I wanted to gut check my rating for my neck which I just had double laminectomy (c4/c5)
Rating was
10% cervical spine degenerative disc disease with spinal stenosis and intervertebral disc syndrome
20% radiculopathy left upper extremity
20% raiculopathy right upper extremity
Here was my MRI:
There is mild retrolisthesis of C3 on C4 and C4 and C5. Trace anterolisthesis of C5 on C6. Straightening of the cervical lordosis. Vertebral body height is preserved. There is no suspicious focal marrow replacing lesion. BROGEN, RANDY CONFIDENTIAL Page 4 of 6 There is intramedullary spinal cord signal abnormality seen at the C4 and C5 levels, consistent with myelomalacia, and progressed from the previous MRI. There is no evidence of syringohydromyelia. The visualized portions of the brain are unremarkable. The paraspinal soft tissues are unremarkable. Mild enlarged lateral level IIa lymph nodes are noted, nonspecific, and measuring up to 1.7 cm on the left.
SIGNIFICANT FINDINGS BY LEVEL:
C2-C3: No significant posterior disc abnormality. Mild, left greater than facet hypertrophy. Mild uncovertebral hypertrophy. Ligamentum flavum thickening. Minimal spinal canal stenosis. Mild left neural foraminal stenosis.
C3-C4: Posterior disc osteophyte complex. Mild bilateral facet and uncovertebral hypertrophy. Mild to moderate spinal canal stenosis with mild flattening of spinal cord. Mild bilateral neural foraminal stenosis, slightly worse on the left.
C4-C5: Posterior disc osteophyte complex. Mild to moderate bilateral facet and uncovertebral protrusion. Moderate to severe spinal canal stenosis with flattening of spinal cord. Moderate right and severe left neural foraminal stenosis.
C5-C6: Posterior disc osteophyte complex. Mild facet and uncovertebral hypertrophy. Mild to moderate spinal canal stenosis with slight flattening of the spinal cord. Mild right neural foraminal stenosis.
C7-T1: No significant posterior disc abnormality. No significant spinal canal or neural foraminal stenosis.
Conclusion: 1. Multilevel degenerative changes of the cervical spine as above, most pronounced at C4-5. 2. Intramedullary spinal cord signal abnormality seen at the C4 and C5 levels, consistent with myelomalacia and mildly progressed from the prior MRI. There is no evidence of syringohydromyelia. 3. Mildly enlarged bilateral level II cervical lymph nodes, nonspecific. Clinical correlation suggested
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RBrogen
Hello Everyone,
I wanted to gut check my rating for my neck which I just had double laminectomy (c4/c5)
Rating was
10% cervical spine degenerative disc disease with spinal stenosis and intervertebral disc syndrome
20% radiculopathy left upper extremity
20% raiculopathy right upper extremity
Here was my MRI:
There is mild retrolisthesis of C3 on C4 and C4 and C5. Trace anterolisthesis of C5 on C6. Straightening of the cervical lordosis. Vertebral body height is preserved. There is no suspicious focal marrow replacing lesion. BROGEN, RANDY CONFIDENTIAL Page 4 of 6 There is intramedullary spinal cord signal abnormality seen at the C4 and C5 levels, consistent with myelomalacia, and progressed from the previous MRI. There is no evidence of syringohydromyelia. The visualized portions of the brain are unremarkable. The paraspinal soft tissues are unremarkable. Mild enlarged lateral level IIa lymph nodes are noted, nonspecific, and measuring up to 1.7 cm on the left.
SIGNIFICANT FINDINGS BY LEVEL:
C2-C3: No significant posterior disc abnormality. Mild, left greater than facet hypertrophy. Mild uncovertebral hypertrophy. Ligamentum flavum thickening. Minimal spinal canal stenosis. Mild left neural foraminal stenosis.
C3-C4: Posterior disc osteophyte complex. Mild bilateral facet and uncovertebral hypertrophy. Mild to moderate spinal canal stenosis with mild flattening of spinal cord. Mild bilateral neural foraminal stenosis, slightly worse on the left.
C4-C5: Posterior disc osteophyte complex. Mild to moderate bilateral facet and uncovertebral protrusion. Moderate to severe spinal canal stenosis with flattening of spinal cord. Moderate right and severe left neural foraminal stenosis.
C5-C6: Posterior disc osteophyte complex. Mild facet and uncovertebral hypertrophy. Mild to moderate spinal canal stenosis with slight flattening of the spinal cord. Mild right neural foraminal stenosis.
C6-C7: Posterior disc osteophyte complex. Moderate uncovertebral and mild facet hypertrophy. Mild spinal canal stenosis. Mild to moderate bilateral neural foraminal stenosis.
C7-T1: No significant posterior disc abnormality. No significant spinal canal or neural foraminal stenosis.
Conclusion: 1. Multilevel degenerative changes of the cervical spine as above, most pronounced at C4-5. 2. Intramedullary spinal cord signal abnormality seen at the C4 and C5 levels, consistent with myelomalacia and mildly progressed from the prior MRI. There is no evidence of syringohydromyelia. 3. Mildly enlarged bilateral level II cervical lymph nodes, nonspecific. Clinical correlation suggested
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