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MRI results showed disc herniation, bilateral foraminal stenosis, additional uncinate spurs. Need help reading results

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HI I NEED HELP READING MY MRI RESULTS:
C3-C4 central posterior disc herniation protruding 3 mm slightly abutting the ventral surface of spinal cord. No evidence of central or foraminal stenosis.

C4-C5 central posterior disc herniation protruding 3 mm abutting the ventral surface of spinal cord. No evidence of central or foraminal stenosis

C5-C6 broad-based posterior disc herniation, asymmetrically larger toward right, protruding 5 mm impinging on ventral surface of spinal cord with severe right and mild left foraminal stenosis associated with extension of disc material and uncinate spurs.

C6-C7 posterior disc osteophyte complex protruding 3 mm narrowing anterior subarachnoid space without involvement of spinal cord. Moderate bilateral foraminal stenosis associated with additional uncinate spurs.
Posted Tue, 17 Jul 2012 in X-ray, Lab tests and Scans
Follow-up: MRI results showed disc herniation, bilateral foraminal stenosis, additional uncinate spurs. Need help reading results 4 minutes later
Here is the complete MRI, if you could in lay person terms, let me know what this means. Any surgery to worry about: Thaks
History: Neck pain with radiculopathy.

MRI of the cervical spine was obtained utilizing multiecho, multiplanar pulse sequences.

Congenital block vertebra at C2-C3 with narrowed disc space.

Straightening of normal cervical lordosis. No evidence of occult fracture or marrow replacement process. Spinal cord is normal in size and signal intensity. Craniocervical junction is normal. Paraspinal soft tissues are normal. Multilevel signal loss of the intervertebral discs consistent with degeneration.. Mild disc space narrowing with endplate spurring at C5-C6. Remaining disc spaces are preserved. Additional endplate spurring C6-C7.

C3-C4 central posterior disc herniation protruding 3 mm slightly abutting the ventral surface of spinal cord. No evidence of central or foraminal stenosis.

C4-C5 central posterior disc herniation protruding 3 mm abutting the ventral surface of spinal cord. No evidence of central or foraminal stenosis

C5-C6 broad-based posterior disc herniation, asymmetrically larger toward right, protruding 5 mm impinging on ventral surface of spinal cord with severe right and mild left foraminal stenosis associated with extension of disc material and uncinate spurs.

C6-C7 posterior disc osteophyte complex protruding 3 mm narrowing anterior subarachnoid space without involvement of spinal cord. Moderate bilateral foraminal stenosis associated with additional uncinate spurs.

Impression:
1. Congenital block vertebra at C2-C3.
2. Straightening of normal cervical lordosis.
3. C3-C4 central posterior disc herniation abutting spinal cord.
4. C4-C5 central posterior disc herniation abutting spinal cord.
5. C5-C6 broad-based posterior disc herniation, greater toward right abutting spinal cord. Right greater than left foraminal stenosis.
6. C6-C7 posterior disc osteophyte complex. Bilateral foraminal stenosis.
Thank you for the courtesy of this referral.
 
 
Answered by Dr. Sudhir 4 hours later
Hello,

Thanks for the question.

In view of MRI report, your current symptoms are due to changes at level of C5-6 level.

Spinal cord extends from neck to lower back through spinal canal. Spinal canal is formed by vertebral body in-front and spinous process of vertebrae at the back. At each vertebral level nerves come out through neural foramen.

Between each vertebra there are intervertebral discs confined within margins of vertebrae. When these discs come out of these margins, it is termed as disc bulge or herniation.

Such herniated discs can compresses spinal nerves or spinal cord. Symptoms are experienced along the area of distribution/path of that particular nerve. This has happened at level of C5-6 level in your case.

Changes at C3-4, C4-5 and 6-7 are early changes and are not causing symptoms at the moment.

Fused C2-3 vertebrae is congenital anomaly, this does not need treatment.

Treatment varies from conservative treatment, minimal invasive procedures to surgery.

I would suggest you to see a spine specialist who will take into account severity of your symptoms and MRI findings to guide about the treatment.

Hope this answers your question.

Regards.
Above answer was peer-reviewed by
 
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