So this is the little MRI that started is all .... June 2006
The interpretation was: MRI CERVICAL SPINE
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 patent. 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 patent. Patent 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.
C7-T1: Normal intervertebral discs with no spondylosis or uncovertebral joint arthrosis. Normal central canal and intervertebral neural foramina at the corresponding levels, with no cord or radicular impingement.
Which led to this simple 2 level ACDF - Only problem was a non-union and the cadavear implants (black squares) did not maintain the space and impacted down into the vertabrea ... also is caused a ostophyte growth on the anterior (front of the plate so that when ever I would swallow ... the entire construct would go banging into my spinal cord.
Ok ... so finally we redo the whole "shabang" Anterior Posterior remove two vertabrae (corpectomy and posterior rods) now three level (my own hip bone this time)
Hurray Fusion at 6 weeks post July 2009
And then we have now September 2010 "Pinch Stenosis" at C3
And just for the fun of it herniations at L2 L3 L4 lotsa
loss of disc space - desication.
Well I guess I just hit the lumbar lotto
Ugly picture - ugly report - lotsa pain
HISTORY: Herniation of lumbar intervertebral disc with radiculopathy.
Low back pain, sciatica, difficulty walking.
COMPARISON: MRI lumbar spine 11/22/2010.
TECHNIQUE: Sagittal and axial T1, T2; sagittal T2 fat saturation
FINDINGS: Again noted is a congenitally slender AP diameter of the
lumbar spinal canal especially at the L3 and L4 levels. There appears
to be a slight increase in degenerative retrolisthesis of L3 on L4 with
associated new endplate irregularities most prominent along the inferior
aspect of L3. No other definite subluxation. No evidence for an
infiltrative process in the bone marrow. There is nonspecific
straightening of the lumbar spine. Visualized vertebral body heights
are well-maintained. Again seen is moderate-severe degenerative disc
space narrowing at L2-L3, L3-L4 and L4-L5 with low T2 signal disc
desiccation at L2-L3 and L3-L4
No abnormal signal in the visualized distal spinal cord/conus. The tip
of the conus appears to be at the T12 level based on sagittal images.
Based on sagittal images, no significant disc herniation or central
stenosis at T11-T12. At T12-L1 and L1-L2, no disc herniation or spinal
L2-L3: Mild posterior disc osteophyte complex without focal disc
herniation or spinal stenosis.
L3-L4: Slight degenerative retrolisthesis at this level appears slightly
increased. Degenerative disc space narrowing also appears worse. Facet
degenerative changes with ligamentum flavum thickening. There is
moderate central stenosis. There is a new superimposed left foraminal
disc herniation extending above the disc space resulting in left
foraminal stenosis requiring clinical correlation for left L3 radicular
symptoms. The right neural foramen is narrowed.
L4-L5: Degenerative disc space narrowing at this level appears worse.
There are facet degenerative changes with ligamentum flavum thickening
and mild disc bulging. Seen best on T1 images is persistent left
paramedian disc extrusion into the left L5 lateral recess region also
appearing to indent the adjacent thecal sac requiring clinical
correlation for left L5 radicular symptoms. There is mild-moderate
central stenosis especially involving the subarticular recesses. There
also appears to be a left foraminal-far lateral disc protrusion. There
is left greater than right foraminal narrowing-stenosis.
L5-S1: No disc herniation or central stenosis. Mild facet degenerative
changes. There is probably not significant foraminal stenosis.
IMPRESSION: Worsening degenerative changes discussed above at L3-L4 and
to a lesser degree L4-L5. Followup as clinically warranted.
I know how to party !!
and now for something really different *** Another ACDF !!!!!!!">