I never seem to get the answers from the Dr. who did my cervical fusion
in 1995 on levels C-3 thru C-6. I recently had an MRI done and the
findings on the two levels they were looking at C-6/7 and C7-T1 were
the following:
C-6/7 - There is diffuse disc bulge & posterior spondylitic ridging
which almost totally effaces the subarachnoid space and flattens the
cord consistent w/moderate central spinal stenosis. There is moderate
to severe bilateral neural foraminal stenosis present secondary to
uncovertebral joint spurring and facet arthropathy.
C7-T1 - There is mild bilateral neural foraminal stenosis secondary to
degenerative changes. No significant central spinal stenosis is seen.
In laymens language can anyone decipher what this means? I don't see my
Rheumy or Ortho Dr.'s for another month and I would like to know what's
going on. Thanks for any help.
http://www.spineuniverse.com/displayarticle.php/article209.html
http://www.spineuniverse.com/displayarticle.php/article1295.html
The above links are quite good. Actually, spineuniverse dot com is very good
for any info about the spine.
Seems you have a bulging disc with some pressure on the spinal cord. The
foraminals are
openings the nerves pass through from the spinal cord. Stenosis is any
"narrowing" of an opening.
Bilateral would be both sides.
GaryZ
>I never seem to get the answers from the Dr. who did my cervical fusion
> in 1995 on levels C-3 thru C-6. I recently had an MRI done and the
[quoted text clipped - 13 lines]
> Rheumy or Ortho Dr.'s for another month and I would like to know what's
> going on. Thanks for any help.
DianeW - 12 Mar 2006 17:51 GMT
Gary - Thanks for postomg those links -- very helpful as I am seeing a
neuro-surgeon on the 28th to make sure that my vert are not the cause
of my current problems. DianeW
GARY Z - 13 Mar 2006 12:49 GMT
> Gary - Thanks for postomg those links -- very helpful as I am seeing a
> neuro-surgeon on the 28th to make sure that my vert are not the cause
> of my current problems. DianeW
You are very welcome Diane. I hope everything comes out for the best.
GaryZ
> In laymens language can anyone decipher what this means? I don't see my
> Rheumy or Ortho Dr.'s for another month and I would like to know what's
> going on. Thanks for any help.
By the way,
Thanks for asking as it caused me to clear out all the dead links in my
arthritis folder! lol
GaryZ
thelongestday320@aol.com - 12 Mar 2006 14:34 GMT
Hey Thanks a lot Gary it is much appreciated. I have always had a
problem understanding this stuff. Take care and thanks for the links.
GARY Z - 13 Mar 2006 13:11 GMT
> Hey Thanks a lot Gary it is much appreciated. I have always had a
> problem understanding this stuff. Take care and thanks for the links.
Your dr. doesn't address the already fused area because it can no longer
cause
further damage. At least that is what my Neurosurgeon tells me.
But because the spine no longer flexes normally, the joints above
and below the fusion take a beating (so to speak.)
As to how long you can wait to address the situation is up to you and your
doc.
Nerves don't readily heal if at all. The more damage they sustain, the more
pain
you have to live with. Also nerves affect muscles. The more damaged they are
the more muscle control (?) you lose. I had to have my ulnar relocated
because
my elbow joint was crushing it. The surgery could only prevent further
damage.
My left arm from my shoulder to my two little fingers are in near constant
pain.
Neurologist recommended surgery because the muscles were being affected in
that arm.
I have the same problem in my right arm but to a lesser extent. I suspect
that one will
have to be done in the fall as it is starting to affect my ability to write
and bring food
to my mouth (hand shakes.) I only notice this when my elbow is bent and
putting pressure on the nerve.
GaryZ
thelongestday320@aol.com - 13 Mar 2006 14:36 GMT
Gary, I have an excellent Physical Therapist who claims he can do light
traction on my neck and perhaps give me a little comfort in the
process. What's your take on this? He has given me lumbar traction
and it has helped more than I ever thought. My lower back has already
degenerated to the point all the discs have fused together. Even my
Ortho Dr. said low back surgery at this point would never help. But
the traction has allowed some space for the blood to flow so to speak.
