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Old 07-27-2013, 01:37 PM #1
Jrmahan216 Jrmahan216 is offline
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Jrmahan216 Jrmahan216 is offline
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Join Date: Jul 2013
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10 yr Member
Confused ACDF Concerns

Hi as a new member I am only weeks away from having this procedure authorized by my Insurance company.
I am a 58 year old Male, 20-25 year history of various levels of pain from multiple levels of my Cervical and Thoracic spine.
I had an MRI 14 Jun 2013 at the VAMC San Diego, the Radiologists explanation and finding are as follows:

COMPARISON: Cervical $plne radiographs performed 7 /71 /09.
T'ECLINIQUEI : MI{I imagrng was performed of the cervical- spine on a 1.5 Tesla GE
S|grra HDxt MRI unit utilizrng SagiLtal T1, STIR, and fast-T2 as well- as axialfast-*
T2 and 2-D MERGE GRE T2*.
F'INDINGS: There are no segmentation anomaties in the cervical spine. There
i.s reversal of Lhe normaL cervical lordosis about C5 and C5. M1]d
<leqenerative reLrotisthesis is seen at C4 and C5 through C6-C7 most.
sign|fi-canL at C6*C7. Vertebral body heights are maintained. There are
minimal fibrovascular endplate degenerative changes at C3-C4, C5-C6, and
C6-C7. Br:ne marrow signal- is otherwise within normal limits.
T'here is mild congenital centraf canal narrowing at C4 through C6. There is
cli"sk herght loss and desiccation at virLually every level in the cervical
spine, most signi-ficant at C5-C6 and C6-C7.
C2-C3: Tiny central disk protrusion, uncovertebral osteophytes, and right
greater than left facet osteophytes resulL in mild central canal and mild
rrght- greater t.han left neuroforaminal narrowing. No neural impingement.
C3-C4: Broad-hased disk bulge with superlmposed left paracentral and left
foraminal- disk protrusion as well as uncovertebral hypertrophy, facet
hypert-rophy, and congenitally short pedlcles result-ing in moderate cenLral
canal narrowing wit-h abut-menL of the venEral cord and possible slight
t. latr-enirrg of the left- wentral cord, mild to moderate rrght neuroforaminal
narlo1irrg, and very severe left neuroforamj-nal stenosis, compressing Lhe
exrt-rng left C4 nerve root.
C4-C5: Broad-ba.sed dlsk bulge; uncov€rtebrat hypertrophy, facet hypertrophy,
and copgenitally short pedicles resulLing in moderaLe central canal narrowing
with abuLment and possible mild flattening of the venLraf cord on the left,
mocleraLe to severe right neuroforaminal narrowJ-ng posslbly inwolving the
exiting ri-ghE C5 nerve root., and very severe lefE neuroforaminal stenosis
compressing Lhe exiling left C5 nerve root '
C5-C6: Broad-based disk bulge, uncovertebral hypertrophy, facet hypertrophy,
and congenrLally short-ened peclicles results in fairly severe left and
extremely severe rrght neuroforaminal- stenosis involving the exiting
*** woRK coPY ONLY *** (continued. . . )
Report from: SAN DIEGO HCS StaLlon #664
Report Page 3
===============:::=il:llll=1::l========
*** woRK coPY ONLY *** Printed: 06/26/2AB 10:13
(...continued)
bilaLeral C6 nerve roots; and moderate Lo sewere central canal- stenosis
completely effacing the CSF space of the thecal sac and mi1d1y flattening the ventral cord.
C6-C7: Broad-based diskosteophyte complex with superimposed left greater
than right uncovertebral hypertrophy resultlng in moderate to severe overall
central canal stenosis worse on the left side, with mild to moderate left
ventral cord compression and effacement of the CSF of Lhe thecal sac. There
i.s also fairly severe left greater than right bilateral neuroforaminaL
stenosis potentially involving the exiting bilatlteral C7 nerve roots.
c7-T1: No significant neuroforaminal or central canal stenosis.
No abnormal signal intensity is seen within the cervical cord at any level '
Included portions of the brain stem and cerebellum appear unremarkabfe.
There are minima] atlanto-occipit.al joint degeneraLj-ve changes on the right
wi[h a smafl amount of fluid in the joint.
There is a small T2-dark, STIR hyperintense approximately 1 cm nodule in the
slight.ly lefL paracentral and suboccipital subcutaneous sofL tissues of the
C2-C3 1eve1 which 1ike1y represents a normal suboccipital lymph node.
Paraspi-nal soft Lissues are oEherwise unremarkable.
'r**
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Old 07-27-2013, 07:15 PM #2
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Default Hello!

Welcome to NT!

You've come to a great place for support, understanding, and a lot of good information.

I'm afraid I can't be of much help, as most of those findings flew straight over my head. But, I'm sure if you check out the Spinal forum, you'll get some good feedback.
Here's the link that will take you there....

http://neurotalk.psychcentral.com/fo...sprune=-1&f=22

Make yourself right at home. This is a very down-to-earth place and you'll find many helpful people here.

It's great to have you!

Caring,
Rae
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"Thanks for this!" says:
Darlene (07-29-2013)
Old 07-29-2013, 01:25 AM #3
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Wink Good to see you!!

Jrmahan216,

It is great to have you come and be with us. You will fine a great number of dear friends to listen when you are in need of ears. Please, just let us know how we can help you out. You will find out we are supportive and relaxing place.

Please keep us up to date on your condition. Again welcome, looking forward to seeing you around. My thoughts and prayers are with you.
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"Life without God is like an unsharpened pencil -- it has no point.
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