I've posted under a different subject line about my back problems and trying to figure out if a spinal fusion is the right step to take to relieve my pain. I had a CT scan that showed a fracture at T1 and a pedicle screw that may or may not be impinging on a nerve. My doctor ordered an MRI to get a better idea of what was going on. I'd like to post the results and then ask folks if these findings would indicate that surgery might be needed to stabilize the fracture and the screw:
C2-3: Normal disc. Moderate left facet and uncovertebral hypertrophy. C3-4: Disc bulge. Mild left facet and right uncovertebral hypertrophy. C4-5: Small disc protrusion. C5-6: Diffuse bulge with mild canal narrowing. Mild bilateral neural foraminal narrowing and moderate facet hypertrophy. C6-7: Diffuse bulge with mild canal narrowing. 4-mm right perineural cyst and mild-moderate left neural foraminal narrowing. C7-T1: Normal disc. T1-T2 Left perineural cyst. IMPRESSION: 1) Multilevel degenerative spondylosis with central canal narrowing and neural foraminal narrowing as detailed above. 1) Compression fracture of T1, T2 and T4. 3) Artifact from pedicle screws traverses the spinal canal on the left at the T2 level. Can not exclude extension of screw transgression into the canal on this examination. CT imaging may further deliniate this finding.
Any comments? Does this seem to indicate that this screw is entering the spinal canal? Is it dangerous to just let it stay where it is or could it move and cause severe nerve damage or even paralysis? Thanks in advance for any info you can share with me! Kath