Anyhow this traction took off pressure on the nerves. I guess I wonder
if neck traction would help? I already submitted a letter to my Ortho
Dr. asking for his permission. I just wondered if you've had any
experience or knowledge with regard to neck traction? Thanks in advance.
GARY Z - 14 Mar 2006 13:02 GMT
> Gary, I have an excellent Physical Therapist who claims he can do light
> traction on my neck and perhaps give me a little comfort in the
[quoted text clipped - 7 lines]
> Dr. asking for his permission. I just wondered if you've had any
> experience or knowledge with regard to neck traction? Thanks in advance.
The routine that is followed is least invasive progressing to most invasive
(surgery.)
Most anything is worth a try depending on how progressed your situation has
become.
I'd had problems with my neck since my 20's. My dad had me going to a
chiropractor
and I had terrific results for many years. Unfortunately, in the later years
it turns out my real
problem was being masked by the chiro adjustments. By the time I finally had
a MRI done
I was too far gone for anything but near immediate surgery. Second and third
opinions
all confirmed this.
Neck traction may take some pressure off c7 for awhile and allow the disc to
recover some.
With my neck, I would be very unhappy with anything that put pressure on my
fusion. I'm trying to decide
if that makes any sense or not as I write this, but that has been my
experience so far.
GaryZ
thelongestday320@aol.com - 14 Mar 2006 14:21 GMT
Neck traction may take some pressure off c7 for awhile and allow the
disc to
recover some.
With my neck, I would be very unhappy with anything that put pressure
on my
fusion. I'm trying to decide
if that makes any sense or not as I write this, but that has been my
experience so far.
GaryZ
Thanks Gary. I am still waiting for my Ortho Dr. to give me the go
ahead. It's getting worse and the weird thing is it started about 3
weeks ago. So for 11 eleven years it went relatively fine. Funny how
something will explode and you know it's happening and nothing can be
done about it. My shoulders though have troubled me for 6 months which
my other Ortho Dr. who handles my shoulders finally referred me back to
his partner who did my neck surgery 11 years ago. The shoulder Dr. did
everything he could short of surgery. What a life!
spodosaurus - 13 Mar 2006 17:49 GMT
>>Hey Thanks a lot Gary it is much appreciated. I have always had a
>>problem understanding this stuff. Take care and thanks for the links.
>
> Your dr. doesn't address the already fused area because it can no longer
> cause
> further damage.
It should be addressed, especially on an MRI. Under normal circumstances
it shouldn't cause further problems, but that's the whole point of an
MRI: to see what the circumstances are. If everything in the fused areas
is fine, that should be on the report. Details about why it's 'fine'
should also be on the report, in at least a cursory overview. There can
be bone problems, spinal canal problems, etc.
> At least that is what my Neurosurgeon tells me.
> But because the spine no longer flexes normally, the joints above
> and below the fusion take a beating (so to speak.)
Yep, same with many joints around the body following fusion. This is a
concern for others on this group as you may recall - discussions about
ankle fusion and problems with subtalar joints getting worse due to the
stress being thrown onto them.

Signature
spammage trappage: remove the underscores to reply
I'm going to die rather sooner than I'd like. I tried to protect my
neighbours from crime, and became the victim of it. Complications in
hospital following this resulted in a serious illness. I now need a bone
marrow transplant. Many people around the world are waiting for a marrow
transplant, too. Please volunteer to be a marrow donor:
http://www.abmdr.org.au/
http://www.marrow.org/
> I never seem to get the answers from the Dr. who did my cervical fusion
> in 1995 on levels C-3 thru C-6. I recently had an MRI done and the
> findings on the two levels they were looking at C-6/7 and C7-T1 were
> the following:
>
> C-6/7 - There is diffuse disc bulge
The intervertebral disc is bulging outwards over a large area rather
than a sharp protrusion
> & posterior spondylitic ridging
> which almost totally effaces the subarachnoid space and flattens the
> cord consistent w/moderate central spinal stenosis.
