Brief Answer:
Each questions addressed separately

Detailed Answer:
Hi XXXXXXX

Thanks for your further questions.

I do not think it would be worth a further scan of your neck and or back at present. A repeat scan will likely give no further useful information about your condition at this stage.

The spondylitis is arthritis at the C5/6 level. This is the commonest level in the neck to develop arthritis.

The changes in your neck and back are not the result of osteoporosis which tends to cause wedge compression fractures under normal physiologic loading. If you are concerned about osteoporosis then you could take vitamin D and calcium supplements. A DEXA scan would give information regarding the mineralization of your bones. If you were osteoporotic your Dr would likely start you on a bisphosphonate drug. I do not necessarily think that investigation for osteoporosis is warranted based on the information you have shared with me.

I am pleased you have a good relationship with your therapist that is very important. I am also pleased that you continue to see improvements in your condition.

I hope this answers your current questions.

Best wishes

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Brief Answer:
Osteoarthritis. Continue to see your surgeon

Detailed Answer:
Hi XXXXXXX

This is unlikely to be rheumatoid arthritis, more likely a variation of osteoarthritis. Rheumatoid arthritis is an autoimmune condition where the body attacks the lining to the synovial joints. The discs in the back are not synovial joints. Many joints usually become inflammed and swollen particularly the hands, elbows, knees, ankles and feet. The sacroiliac joints at the base of the spine are usually affected.

I would encourage you to see your surgeon. He sounds very sensible. You always would want a surgeon who is reluctant to operate unless absolutely necessary. It's important to maintain and build your relationship with him and for him to see how your symptoms and condition evolve over time.

I hope this answers your questions.

best wishes

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