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Spinal Cord Disorders Message Board


Spinal Cord Disorders Board Index


I am a 51 year old man who had a ACDF at C4-5 and C5-6 in October of 2013 after several years of suffering with neck pain. Initially things were great and I was relatively pain free. The neck pain began to return after about 3 months so I had a repeat MRI in June of 2014. My pain management doctor said I had some bone spurs along with other issues so I went back to managing the pain with meds (Hydrocodone 10 mg-3 times per day) and injections. I recently had a rhizotomy at C4-7 which provided no relief. My pain is now worse than ever and I am worried about what may happen next. I welcome any and all advice. Here are the MRI results:

C2-C3: Minor disc osteophyte complex and mild to moderate left and minor right facetosteoarthritis are identified without stenosis.

C3-C4: Trace grade 1 retrolisthesis, disc osteophyte complex, uncovertebral joint overgrowth and minor facet hypertrophy contribute to borderline right foraminal stenosis. Spinal canal remains patent.

C4-C5: Operative level. Pre-existing left uncovertebral joint overgrowth and/or osseous fusion mass contribute to moderate left foraminal stenosis. Spinal canal and right neural foramen are widely patent.

C5-C6: Operative level. Left eccentric and foraminal osseous fusion mass and/or pre existing left eccentric disc osteophyte complex and uncovertebral joint overgrowth contribute to moderate left foraminal stenosis. Spinal canal and right neural foramen are widely patent.

C6-C7: Disc osteophyte complex and uncovertebral joint overgrowth contribute to moderate, left greater than right foraminal stenoses without significant spinal canal compromise.

C7-T1: Minor disc osteophyte complex and uncovertebral joint overgrowth contribute to mild left foraminal stenosis.

Impression:

-Status post ACDF C4-5 and C5-6. Osseous fusion mass and/or pre existing degenerative change contribute to left foraminal stenosis at the operative levels.

-Non-fusion levels demonstrate multilevel, multi factorial cervical spondylosis with foraminal stenosis most advanced at C6-C7.

Thanks for your help.





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