Bone is pushing into the spinal canal from the backs of one or both
vertebrae, causeing narrowing of the canal and pressure on the spinal cord
> There is moderate
> to severe bilateral neural foraminal stenosis present secondary to
> uncovertebral joint spurring and facet arthropathy.
The spaces where the nerves exit the spinal canal are narrowed on both
sides in between C6 and C7 and this is caused by the facet joints
developing arthritic boney projections
> C7-T1 - There is mild bilateral neural foraminal stenosis secondary to
> degenerative changes.
See the previous sentence, it's the same or similar narrowing.
> No significant central spinal stenosis is seen.
This is good, but it's worded in such a way that there may be narrowing
of the spinal canal that isn't extreme enough to be considered by a
radiologist as "significant". Your personal experience with this
narrowing, which may or may not be present, may differ considerably!
> In laymens language can anyone decipher what this means? I don't see my
> Rheumy or Ortho Dr.'s for another month and I would like to know what's
> going on. Thanks for any help.
This is the best I can do at 1:15am (I am not a radiologist or medical
professional of any shape or form).
Regards,
Ari

Signature
spammage trappage: remove the underscores to reply
I'm going to die rather sooner than I'd like. I tried to protect my
neighbours from crime, and became the victim of it. Complications in
hospital following this resulted in a serious illness. I now need a bone
marrow transplant. Many people around the world are waiting for a marrow
transplant, too. Please volunteer to be a marrow donor:
http://www.abmdr.org.au/
http://www.marrow.org/
thelongestday320@aol.com - 12 Mar 2006 19:25 GMT
Thanks Ari. In other words does it sound like it's getting worse? Of
course you don't have my med records so I guess that's hard for you to
answer. I guess I am concerned how much worse can it get? And how soon
i'll need additional surgery if needed? Thanks again.
spodosaurus - 13 Mar 2006 17:54 GMT
> Thanks Ari. In other words does it sound like it's getting worse? Of
> course you don't have my med records so I guess that's hard for you to
> answer.
Even reading other reports it's hard to say. Multiple spinal fractures
were missed in me, even though they were clear on the films. When they
were picked up on a later film we thought that they were recent changes
when in fact they had happened a 6-12 months ago.
> I guess I am concerned how much worse can it get?
I think you should be concerned with how much worse it's likely to get
rather than what's the potential obsolute worst case scenario.
> And how soon
> i'll need additional surgery if needed?
I cannot possibly answer that and neither can anyone else here. Only
your surgeon or other similarly qualified medical professional with full
access to all your films and reports could begin to speculate on that.
> Thanks again.

Signature
spammage trappage: remove the underscores to reply
I'm going to die rather sooner than I'd like. I tried to protect my
neighbours from crime, and became the victim of it. Complications in
hospital following this resulted in a serious illness. I now need a bone
marrow transplant. Many people around the world are waiting for a marrow
transplant, too. Please volunteer to be a marrow donor:
http://www.abmdr.org.au/
http://www.marrow.org/
You can find many of these medical terms by going to Medline Plus which
has a medical dictionary and lots of other info. There are so many
other online medical dictionaries you may find helpful. When I got my
MRI for my spinal Stenosis i resorted to these sources along with Spine
Universe to help decipher all the info.
Don W.
> I never seem to get the answers from the Dr. who did my cervical fusion
> in 1995 on levels C-3 thru C-6. I recently had an MRI done and the
[quoted text clipped - 13 lines]
> Rheumy or Ortho Dr.'s for another month and I would like to know what's
> going on. Thanks for any help.
thelongestday320@aol.com - 13 Mar 2006 20:48 GMT
Thanks Gary, Ari, don and all for the info and help. Its nice to get
others insights to this mess my physical life has become. I realize
it's not Cancer or Parkinsons so for that I am extremely thankful.
Take care all and good health.