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Spinal Cord Disorders Message Board


Spinal Cord Disorders Board Index


Hi. I've been having neck/back problems ever since I can remember. I didn't find out until after I had my first daughter that I had all this stuff wrong with my cervical spine. The earliest MRI I can find (I think my friend in VA has my MRIs from 1989-90) are from 2006. So I've typed them up and I'm hoping someone can take the time to look at them and let me know if they think anything has changed from the findings listed.... I would be forever grateful! ;) (Sorry...it's kind of long.)

DATE OF SERVICE: 08-14-2006
MRI CERVICAL SPINE WITHOUT CONTRAST
FINDINGS: A severe cervical rotoscoliosis with convexity to the right is noted. No subluxation or retrolisthesis is seen.
A partial congenital interbody fusion is noted at the C4-C5 and C7-T1 level with hypoplasia of the adjacent endplate. The cervical vertebrae reveal no compression fracture or marrow replacement. Diminished signal of the C5-C6 cervical disc is seen with mild spondylosis. The posterior elements reveal no subluxation of the facet joints or occult fracture. No occult spina bifida is identified. The C1-C2 relationship is anatomic with normal segmentation.
The cervical cord as well as cervicomedullary junction reveal no intra or extramedullary mass. No cord syrinx is present.
The C2-C3 level is normal.
At C3-C4 an annular disc bulge with small ventral osteophytes are noted. Moderately severe hypertrophy of the left facet joint is seen with severe narrowing of the left neuroforamen.
At C4-C5 a partial interbody fusion is noted. No focal disc herniation or canal stenosis is present. Mild narrowing of the right neuroforamen is seen.
At C5-C6 disc desiccation with an annular disc bulge is seen flattening the thecal sac. Mild narrowing of the right neuroforamen is present.
The C6-C7 level reveals no focal disc herniation. Mild narrowing of the right neuroforamen is seen.
At C7-T1 a partial interbody fusion is seen without canal stenosis or foraminal narrowing.
IMPRESSION:
1. A SEVERE CERVICAL ROTOSCOLIOSIS IS SEEN WITH A CONVEXITY TO THE RIGHT.
2. A PARTIAL INTERBODY FUSION IS NOTED AT THE C4-C5 AND C7-T1 LEVEL WITH HYPOPLASIA OF THE ADJACENT ENDPLATE. THE POSTERIOR ELEMENTS ARE INTACT.
3. AT C3-C4 MODERATELY SEVERE HYPERTROPHY OF THE LEFT FACET JOINT IS SEEN WITH SEVERE NARROWING OF THE LEFT NEUROFORAMEN.
4. THE C4-C5, C5-C6 AND C6-C7 LEVELS REVEAL MILD NARROWING OF THE RIGHT NEUROFORAMEN. NO CANAL STENOSIS OR FOCAL DISC HERNIATION IS PRESENT.
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DATE OF EXAM: 10-11-2007
PROCEDURE REQUESTED C-SPINE 2 OR 3 VIEWS
FINDINGS: FRONTAL, LATERAL, AND OPEN MOUTH ODONTOID VIEWS OF THE CERVICAL SPINE, DATED OCTOBER 11, 2007:
Dextro convex scoliosis of the cervical spine with a segmentation abnormality of the C5 vertebral body. There is suggestion of fusion of the right posterior elements. No acute fracture is identified.
Lateral mass of C1 and C2 are aligned. Odontoid process in intact. Predental and prevertebral soft tissues are unremarkable.
IMPRESSION: As above.
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DATE OF SERVICE: 01-18-2008
PROCEDURE: CERVICAL SPINE X-RAYS
FINDINGS: This patient has a moderate slight convex scoliosis. There are multiple congenital vertebral body anomalies of the cervical spine. There appears to be a hemivertebra at C4 and likely a butterfly vertebra at C7.
The prevertebral soft tissues are normal. There is no evidence of acute trauma.
On the lateral radiograph a fairly normal cervical lordosis is noted.
IMPRESSION:
1. MULTILEVEL CONGENITAL VERTEBRAL BODY ANOMALIES. IF THIS PATIENT HAS NOT HAD A CT EVALUATION IN THE PAST IT IS SUGGESTED THAT A CT OF THE CERVICAL SPINE WITH RECONSTRUCTIONS BE PERFORMED.
2. NO EVIDENCE OF ACUTE FRACTURE PERCEIVED ON PLAIN FILM.
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DATE OF EXAM: 02-22-2008
PROCEDURE: CERVICAL CT WITHOUT CONTRAST
FINDINGS: The craniocervical junction is normal. Atlantooccipital joints are normal.
C1-2: The atlantoaxial joints are symmetric. Exit foramina are patent.
C2-3: The C2 vertebra is symmetrically formed. C2-3 exit foramina are patent. There is congenital disc-space narrowing at the C2-3 disc level, with partial fusion across the disc space posteriorly. The C2-3 facet joints are narrowed although not completely fused. There is some congenital asymmetry of the posterior elements of C3.
C3-4: There is degenerative disc-space narrowing and minimal annular disc bulge. No cord flattening. Congenital asymmetry of the C3 posterior elements results in moderate left exit foraminal narrowing. This could affect the left C4 exiting nerve root. The right foramen is patent.
