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MRI question on report
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| iSpine Discuss MRI question on report in the Main forums forums; MRI from (7/20/2011) c2-3 mild hypertophic right facet arthrosis right neural foraminal narrowing encroachment exiting c3 nerve, ... |
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07-29-2011, 03:13 PM
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MRI question on report
MRI from (7/20/2011) c2-3 mild hypertophic right facet arthrosis right neural foraminal narrowing encroachment exiting c3 nerve, mild facet arhtrosis at c3-4 mild right neural foraminal narrowing, mild fa at c4-6, mild left osteophyte ridge indents thecal sac no effect on cord, slight posterior budlge minimaly indents thecal sac c6-7-t1 exerts no mass on cord.
Question: How is it possible to have facet arthrosis and osteophytes occur in areas where I am already fused?  And why do they say mild when I am symptomatic. I realize they take these MRI's laying down...
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female age 45, height 5"6", 145 lbds, non smoker, conservative treatments failed, (7/2007) C4/5/6 peek disc replacements,plate & screws failed fusion, (9/2008) revision with bone replace plate and screws, (10/2009) C3/4 stand alone peek cage, (12/2010) facet joint injections C3-7, (1/2011) rhizotomy C6/7 failed, Trouble swallowing most recent mri (7/2011) shows ajacent level issues: right neural foraminal narrowing C2/3, posterior bulge indents thecal sac at C6/7/T1 no mass effect on cord. 
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07-29-2011, 05:17 PM
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Cheryl i have had an MRI state no arthritis when i was full of it on both weight bearing surfaces on my hip. My doc and my spine surgeon both looked at it and said you do not need a hip replacement. Yet my hip was giving out on me and very painful. so my doc decided to do a scope on my hip and found the cartilage to be gone on both weight bearing surfaces and told me i would need a hip replacement. so i got one!!! So i do not trust MRI's at all for me.
judy
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2007 ACDF 4-7 2008 hip , knee scope, hip replacement 2009 thoracic T-5 thru T-11fusion 2009 VATS T7-8, posterior only T11-12. removal of thoracic hard wear 2010 lung surgery 2010 T2-L2 kyphosis correction 2010 Kyphoplasty T-3, T-4 2011 Cervical osteotomy ,revision C4-T5 2011 Foot surgery 2011 Revision fusion T7 thru L4/laminectomy 2012 Hammertoe correction left foot 2012 Revision fusion T-12 thru L5 2012 Revision fusion L4-L5
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07-31-2011, 07:36 AM
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I would think that most of the pathology at the fused level would have developed before it was fused???
Note that different radiologists will interpret differently. Also, you eluded to the fact that the standard MRI is a static image generated in a neutral position. It is not uncommon that the pain syndrome doesn't match what shows on the imaging. That's why the good docs don't 'operate on the films'. Mark
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1997 MVA 2000 L4-5 Microdiscectomy/laminotomy 2001 L5-S1 Micro-d/lami 2002 L4-S1 Charite' ADR - SUCCESS! 2009 C3-C4, C5-C6-C7, T1-T2 ProDisc-C Nova Summer 2009, more bad thoracic discs! Life After Surgery Website President: Global Patient Network, Inc. Founder: www.iSpine.org
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08-01-2011, 06:13 PM
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very well stated
Quote:
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female age 45, height 5"6", 145 lbds, non smoker, conservative treatments failed, (7/2007) C4/5/6 peek disc replacements,plate & screws failed fusion, (9/2008) revision with bone replace plate and screws, (10/2009) C3/4 stand alone peek cage, (12/2010) facet joint injections C3-7, (1/2011) rhizotomy C6/7 failed, Trouble swallowing most recent mri (7/2011) shows ajacent level issues: right neural foraminal narrowing C2/3, posterior bulge indents thecal sac at C6/7/T1 no mass effect on cord.
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