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MRI Results

reggiel56rreggiel56 Posts: 2
edited 07/22/2015 - 5:53 AM in Neck Pain: Cervical
can someone translate these results into english for me. i have a neurosurgeon appt next week. am i looking at surgery?

1. multilevel cervical spinal stenosis is severe at c5-6 with associated cord
myelomalacia, moderate at c6-7 with mild ventral cord flattening, and mild to
moderate at c4-5.
findings: marked cervical cord ap diameter narrowing (left greater than right)
with localized left paracentral intramedullary t2 hyperintensity (series 8,
images 25-28) compatible with myelomalacia is secondary to severe c5-6 spinal
stenosis as detailed below.
moderate cervical kyphosis centered at the c4-5 disc level is associated with
slight anterolisthesis c3 on 4 and retrolisthesis c6 on c7. the cervical
vertebrae demonstrate normal contour and bone marrow signal intensity.
cervical disc internal derangement c4-5 through c6-7. multilevel cervical
facet arthropathy is greatest on the right at c2-3 and c3-4.
at c5-6, broad-based bilobed disc-osteophyte complex (left greater than right)
and the aforementioned cervical kyphosis results in severe spinal stenosis
with secondary cord ap diameter narrowing (left greater than right) and
bilateral c6 foraminal narrowing. at c6-7, broad-based endplate spondylosis
(left greater than right) and cervical kyphosis causes moderate spinal
stenosis with mild effacement of the ventral cord (series 8, image 30). no
intrinsic cord signal abnormality. mild narrowing of the left c7 neural
foramen. at c4-5, diffuse endplate and uncovertebral spondylosis and cervical
kyphosis causes mild to moderate ventral thecal sac effacement and mild
bilateral c5 bony foraminal narrowing.

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welcome to spine-health

one of the most important things that need members can do is to provide the rest of the community with as much information about themselves as possible. it is so very difficult for anyone to respond when we do not have enough information to go on. this is not meant to indicate that you are doing anything wrong or violated any rule, we are just trying to be pro-active and get the information upfront so that people can start responding and your thread is more effective.

so many times we read about members who have different tests and they all come back negative. the more clues and information you provide, the better chances in finding out what is wrong, the fact that your test results are negative does not mean that you are fine and without any concerns. many times it takes several diagnostic tests and procedures to isolate a specific condition.

here are some questions that you should answer:
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it is very important that new members (or even seasoned members) provide others with details about their condition(s). it is virtually impossible to help another member when all the details we have are

i’ve had this for years, it hurts, i cant move my shoulder – what could this be, what treatment should i get?

diagnosing spinal problems can be very difficult. in many ways it’s like a game of clue. especially, when the diagnostic tests come back negative – no trouble found! then it’s up to the patient and the doctor to start digging deeper. the doctor is like a detective. they need clues to help them move along. so, you as the patient need to provide the doctor with all sorts of clues. that is like it is here. without having information about a condition, its impossible for anyone here to try to help.

specific comments :

personal opinion, not medical advice :

--- ron dilauro, spine-health system moderator : 07/22/15 11:56 est


  • B0ssdadBB0ssdad Posts: 14
    edited 07/22/2015 - 5:15 PM
    Hi reggie..I'm no doc but I'll chime in as that looks a lot like my MRI results..You'll need someone better versed than I am as far as transation but as mine reads like yours I'll just share what it meant in terms of my symptoms and what they did surgery wise..

    Well,I know fo sho what "myelomalacia" means..and "cord flattening" ..View the video here on this site to see what myelopathy is,as well as cervical stenosis.Myeopathy in my case is why I was losing the ability to walk,use my hands and arms,and was about to be in a wheelchair..Im guessing weeks from it.Heavy legs,walking very difficult.Cant button a shirt etc..which happens once the cord is compressed and the nerves are smashed by the collapse of the vertabrae..But mine was more than just compressed,I too had "flattening"..Which is super compressed..Almost flat in my case..

    But the short version is..the discs hold the vertabrae apart..well,once they herniate..Like a building imploding,the floors collapse onto one another..Well,same principle..The discs hold the "floors" apart/Or as in the spine,called "levels" .Well,once they collapse onto one another due to the disc material being pushed out into your spinal canal and into your cord,which flattens it,It also pinches the nerves that come out at every level.Then all the crazy symptoms start..

    Well,not only does the disc material push into your cord,the levels have a nerve that comes out between the levels.Or floors as in a building..Like wiring in a building runs through the floors,your nerves that run arms,legs,hands wrists and well,everything come out from between the verterbrae..Now everyones say c-5 runs the arms and hands..So they can tell by symptoms whats going on,once myeopothy starts..At least in my case.. As a building collapsing traps the wiring that runs through the floors..The verterbrae stacking up on each other does the same thing to the nerves that run arms,legs,hands,feet etc.

    So,imagine you really have 2 things going on..Once the discs rupture,or herniate,the space between the verabrae almost dissapears.Where the nerves come out of the cord,at every level,that run say,your limbs...The disc material pushes out of the disc left to right on mri,and into your cord,at the same time,the vertebrae collapse onto one another,north to south..Pinching the nerves that leave the cord,between each vertebrae,to run your limbs..One problem causes two effects,neither good.

    Now,what they did to repair my collapsing levels,was pull them apart,giving room for my wiring to not be smashed(decompression)and to hold them in place,put in screws,rods and fused the bad levels together(fixed with fixation screws),to make like a one big vertebrae..If that makes sense....And how they fixed the cord flattening(compression) was to remove the lamina(bones that protect the back side of the cord so the cord could drift backwards away from the disc material that was smashing it against the backside spinal bones (lamina)..So my discs are still herniated,but there is no longer the back wall to smash them against thus flattening it..It just moved away from the pushing discs..If they were to be able to still herniate more,the cord would simply push away rather than become more compressed.Like if I had you pushed up against a wall,you have 2 options,A. Punch me in the face..Or B.Remove the wall Im pushing you against..Same result..decompression of you from between me and the wall..Like I said,I'll try but others may be better at explaining than I am

    And there are a few different ways of repair and what they may or may not do..Like I said,this is just my case.

    It is a forum violation to provide any medical advise or recommendations based on someone's diagnostic test

    6.02 You agree not to ask for any analysis or interpretation of diagnostic tests (ie MRI, CTScans, EMG, etc.),
    6.03 You agree not to respond to any request for analysis of diagnostic tests (ie MRI, CTScans, EMG, etc.)

    Ron DiLauro, Spine-Health System Moderator 07/22/15
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