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dextroconvex scoliotic deformity??


First of all thank you for having this site available to people who have concerns and questions, I have been stuggling to make some sense of information I have just received.

I am a 40 year old female who has had no past diagnosis of scoliosis until now....

A little history... Never had any back pain in my life until 2011.2 yrs ago I hurt my lower back lifting a large box. Lower back CT revealed only a sprain to my lower lumbar area and all vertebra looked normal in the L1 to L5 region. Had a bit of pain but nothing much. It cleared up for the most part. I only had mild back ache from time to time since then.
In April, 2013, I hurt my back at work one day and needed to get x-rays done. "The xrays showed my spine to be curved" I was told, so the Dr. requested a CT of my upper thoracic area. This is what my CT said:


CT scan of the lower cervical/upper thoracic spine was obtained with coverage from C5-T5 vertebral body level.

There is a fusion of the anterior elements of C5- C6 vertebral bodies. Posterior elements have not been well assessed as they have not been completely included in the field of view. There is presumed fusion of the pars interarticulars of C5-C6 vertebral bodies.

C7 vertebral body is normal.
There is a fusion of anterior elements of T3and T4 vertebral body. There is incomplete fusion of the anterior elements of T3 vertebral body with resultant hemi vertebra. There is a fusion of the right-sided pars interarticularis of T3 and T4 vertebral body.

There is a resultant dextroconvex scoliotic deformity.

T5 is normal.

Visualized lung apex are normal.

Pre and paravertebral soft tissues are normal.

Fusion of C5-C6 vertebral body. Fusion of T3-T4 vertebral body with associated T3 hemivertebral body. Findings are presumed secondary to congenital spinal segmentation anomaly. Correlation with prior radiographs is suggested.

Can anyone help me understand this better? Thanks


  • LizLiz Posts: 7,832
    I am sure that you will find your time on Spine-Health very rewarding. This site is a powerful and integrated system that is dynamic and continues to grow.
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    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • Thank you for the guidance. I guess I was more looking for understanding then interpretation of my test results. This is all just a little nerve racking as I try to figure out which way to go when it comes to care.

    My Doctor described my results to me by stating that my spine is curving in two different directions. He told me to picture a towel rolled up. When it is straight, that is how your spine should be. Then he turned the towel like he was ringing it out. He told me that that was what my spine was doing .....on top of that, some of the discs that should be between the vertebrae aren't there and the bones are fused together.

    I don't go to see the Orthopedic surgeon until September. In the mean time, He is sending my for a bone scan. I don't have any measurements yet. My family Dr. said the Ortho surgeon will do that. In the mean time, I wait.
  • sandisandi Posts: 6,343
    edited 06/17/2013 - 5:59 AM
    for the surgeon to interpret our results is frustrating, when we want to know what is going on, what it means , if surgery is something we need to consider, etc, but the problem is that we are all just like you, some having had surgery, for various conditions and anything that we might tell you that was a problem for us, might not be applicable in your case.
    But, even though we can't tell you what your results mean, we can still support you and this site has many great features to it, so if you look under the conditions tab at the top of the page, you may find information on the words in your report that might help give you some ideas of what to expect. Check out our surgery and condition forums too. There are lots of people who have been where you are and can be of support to you.
  • Welcome to our forum! September does seem like such a long time to worry/wait... but... the fact that you are seeing a spine specialist that has that many patients means that you are probably seeing a great surgeon! Also remember that going to see a surgeon does NOT mean you will actually need surgery. Really, they are more "spine specialist" and most of them try to do everything they can for you BEFORE considering surgery.

    Also remember that you are reading a radiologist report... most spine surgeons don't ever bother to read them. Mine doesn't, they want to see the images themselves. What the radiologist thinks is a "problem" the spine specialist might say, well, it might not be "normal" but it isn't what is causing your pain, or the area that is causing your pain the radiologist might read as normal but under closer inspection of the spine surgeon, might find out that in fact that "normal" area as a tiny defect causing large problems. Hang in there... I know you can't just "stop" worrying, but try to keep your mind off of it. Remember, you are on the path to treatment!!! You've already covered some of the steps already!
    33yo mom of two. My surgical history...preadolescence scoliosis, kyphosis, and a hot mess.... 5 spine surgeries and lots of items added I wasn't born with (titanium, peek, surgical steel). Guess cremation is out. TSA loves me.
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