Please can you give me your opinion and interpretation of my MRI I had. But background first.
3 years ago I had a double disc replacement levels C5-C6 and C6-C7. Very successful at the time and I felt like a new person. Anyway, 4 months after my op, I had a car accident and then a very bad fall a few weeks later.
My neck has been giving my major problems for the last year, and my Neuro Surgeon suggested converting my disc replacement to a fusion as well as fuse level C4-C5 which has always been a problem. But because I did not have any sick leave, I have postponed my op till end of the year when my new cycle kicks in. I am having my op on 30 November (3 weeks time) I had infiltrations done in Feb (which didn't work) and a Rhizotomy (successful) in May this year for pain control in the meantime.
I went for a followup pre-surgical MRI 2 weeks ago, and there has been quite a deterioration since the MRI I had done in Jan this year. Have to also mention, my neuro has been quite concerned because there was also a major deterioration in 4 months from when I had an MRI in Sept 2014 and Jan 2015. e.g neither of them showed up any problem at C2-C3 and minor degeneration at level C3-C4. There was also not a problem at level C7-T1.
Now my most recent MRI 2 weeks ago, shows the following:
C2-C3 Significant degree of bony right-sided intervertebral foramina narrowing noted.
C3-C4 Bilateral, more right-sided intervertebral narrowing secondary to facet hyperostosis and slight lateral disc bulging.
C4-C5 Bilateral, more left-sided degree of intervertebral foraminal narrowing. Subtle lateral disc bulging, neurocentral osteophytes and facet joint hyperostosis.
C5-C6 There is a left-sided, and more significant right-sided bony intervertebral foraminal narrowing noted.
C6-C7 Slight anterior thecal sac displacement, no spinal stenosis. Significant bilateral, more right-sided intervertebral foramina narrowing noted with decreased surrounding perineural fat.
C7-T1 Bilateral, more right-sided degree all intervertebral foraminal narrowing.
Multilevel intervertebral disk space degeneration with signal intensity and height loss. Most severe changes at the levels C4-C5 AND C6-C7
I am beginning to panic, why am I “deteriorating” so rapidly? My lumbar vertebra have also started degenerating quite rapidly, in fact I can barely move I am so sore.
No on one the Spine-Health patient forums is medically qualified to provide any advice or
or recommendations on any diagnostic test. However, the following key words can always be applied.
MILD Treated with conservative measures such as Physical Therapy and mild medications. Many times these situations can be cleared up and the condition can be resolved.
MODERATE Some more treatments may be needed, ie Spinal Injections, Ultra sound and stronger medications. Always a possibility of more aggressive treatment if the conservative measures don't help
SEVERE Need for stronger medications. The requirement for surgery may be necessary
Liz, Spine-health Moderator