In a lot of pain (and headaches) and I'm trying to figure out if it is something more serious.

    Thank you!

     
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    Old 03-26-2018, 09:21 AM   #2
    teteri66
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    Re: Cervical Spine MRI results

    Welcome to the board. I wrote a long reply yesterday but managed to lose it before posting...so now will write something a bit less involved.

    Are you under the care of a spine specialist? This could be either a fellowship-trained orthopedic spine surgeon or a neurosurgeon. I would suggest finding one now that you can develop a longstanding relationship with...as I think your situation is one that will need to be followed in years to come.

    I say this based on the narrowing of the central spinal canal. The MRI reveals a diameter of between 9mm and 10mm except at C3-4 where it is judged to be less than 9mm. This is, in most people, bordering on being too narrow to keep the spinal cord healthy. The medical term for this is spinal stenosis, with or without myelopathy.

    Stenosis means narrowing of the spinal canal. It can be caused by bone spurs or bony overgrowth...which is what disc osteophyte complex is. This can come about as a degenerative condition or yours may be a congenital canal stenosis which means the canal was somewhat more narrow at birth.

    You can find lots of good information pertaining to cervical spinal stenosis online...look for websites that are associated with a medical clinic or practice or similar.

    At this point, your situation isn't too bad but if should it become so, it can lead to symptoms from pinched nerves or spinal cord compression. Pinched nerves cause pain in the neck and arm, weakness, numbness and tingling, etc. A compressed spinal cord can cause weakness in the arms and legs, numbness, trouble with balance, difficulty using hands like grasping objects, dropping items, etc. It can lead to paralysis if severe.

    This is why I say you will want to see a spine surgeon to establish a relationship and baseline data. It is unlikely you would need surgery at this point, but it may become necessary in the future. It is wise to seek the best care possible at this point so that further damage to the spinal cord can be avoided.

     
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