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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Myelogram Report Indicate?

2 yrs conservative treatment for neck injury in a car accident hasn t helped so finally a myelogram revealed: (unfortunately scans weren t done right away to prove whatever actual injury had occured) Findings: Alignment and vertebral body height are normal. No abnormal translation between flexion and extension images. The atlantodental interval is normal. Osteoarthritis C1-C2 with mild thickening of the tectorial membrane. Craniovertebral junction is widely patent. Imaged portions of the posterior fossa, spinal cord and paravertebral soft tissues are unremarkable. C2-C3: Normal. C3-C4: Normal disc height with left central and uncovertebral joint disc osteophyte. Mild left neural foraminal stenosis. The vertebral canal and right neural foramen are patent. C4-C5: Small central zone disc protrusion without vertebral canal or foraminal stenosis. Radiography/Fluoroscopy C5-C6: Broad-based disc osteophyte extends into the right neural foramen. Mild vertebral canal and moderate-to-severe right neural foraminal stenosis with impingement of the right C6 nerve root. Mild left neural foraminal stenosis. C6-C7: Normal disc height with widely patent vertebral canal and neural foramen. C7-T1: Small central and right central zone disc protrusion contacts the right C8 nerve root without impingement. Neural foramen are patent. IMPRESSION CERVICAL SPINE: 1. No dynamic instability. 2. C5-C6 central and right uncovertebral joint disc osteophyte results in mild vertebral canal and moderate-to-severe right neural foraminal stenosis with impingement of the right C6 nerve root. Mild left neural foraminal stenosis. 3. Small central zone disc protrusion C4-C5 without stenosis or impingement. Radiography/Fluoroscopy 4. C7-T1 small right central and uncovertebral joint disc osteophyte/protrusion which contacts the exiting right C8 nerve root without definite impingement. What does this mean? 38 yo healthy female. Are the findings from the injury or is this insignificant findings and normal for my age?
Fri, 8 Jul 2022
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Orthopaedic Surgeon 's  Response
Hello,

Kindly do not be alarmed at the number of findings mentioned in the report. These findings are seen sometimes even in a normal 38 year old man or woman. The findings are not something suggestive of anything major or significant problem that may require surgery of any sort.

Overall these are suggestive of mild degenerative changes. Mostly doing neck physiotherapy such as isometric neck strengthening exercises and neck range of motion exercises will help you. Avoid doing activities which involve bending your neck at an abnormal position for a long time. If you are an IT professional or someone who does desk job regularly. I would suggest taking breaks every one to two hours and just doing regular neck exercises.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Raunak, Orthopedic Surgeon
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What Does This Myelogram Report Indicate?

Hello, Kindly do not be alarmed at the number of findings mentioned in the report. These findings are seen sometimes even in a normal 38 year old man or woman. The findings are not something suggestive of anything major or significant problem that may require surgery of any sort. Overall these are suggestive of mild degenerative changes. Mostly doing neck physiotherapy such as isometric neck strengthening exercises and neck range of motion exercises will help you. Avoid doing activities which involve bending your neck at an abnormal position for a long time. If you are an IT professional or someone who does desk job regularly. I would suggest taking breaks every one to two hours and just doing regular neck exercises. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Raunak, Orthopedic Surgeon