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Have you received many varying professional opinions pertaining to Cervical Stenosis?

I received the gamut of diagnosis of the severity from mild to severe with  an equal number of varying proposed interventions to include:  no surgery, arthroplasty, to ACDF


No consensus amongst several highly qualified neurosurgeons :(


What's a layman to do?


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Comments

  • dilaurodilauro ConnecticutPosts: 12,771

    All of that should be clear in the MRI report.  Then based on that, there could be different opinions on how to proceed.  A lot depends on the degree of stenosis

    All about Spinal Stenosis

    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
  • Thanks, Ron


    But the doctors are looking at the same imaging and give varying opinions from mild stenosis to severe and no surgery to ACDF.



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  • dilaurodilauro ConnecticutPosts: 12,771

    I can understand that when doctors look at the actual images, they may have slightly different opinions regarding the severity.

    But the MRI report spells out in detail if the condition is mild, moderate or severe.

    Still, when you have different medical opinions and action plans, it is wise to seek another opinion.  You always want to have two medical professionals who agree on the condition and agree on the action plan

    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
  • Literally a dozen neurosurgeon opinions looking at the same imagery.

    From their reports:  mild stenosis, moderate stenosis, severe stenosis

    Proposed intervention vary from:  no surgery, arthroplasty, ACDF, arthroplasty or ACDF (my choice) 

    Absolutely no consensus.  I also thought their was a metric applied to determine the degree of stenosis (narrowing).


  • dilaurodilauro ConnecticutPosts: 12,771

    Thats totally amazing that the number of medical professionals you have mentioned and they are all looking at the same report and image and they come up with an unbelievable range in the condition.   Not for nothing, but I'd have a very hard time dealing with any of those doctors, when they cant seem to come up with the same conclusions.

    There are specific numbers that the medical field uses in determining the degree of stenosis.

    These are averages

    Lumbar

    15mm and 27mm    When its below 12mm, the condition of spinal stenosis is present, when it drops under 8mm, the condition becomes moderate to severe

    Cervical

    8.8mm and 12.4,,   When its below 6mm, the condition of cervical stenosis is present, below 4mm , its considered severe.

    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
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