C4-5: There is segmentation anomaly at this level. No disc space is visible. The combined C4-5 vertebrae has two right-sided pedicles with the right C4-5 foramen widely patent. The right C4-5 facet joint/articular masses are fused. The left half of the vertebrae has only a single combined pedicle and is diminished in cephalocaudal dimension. This results in focal dextroscoliosis at this level.
C5-6: There is a degenerative disc-space narrowing and discogenic endplate irregularity between the combined C4-5 anomalous vertebra and the C6 vertebra. There is congenital asymmetry of the C6 posterior elements. Hypertrophic changes are seen at the facets joints. The exit foramina are patent. Central canal is patent.
C6-7: Disc space is maintained. No obvious disc herniated or central stenosis. The exit foramina are patent despite congenital asymmetry of the posterior elements. The left C7 transverse process is somewhat elongated and may represent a hypoplastic cervical rib.
C7-T1: There is a partial segmentation anomaly of the C7 and T1 vertebrae. No obvious central canal stenosis is present. There is soft tissue attenuation in the left C7-T1 foramen, this is nonspecific. No obvious bony foraminal compromise.
There is only limited evaluation of the cervical spinal cord. No bony septation is seen within the cervical canal.
IMPRESSION:
1. MULTILEVEL CONGENITAL ANOMALIES OF THE CERVICAL VERTEBRAE INCLUDING PROMINENT SEGMENTATION DEFECT AT C4-5. THIS RESULTS IN FOCAL DEXTROSCOLIOSIS. THESE ANOMALIES EXTEND DOWN TO THE CERVICOTHORACIC JUNCTION WITHOUT OBVIOUS CENTRAL CANAL STENOSIS.
2. LEFT C3-4 FORAMINAL NARROWING COULD CONTRIBUTE TO C4 RADICULAR SYMPTOMS.
3. IF FURTHER EVALUATION OF THE CERVICAL SPINAL CORD, OR EXIT FORAMINA, IS CLINICALLY INDICATED, CERVICAL MRI WOULD INCREASE SENSITIVITY AND SPECIFICITY.
4. NO OBVIOUS CERVICAL FRACTURE OR DEGENERATIVE SUBLUXATION.
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DATE OF EXAM: 04-24-2008
PROCEDURE: CERVICAL CT WITHOUT CONTRAST
FINDINGS: Comparison is made to previous CT from 02-22-2008.
The craniocervical junction is grossly unremarkable. Atlantooccipital joints are symmetric and unremarkable.
C1-2: Unchanged. Atlantoaxial joints are symmetric. Exit foramina are patent.
C2-3: Unchanged. The C2-3 exit foramina are patent. Central canal is patent. There is congenital disc-space narrowing at the C2-3 disc level with partial fusion across the disc space. There is narrowing of the C2-3 facet joints, possibly with some partial fusion although complete fusion is not present. There is congenital asymmetry of the posterior elements at C3.
C3-4: Unchanged. There is left exit foraminal narrowing which could affect the C4 exiting nerve root. This is related to congenital asymmetry of the posterior elements and left facet hypertrophy. The right foramen is patent. There is mild degenerative disc-space narrowing and annular disc bulge. No cord flattening.
C4-5: Unchanged. There is asymmetric segmentation anomaly at this level. No disc space is visible. There are two right-sided pedicles with a patent right C4-5 foramen. The right facet joint/articular masses are fused. There is a single combined on the left. This results in focal dextroscoliosis centered at this level. No subluxation.
C5-6: Unchanged. There is a degenerative disc-space narrowing and discogenic endplate irregularity. Central canal and exit foramina appear patent despite hypertrophic changes in the facet joints.
C6-7: Unchanged. There is congenital asymmetry without obvious disc herniation or cord flattening. Central canal and exit foramina appear patent.
C7-T1: Unchanged. No canal or exit foraminal stenosis. Asymmetric segmentation anomaly is again noted.
T1-2: There is soft tissue attenuation in the left lateral recess and foramen which is nonspecific although raises the possibility of the disc herniation. Due to the congenital segmentation asymmetry, the normal venous plexus also is asymmetric and could contribute to this appearance.
IMPRESSION:
1. MULTILEVEL CONGENITAL SEGMENTATION ANOMALIES DESCRIBED IN DETAIL ABOVE AND ON THE PRIOR STUDIES. THERE IS FOCAL DEXTROSCOLIOSIS RELATED TO THIS. THESE ARE UNCHANGED.
2. LEFT C3-4 FORAMINAL NARROWING COULD CONTRIBUTE TO C4 RADICULAR SYMPTOMS, UNCHANGED.
3. ASYMMETRIC SOFT TISSUE ATTENUATION ON THE LEFT INVOLVING THE T1-2 FORAMEN AND LESS SIGNIFICANTLY THE C7-T1 FORAMEN. THE SIGNIFICANCE AND ETIOLOGY ARE UNCERTAIN. IF THERE IS CONCERN FOR LEFT C8 OR T1 RADICULAR SYMPTOMS, MRI WOULD BETTER DELINEATE.


I'm also going to post the findings for my shoulder, lumber and thoracic spine separately. Thanks!!!





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