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Diagnosed with cervical spondylitis. What exactly is the ailment and its treatment?

Hi, My mother is 55 who was initially diagnosed with Cervical Spondylitis ..Her MRI says this: 1. Generalized spondylotic changes are seen in the form of osteophytes, facetopathy uncinate hypertrophy and disc dessication at multiple levels seen in the form of loss of hyperintense signal on T2W images 2. Broad based posterior disc bulge is seen at C4/5 level indenting the thecal sac with no significant neural compression 3. Broad based posterior disc bulge is seen at C5/6 level indenting the thecal sac and compressing the right exiting C6 nerve 4. Left paracentral and foraminal disc bulge is seen at C6/7/D1 level indenting the thecal sac and compressing the left exiting nerve What exactly is the ailment and how serious will the surgery be?
Asked On : Mon, 18 Feb 2013
Answers:  1 Views:  91
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Orthopaedic Surgeon, Joint Replacement 's  Response
Feb 2014
Hi and welcome to HCM

The MRI report you have given above goes with Cervical Spondylosis.
There are features of Disc bulge with narrowing of neural foramina from C4-C7 levels.

Usually, the spinal cord and nerve roots are protected within the spinal canal. The spinal canal is guarded by the vertebrae which separated from one another by a cushion like intervertebral discs. With age, degenerative changes occur which leads to disc prolapse and spinal cord/nerve root compression.

These degenerative changes are not completely reversible but the further progression of these changes can be retarded with medical treatment and regular physiotherapy exercises.

Usually the treatment goes in following lines: rest, lifestyle modifications (namely- avoiding pillow while sleeping, following a healthy diet plan, maintaining suitable posture while working on computer/driving, avoiding any activity that strikes neck discomfort), medications (that your physician prescribes) and most important physiotherapy ( in form of neck exercises, cervical traction if required along with local ultrasonics). If symptoms persist even after this, surgery might required.

I do hope that you have found something helpful and informative and I will be glad to answer any further query.
Take care.
Answered: Tue, 17 Sep 2013
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