I've been putting off surgery for nearly two years now and have been diligent with more conservative treatment, but my last MRI scares me a bit. Any help interpreting this would help. Do I need to have surgery? If so, what kind and what are the recoveries like? Thanks for any help. 13 years in the Marine Corps did a number on my body. Did I mention that I'm only 32!
C3-4: broad-based central annular protrusion abutting the thecal sac with 9.9 mm midline canal caliber.
C4-5: focal midline annular protrusion abutting the ventral surface of the thecal sac with mild cord flattening without cord signal. Segmental stenosis of 8.6 gradient. There is segmental canal stenosis of 8.6 mm at this level. Canal caliber 9.2mm.
C5-6: broad based annular protrusion across midline with ventral surface cord flattening ...normal cord signal. Canal caliber raised 8.1mmat this level. No foramina are patent. Canal caliber at Pericles level c6 is 9.1mm.
C6-7: asymmetrical large left-sided disc osteophyte complex compressing the spinal cord centrally and to the left of midline, with left neural foraminal stenosis of1.9mm in midline, canal stenosis of 7.1mm. There is a slight increasing signal of the spinal cord substance at this level of concern for compressive myelopathy to be correlated with clinical symptoms. Canal caliber at the pedicle c7 is 9.5mm.
C7-t1: spinal canal measures 9.1mm.
Impressions: underlying congenital spinal stenosis with narrow caliber of spinal canal at pedicle levels c3 through c7. Annular protrusions at c3-4 through c6-7, with steno tic lesion at c6-7 with a high likelihood of clinical significance.
Thanks for any feedback.