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Cerivcal pain and neurosurgery

dstevensbobddstevensbob Posts: 18
edited 06/11/2012 - 8:54 AM in Neck Pain: Cervical
Hello - I am new to this forum - have been out of work with neck pain and stiffness for the last month and 1/2. Had one week of heavy meds and resting 4 weeks of physical therapy - X-ray, MRI and epidural injection in cervical spine last week. The Doctor at the pain clinic said the epi was not a fix - just to help with my pain. Pain has gotten better in last 4-5 days but still have some achiness in arms and legs and headaches along with some neck stiffness. Also, the Doc at the pain clinic said he wants me to see a neurosurgeon due to the MRI report - c6-7There is diffuse disc bulging with a broad-based central protrusion wich conpresses the sac. The protrusion measures approx. 3.5 x 10.0 mm in diameter. The AP diameter of the cord is narrawed to approx. 8 mm at this level. The is minimal flattening of the anterior aspect of the cord.

The is more but this is the area he is most worried about.
Any input?
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Comments

  • The user and all related content has been deleted.
  • Welcome to Spine Health!! I fully agree with Charlie. Considering your disk is on your cord, you really should consider seeing a Neurosurgeon or a fellowship trained Orthopedic spine specialist. They might try other conservative methods, but it sounds like you've already put a 'check' in that box!!

    I truly hope surgery isn't in your future, but at the same time, hopefully you will know fully where you are at with your neck. Please let us know how it goes. Again, Welcome aboard!!

    Brenda
    PCTF C4 - T2, Laminectomies C5, C6 & C7. Severe Palsy left arm/hand.
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  • Neurogeon told me no surgery needed at the present time but ordered a cat scan to see if there is calcification in the discs - any idea why?
  • "Calcification"... If you get an answer to that in the next week or so, please let me know what they tell you. I ask because on my last MRI "inside" my present fusion:

    "left foraminal disk at C6-C7 now appears calcified with uncovertebral joint
    and facet hypertrophy with persistent foraminal stenosis."

    My guess is maybe answered at the end of their finding..can cause stenosis (narrowing). I just did a bit of research, and apparently 'calcification' by itself is not a biggie, but can become one if causing 'stenosis', 'inflammation' or 'infection.' Otherwise, *most* calcifications in adults are shown to be non symptomatic. The key is the calcification causing issues I found above. I hope that helps.

    Brenda
    PCTF C4 - T2, Laminectomies C5, C6 & C7. Severe Palsy left arm/hand.
  • I received the results of my cat scan today and here is the worst part - any explanation would help as I don't go back to my neurosurgeon until the end of July.

    C5-6 Prominent facet hypertrophy, particularly on the left, with moderate left foraminal stenosis.

    C6-7 There appears to be hgh density central disc protursion posterior to the berbral body, but soft tissue detail in the canal is not optimal.

    C4-5 - uncovertebral spruuing and spurring from the vertebral bodies, with mild foraminal narrowing.

    Thanks.
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  • I received the results of my cat scan today and here is the worst part - any explanation would help as I don't go back to my neurosurgeon until the end of July.

    C5-6 Prominent facet hypertrophy, particularly on the left, with moderate left foraminal stenosis.

    C6-7 There appears to be hgh density central disc protursion posterior to the berbral body, but soft tissue detail in the canal is not optimal.

    C4-5 - uncovertebral spruuing and spurring from the vertebral bodies, with mild foraminal narrowing.

    Thanks.
  • MetalneckMetalneck The Island of Misfit toysPosts: 1,772
    I can post "my bad MRI from 5 years ago that led to very quick surgical intervention(s).

    It may offer some perspective as to the status as to where your at. For me it is always a horrific reminder of where I started this journey from:

    Date of Exam 06-27-2006

    Exam: MRI CERVIAL SPINE W/O

    Clinical:
    This is a 44-year old male with neck pain for 20 years.

    MRI CERVICAL SPINE

    FINDINGS:
    Normal brainstem cervical cord junction. Normal Cisterna Magna with no tonsilar ectopia Normal clivus with a normal craniovertebral junction. Normal anterior atlantoaxial articulation.

    Normal alignment of the cervical vertebral bodies with no ligamentous instability, marrow edema or compression abnormalities.

    C2-3: Normal intervetebral discs with no spondylosis or uncovertebral joint arthrosis. Normal central canal and intervetebral neural foramina at the corresponding levels, with no cord or radicular impingement.

    C3-4: There is disc desiccation without of loss of disc height. There is endplate spondylosis and a central disk/osteophyte complex that measures 2 X 3mm (AP X transverse) but this does not contact or deform the cord, Normal central canal and intervertebral neural foramina.

    C4-5 There is disc desiccation with minimal loss of disk height and mild endplate spondylosis. There is a 2 mm posterior osteophytic ridge without focal protrusion. There is moderate left uncinate arthrosis, with mild narrowing of the foramen without compression of the exiting nerve root. The central canal remains patient. There is mild intervertebral neural foraminal narrowing

    C5-6 There is disc desiccation with near complete loss of the disc and advanced end plate spondylosis. There is a 2 mm posterior osteophytic ridge and there is a left pre-foraminal disc/osteophyte complex that measures 3 X 5 (AP X Transverse) extending into the left neural foramen with narrowing of the foramen and likely impingement of the exiting left C6 nerve root. The central canal remains patient. Patient right intervertebral neural foramen.

    C6-7 There is disc desiccation with loss of disc space height and end plate spondylosis.
    There is a 2 mm posterior osteophytic ridge and there is bilateral facet and uncinate arthrosis with narrowing of both intervertebral neural foramina, impinging on the exciting bilateral C7 nerve roots. The central canal remains patent.

    The led to a 2 level ACDF that failed. 1.5 years and another level of herniation later I had the major 3 level anterior - posterior - cage - rods revision sugery that is shown in my advatar.

    Hoping for positive outcomes for you!

    Regards,

    d
  • Simple reminder- that you can always get a second opinion if you don't have a good feeling about things that were said by the current NS.

    Mine neck MRI read like Metal Neck's. My NS said I was one accident away from a wheel chair (which I had the day I was released to go back to work after my ACDF).

    Good luck,

    Julie
  • Hi I am new to this site and looking for answers. In 1996 I had a double disc surgery, 2 coral implants and a titanium plate. I have had 2 xrays since then one because I was complaining of scratchy throat and tender spot in the area of the surgery. The xray showed the plate had cracked in half but the screws are still holding it in place. I was told not to worry about it by my general doctor.

    2 weeks ago I got another set of xrays by a chiropractor and he pointed out that the cracked plate, but also the bone above the plate is starting to grow over it.

    Is this dangerous? Has anyone ever experienced this? I feel discomfort in that area but cannot get an answer I agree with. Help
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