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Cervical Stenosis Recommendations

I'm experiencing moderate to severe neck, shoulder and upper arm pain. I am slightly unsteady, and have lost a slight amount of motor control in my left hand. I usually take 400mg ibuprofen 1/day and if pain is bad enough I take a 325 mg hydrocodone - every 2 to 4 days.

Here's a summary of the MRI results: Cervical myelopathy. Multilevel advanced degenerative disc disease, facet arthrosis, and spondylolisthesis. Severe canal stenosis at C4-5 and C5-6 and multilevel advanced foraminal stenosis.

More detail:

C3-4: Moderate-sized disc-osteophyte complex with moderate spinal canal stenosis; Severe left and moderate right neuroforaminal narrowing.

C4-5: Moderate-sized disc-osteophyte complex with severe spinal canal stenosis; Severe bilatral facet arthrosis results in moderate to severe bilateral neuroforaminal narrowing

C5-6: Large disc-osteophyte complex with severe spinal canal stenosis; Severe left and moderate right facet arthrosis results in moderate bilateral neuroforaminal narrowing

C6-7: Severe right and mild left neuroforaminal narrowing

Is surgery indicated? Minimally invasive? Open spine? Fusion? Entry: anterior, posterior, both at separate times?

Thanks, Gary
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