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Spinal Cord Disorders Message Board


Spinal Cord Disorders Board Index


Hi,
I'm new to this board (but a regular on the back problems board as I'll be having a decompression surgery on L3,L4,L5 sometime this year for severe spinal stenosis and extensive facet arthritis).

I just got the results of my C-spine T-spine MRI: Any insight would be appreciated.

C2-C3, C3-C4, C4-C5: Unremarkable! (THANK GOD!!!)

C5-C6: Irregular left foraminal & paramedian disc spur complex causes mild anterior impression upon the cord and mild to moderate left foraminal stenosis. Central canal is lower normal caliber. Right foramen is patent.

C6-C7: Shallow disc-spur complex is present. There is some anterior cord flattening. Central canal & foramina are lower normal caliber.

C7-T1: Unremarkable! (THANK GOD!!!)

T- Spine: Unremarkable! (THANK GOD!!!)

IMPRESSION:
1. Mild to modrate left foraminal stenosis C5-C6 due to left paramedian and foraminal uncovertebral spur.
2. Borderline central canal & foraminal stenosis C6-C7 due to shallow broad-based disc spur complex.

I understand foraminal stenosis and basic stenosis but this is what I don't understand:

1) central canal & foramina being lower normal caliber?

2) Right foramen is patent...what is that?

3) Anterior cord flattening?

4) What is the difference between stenosis and then cord flattening? I know that the spinal cord stops at T12....so I am really concerned about the cord flattening....like is there potential for paralysis?

Thanks for reading and hopefully commenting on this.

Let Me Walk
The radiologist says you have only mild-to-moderate left C5-6 foraminal stenosis, but it's clearly worse than that, as you are developing symptoms of C6 radiculopathy.

I didn't meant to imply that you were over 60, only that there are a LOT of people walking around with undiagnosed spinal problems. I had a C3-4 ACDF at age 44 to fix a badly herniated disk, followed by a foraminotomy at 52 and a laminoplasty at 59.

The reason I thought you might have hereditary cervical canal stenosis (which I have) is that it doesn't seem to take very much before your cord is affected, which makes me think it doesn't have as much buffer as it should. A good radiologist will mention if he thinks the canal is too narrow, but the average MRI report is not very good.

Considering your OA problem, you might want to keep an eye on the cervical issues. It may not be long before surgery would be appropriate (if it isn't already). I'm thinking that a decompression (laminoplasty) with accompanying foramintomies might be the best approach. I'm not sure how much good an ACDF would do you. Since laminoplasties still are not that common in the U.S., it might be a good idea to find a VERY good surgeon who has a lot of experience with them and get him to look at your MRI, just so you've started the process.

If you want to know a little more about laminoplasties (from my perspective), I wrote a thread here called Cervical Laminoplasty Chronicle.





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