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Spinal Cord Disorders Message Board


Spinal Cord Disorders Board Index


Cervical Problems
Aug 2, 2006
Hello all! :wave:
This is going to be a little lengthy. I appologize. I also posted this on the spinal cord problems board but only two answers. I had an MRI without contrast on my cervical because of my left arm aching and my left hand going numb. Here's the results. would appreciate any feedback since I do not understand them.
Findings: Alignment of the cervical spine is within normal limits. the vertebral bodies are normal in height and marrow signal. Degenerative end plate osseous spurring is identifies from C3-C7.
The craniocervical junction appears normal.
C2-3: There is no herniation or protrusion, neuroforaminal or canal stenosis.
C3-4: There is a mild generalized bulgding disc associated with mild uncovertebral joint spurring with the combination leading to very mild contact of the ventral cord without compression. Neuroforamina are patent.
C4-5: There is a mild generalized bulging disc associated with mild uncovertable joint spurring, with slight right-sided predominance. This results in mild contact of the ventral cord without cord flattening. There is mild right neuroforaminal narrowing. The canal measures only approximately 9-10 mm at a C4 level indicative of mild congenital stenosis.
C5-6: The combination of a right-sided predominant generalized bulging disc and a small focal contained subligamentous disc protrusion with secondary elevation of a posterior longitudian ligament. The combination results in mild canal stenosis and mild cord flattening praticularly centrally in the region of the C6 nerve root exit zone. The left neuroforamen is only mildly narrowed and the right is mild to moderately narrowed.
C6-7:There is a mild to moderate left-sided predominant generalized bulging disc associated with mild paravertebral joint spurring. This results in mild contact and subtle flattening of the ventral cord at the C7 nerve root exit zone. The neuroforamen are patent. The canal measures only 9-10 mm at the C6 level.
C7-T1: Normal
Incidental note is made of a moderate sized bulging disc at T2-3 and a left predominant protruding disc at T3-4. There is a right foraminal protruding disc or herniated disc at T4-5, contacting the exiting nerve.
Impression:
1. Multi-level degenerative disc disease with disc osteophyte complexes at C3-,C4-5,C5-6,and C6-7.
In this patient with left-sided pain, the greatest degree of left- sided neural involvment is a left-sided predominant bulging disc at C6-7 which midly indents the cord at the ventral C7 nerve root exit zone.
3. The largest bulging disc is the irregular bulging and protruding disc at C5-6 with slight central and right sided precominance.
$. The small bulging discs result in a slightly greater degree of cord flattening than expected based on the patient's small tecal sac, likely due to congenital short pedicles resulting in a mild degree of long segment canal stenosis.
5. Multi-level bulging and protruding discs inthe upper thoracic spine.
Well thats it. I have had 3 back surgeries on L5-S1 the last being a fusion with hardware. I am still in pain for that. So when I seen the results for my cervical mri it scared the $%^% out of me. If anyone can help me understand what all of the results are I would appreciate it. I go back to the Neuro spine surgeon this week. But I would like a little heads up on what I am facing. Does anyone think he will want to fuse me. Thanks so much and I hope you all have a blessed day!! :angel: TINCAN
LAMINECTOMY L5-S1
DISCTECTOMY L5-S1
FUSION L5-S1 WITH HARDWARE
FBSS
BONE SPURS
MEGA SCAR TISSUE
DDD UP TO THORASIC AREA AND CERVICAL AREA
STENOSIS
SPONDYLIOSIS
DISK BULGE L4
keep in mind Im not a doc (none of us are) but from the bits and pieces I gleaned researching my own MRIs you have a few spots that have bulging discs plus DDD at C4-5-6. they are pressing lightly on your spinal cord at C3 and 4 with no cord deformation, pressing slightly harder at C5, 6 and 7 resulting in a mild spinal cord flattening and also a nerve being contacted at C6 where it exits the spine.

at T3-4-5 there are herniated discs, one of which which is contacting the nerves at T4

also there is some bone build up (stenosis) in your vertibrae that is narrowing your spinal canal.

those results are consistant with the hand tingling going numb as the nerves that exit the spine at C6 control the thumb, index finger, biceps and forearm (plus more I sure).





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