Ok just got back from my Ct Myleogram and here it is doesn't seem good.
Surgical changes include c5-6-7 ACDF with high denisty cages in the intervening discs. Botoh cages re confluent with adjacent superior endplaes There are som lucencies demarcating the cages from the adjacent superior endplates of 6 & 7 There is no excursion at C5-6 on the flexion extension view, but motion persists at c6-7. There are no ventral defects demonstrated at 5,6, or 6-7 but CT demonstrattes 1-2 mm right paracentralright c6 rootlets proximal to the foramen. thee is also a more diffuse hard disc at 6-7 toward the right foramen. the right 6-7 root sleeves fill less distally thant the left on both the myelogram and on ct. If there are coresponding radiculopathies this may be significant. Thee is reisidual ossifcication on the posterior longitudinal ligament at 5-6 which just reaches the dural sac there is no associated stenosis. Shallor ventral extradural defects are present on the myleogram at 3-4 and 4-5 CT demonstrates a 2 mm diffuse disc protrusion with spondylosis and ossification kn the posterior longitudinal ligament resulting inmild ventral dural deformity without spinal cord impingement. the residual midsagittal dural diameter is about 11 mm There is mild right uncinate prominence at c3-4 without significatn foraminal stenosis.
At c5-5 ther is anterior spondylosis at a central 2-3 mm focal disc protursion which reaches and probably slightly retro displaces the spinal cord The risidual midsagittal dural diameter is about 8 mm There is also ossification in the posterior longitudinal ligament contributing to the ventraldefect at c4-5 There is mild left uncinate prominence at C4-5 withough significant foraminal stenosis.
There may be some annular bulging at c2-3 on ct Ossification is present in the posterior longitudinal ligament at c3, c4, c5 ,6 and c7. Cervical root sleeves other wise fill out normally and symmetrically.
conclusion C5 6 7 ACDF is noted with persisting motion at C6-7 There is residual or recurrent hard disc proximal to the right foramen indenting the dural sac at c5-6. Residual or recurrent hard disc is also narrowing the right foramen and indenting the dural sac at c6-7. The right c6 and 7 roost sleeves fill less than the left. Ossificataion persists in the posterior longitudinal ligament at c 5, 6, 7.
A 2-3 mm central disc protursion at c4-5 reaches and probably slightly retrodisplace the spinal cord leaving 8 mm residual midsagittal dural diameter. There is also a central 2 mm combined disc protrusion with spondylosis at c3-4 withoughspinal cord impingement. Mild uncinate prominence is noted on the right at c3-4 and on the left at
Ossification is present in the posterior longitudinal ligament at c3 thru c-7. There is disc bulging without stenosis at c2-c3
My neurolgist is concerned about my fusion not taking at the 6-7 which I think that is what is meant by the report that says
c5-6=7 is noted with persisting motion at 6-7 this is the area he was worried about not being fused and with screw loosening. And also he was wondering if I had diagnosed a calcified ligament and I am assuming this is what the Ossification mentioned is. By all the report looks like i maybe doomed. I just really worried about fusion 6-7 not taking and loose. When I asked him before the CT if it was a clacificated ligament what was that treatment he said that would be discussed if this is what it was. Does anyone know what that treatment is and is it surgical? From what I am reading this report appears that I am pretty messed Up... And comments on all this PLEASE HELP!!!!!!!!1