It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Spinal Cord Disorders Message Board


Spinal Cord Disorders Board Index


Hello,
I am a 47 year old male with no previous health issues until 3 years ago when I herniated a cervical disc with left sided arm pain, tingling and numbness. I had an MRI that showed congenital cervical canal stenosis as well as the herniated disc. Three university neurosurgeons (California) said
not to operate and undergo PT. Traction relieved my symptoms and I remained symptom free for the next 3 years. Then last month I was working out more than usual and a few days later my left radicular symptoms returned. An MRI appeared to be worse than the previous one (see below). One surgeon in the bay area said to do a 4 level fusion and another at a nearby academic center recommended laminoplasty (c4-c6). I have a few more appointments in LA coming up soon.
I know a few contributors to this board have undergone laminoplasty and I was interested in hearing from them. Thanks for letting me participate in this forum.



COMPARISON: 10/1/10.

FINDINGS: Overall, there has been progression of the multilevel
degenerative spondylitic changes and central canal stenosis in particular
C3 through C7.

At C2-3: No focal HNP or significant central canal stenosis.

At C3-4: Irregular degenerative ventral disc osteophyte complex,
uncovertebral disease and facet arthropathy noted. There is
circumferential narrowing of the subarachnoid space around the cord at
this level dominant ventrally. The cord is flattened ventrally without
cord edema or myelomalacia. Bilateral degenerative neuroforaminal
narrowing noted. AP dimension of the central neural canal taken from
image 6 of 19 T2 stacked 8 mm. The canal is significantly compromised
here.

At C4-5: There is an irregular degenerative ventral disc osteophyte
complex superimposed on uncovertebral disease. Disc osteophyte complex
asymmetric to the right foramen. Some of the asymmetry likely related to
a mixed composition right lateral protrusion. There is partial effacement
of the subarachnoid space circumferentially around the cord. Dominant
though ventral lateral right side. The cord is contoured ventrolateral
right side without cord edema or myomalacia. AP dimension of the central
neural canal taken from T2 stack image 9 of 19 about 8.2 mm.

At C5-6: There is multifactorial severe central canal stenosis. There is
virtually complete effacement of the subarachnoid space around the
cervical spinal cord at this level. AP dimension of the central neural
canal taken from T2 Stack image 11 of 19. 7.2 mm. Degenerative ventral
disc osteophyte complex, uncovertebral disease and facet arthropathy
central canal stenosis.

At C7-T1: Irregular degenerative ventral disc osteophyte complex,
uncovertebral disease and facet arthropathy noted. Asymmetric to the left
foramen. Some of the asymmetry likely secondary to a left-sided both
paracentral and lateral bilobed protrusion mixed composition. There is
circumferential effacement of the subarachnoid space around the cord at
this level. AP dimension of the central neural canal taken from image 14
of 19 about 6.8 mm. The canal is significantly compromised at this level.

Neuroforaminal compromise noted bilaterally at C5-6 left slightly greater
than right. Left-sided at C6-7. Mild right-sided C7-T1.

IMPRESSION: Progressive degenerative multifactorial central canal
stenosis C3 through C7 with multilevel degenerative neuroforaminal
narrowing.





All times are GMT -7. The time now is 12:22 PM.





© 2022 MH Sub I, LLC dba Internet Brands. All rights reserved.
Do not copy or redistribute in any form!