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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
Answers (3)
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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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Dr. Dhiraj Poonia
Neurosurgeon
8 yrs exp
Jaipur
Need to consult
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Dr. Ganesh V L
Neurosurgeon
12 yrs exp
Ernakulam
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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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.