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MRI Results -

I heard from my neurosurgeon regarding my recent MRI and he wants me to come in to discuss results and "possible" surgery.  I have never had surgery before and I want to be as informed as possible on what options I may be able to discuss with him.  I am a 50 year old female with diagnosed Relapsing Polychondritis and psoriatic arthritis [mild].  Below are my results.  I am assuming my providers concern is with the C5, C6
and C7 areas. My concern is surgery, does this look like something that can be resolved or relieved with PT or injections?

FINDINGS:



The included posterior fossa is normal. The cerebellar tonsils and fourth ventricle are normal
in morphology.

Alignment:  Nonspecific straightening of the normal lumbar lordosis.

Bone marrow/osseous: Vertebral body heights are maintained. No bone marrow edema or bone marrow
replacing process. No fractures.

Spinal cord signal: Normal.

Craniocervical junction: Occipitoatlantal and atlantoaxial articulation show mild degenerative
changes.

C2-C3: No spinal canal narrowing.  No neuroforaminal narrowing.

C3-C4: No spinal canal narrowing.  No neuroforaminal narrowing. Minimal uncovertebral
hypertrophy and bilateral facet arthropathy.

C4-C5: No spinal canal narrowing.  No neuroforaminal narrowing. Mild facet arthropathy.

C5-C6: There is symmetric disc bulging with superimposed protrusion extending into the right
paracentral and right foraminal zone as well as superimposed protrusion extending into the left
foraminal/extraforaminal zone. Moderate spinal canal narrowing to 6 mm. Moderate to severe
left neuroforaminal narrowing and mild to moderate right neuroforaminal narrowing. Mild facet
arthropathy.

C6-C7: There is a central disc extrusion with superior migration. There is also a component
which migrates inferiorly to the level of the mid C7 vertebral body. Moderate to severe central
spinal canal narrowing to 5.8 mm. No neuroforaminal narrowing.

C7-T1: No spinal canal narrowing.  No neuroforaminal narrowing. Mild facet arthropathy.


Prevertebral and paravertebral soft tissues: Vertebral artery flow voids are maintained.

  


  

Impression


  

C5-C6 disc osteophyte complex with superimposed protrusions resulting in moderate spinal canal
narrowing, moderate to severe left neuroforaminal narrowing and mild to moderate right
neuroforaminal narrowing.

C6-C7 irregular disc osteophyte complex with migration resulting in moderate to severe spinal
canal narrowing greatest centrally with chronic cord deformity.
1 Responses
15695260 tn?1549593113
Hello and welcome to the forum. Thanks for your question. What prompted the MRI?  Are you in a lot of pain or having other issues such as numbness or weakness? Sometimes that can be the determining factor for how aggressive you want to be in treating the issue. Please let us know what the doctor recommends.  Non surgical methods of treating cervical stenosis are often tried first.  Working with a Physical Therapist may help along with other lifestyle things you can do. However, if it doesn't or the pain is too bad, they may recommend surgery.  Here's a broad view of cervical stenosis.  https://www.mayoclinic.org/diseases-conditions/spinal-stenosis/symptoms-causes/syc-20352961.  The area that is more severe is obviously the primary concern for you.

Again, let us know what your doctor says about the report and your potential plans for working on this issue.  
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