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  • Cervical Spinal Stenosis

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    Old 11-03-2013, 09:44 PM   #1
    Crumbly
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    Cervical Spinal Stenosis

    Hello out there. New to the forum and new to cervical stenosis. Ok, I've had the pain of it for at least 3 years but just finding out the cause after the MRI. Here are my results:

    Alignment: There is straightening of the cervical spine.

    Vertebral bodies: Well maintained with normal marrow signal. There
    is no evidence of bone destruction or acute fracture. There is mild
    multilevel spondylosis.

    Disc height: There is moderate loss of disc height at C5/6. There is
    mild loss of disc height at C4/5 and C6/7.

    Cord: The spinal cord is normal in contour and signal intensity
    throughout.

    Craniocervical Junction: There is slight tonsillar ectopia. The
    visualized portions of the posterior fossa are unremarkable. The
    craniocervical junction has a normal anatomical relationship.

    C2-C3: Unremarkable.

    C3-C4: There is a shallow right central disc protrusion that
    minimally narrows the ventral subarachnoid space. The central canal
    and neural foramina are patent.

    C4-C5: There is a central disc protrusion that mildly narrows the
    ventral subarachnoid space. The residual AP diameter of the canal
    measures 9-10 mm. The neural foramina are patent.

    C5-C6: A disc osteophyte complex minimally narrows the ventral
    subarachnoid space. The residual AP diameter of the canal measures
    9-10 mm. There is left-sided uncovertebral joint hypertrophy. There
    is no significant neural foraminal stenosis.

    C6-C7: There is a small right paracentral disc protrusion that
    mildly narrows the ventral subarachnoid space. The herniation may
    contact the ventral rootlet on the right. Clinical correlation is
    recommended. This is superimposed upon a circumferential disc bulge.
    The residual AP diameter of the canal measures 8 mm. The neural
    foramina are patent.

    C7-T1: Unremarkable.

    Soft tissues: The paraspinous soft tissues are unremarkable.

    IMPRESSION:
    1. Multilevel degenerative disc disease and spondylosis. There is
    multilevel central canal stenoses, as above.
    2. Right paracentral disc protrusion at C6/7 that may contact the
    ventral rootlet of the exiting right C7 nerve root. Clinical
    correlation is recommended.
    3. There is no significant neural foraminal stenosis.


    I guess my main concern is the narrowing at one point to 8mm? My rheumatologist ordered this and has referred my to a physiatrist whom I'll see next week. Also, I started PT a week before the MRI and she's doing traction which worries me a little after seeing the results. Should I consult a neurosurgeon?


    Thanks for any thoughts on this,
    Crumbly

     
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    Old 11-03-2013, 10:04 PM   #2
    WebDozer
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    Re: Cervical Spinal Stenosis

    What symptoms do you have? Just pain in the neck?

    The 8mm is narrowish, but the radiologist does not say that your cord has been impacted, only that some of the "cushion" has been pushed away by osteophytes and a small herniation.

    The worst is the "ventral rootlet" on the right at C6-7. This might cause some symptoms going down into your middle fingers.

    I don't see anything calling for surgical consultation, but that's really up to your physiatrist.

     
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