Clinical notes say cervical crush fracture but findings say no fracture?
 

Hi all,

Would like your opinion on what my MRI results mean.

The Clinical notes say "Cervical crush frature. left radiculopathy". ie broken neck.

...BUT the 'Findings' on the report say "Moderate multilevel spondylosis is present. Loss of normal lordosis. Posterior disc bulges at C3/C4, C4/C5, C5/C6 result in moderate partial effacement of the ventral thecal sac without cord indentation.

The uncovertbral joint spurs are more prominent on th eleft at C4/C5, C5/C6 and C6/C7 leading to moderate to to severe foraminal stenosis. Other left foramina are clear. MOderate right C5/C6 foraminal stenosis is also present. There is no frature. No cord lesion. No cervical medullary junction.

Comment : Moderate mid cervical spondylosis. Multilvel foraminal narrowing more so on the left with unconvertebral joint spurs leading to a moderate to severe left C4/C5, C5/C6 and C6/C7 foraminal stenosis."

My nerosurgeon said it was probably a mistake in the clinical notes and it says 'no fracture' and seems disinterested in providing information and says I can have an operation but he offers no more advice if I dont want to have it.

I am living with chronic pain with referred pain down my arm and loss of feeling in my hand that comes and goes - I would be interested in people's thoughts and also a transalation :) .

Many thanks
Cindy.

Welcome Cindy,

Two words: Second Opinion (and more if necessary) The doctor-patient relationship is based on trust, and communication is paramount to establishing and maintaining that trust. If this neuro isn't interested in answering valid questions and/or communicating with you to your satisfaction, a change may be in order.

Did you have some type of accident or injury that could have resulted in a broken neck?

I don't know exactly what a "crush fracture" is; I have heard of a compression fracture.
This doesn't mean that there is no such thing as crush fracture; I just haven't heard the term before, or found it via quick search.

Here is an article that describes/illustrates various cervical spine injuries (including fractures).
Spine - Cervical injury

Doc