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Cervical spondylosis
Below is my sisters report:
Protocol: Multisequence and multiplanar MR imaging study done.
FINDINGS:
Spine alignment and vertebra:
Loss of cervical lordosis.
Osteophytic lipping in C5, C6 and C7 vertebrae.
End plates appear normal.
Craniovertebral junction and atlantoaxial joint are normal.
Intervertebral Discs:
At C2–C3, C3C4 and C4C5 levels: Grade IIIII disc desiccation, posterior bulge indenting
thecal sac.
At C5–C6 level: Grade III disc desiccation with diffuse bulge, annular tears, posterior
longitudinal ligament thickening abutting left exiting nerve root.
At C6–C7 level: Grade III disc desiccation, diffuse bulge, centralbilateral paracentral
annular tear with protrusion abutting cord.
Spinal cord and canal:
Spinal cord is normal in morphology and signals.
No secondary spinal canal stenosis.
Spinal canal dimensions at the disc levels:
Paravertebral muscles: Appear normal.
Doctor is suggesting surgery.please advise
As per the report, you have cervical PIVD with loss of cervical lordosis
As per the report, you might require Cervical surgery - Anterior approac
But need to see MRI Films before giving advice.
Next Steps
Kindly contact me via Practo video consultation for further treatment
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The scan shows age-related changes in the neck, which are quite common. The spinal cord is normal, which is reassuring. Studies show that most people (around 70–80%) improve without surgery. The decision for surgery should be based on symptoms and clinical examination, not MRI alone
Next Steps
A proper clinical examination is the key step.
The doctor needs to check:
• Muscle strength
• Reflexes
• Nerve symptoms
Because sometimes:
• A “bad-looking MRI” patient can be clinically fine
• And sometimes a “mild MRI” patient can have severe symptoms
Health Tips
Its the spine doc who should determine the need for surgery
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