Kyphoplasty 2 weeks ago, now with bilateral leg numbness and worsening weakness There is trace prominence of the central canal in the mid to lower cervical cord, as seen on prior cervical spine study from 2/22/2016. Vertebral body heights in the cervical spine are normal. Again seen is partial fusion of the C3 and C4 vertebral bodies. There is mild reversal of cervical lordosis with apex at the C3-C4 level. There is also mild anterolisthesis of C5 on C6. Alignment is otherwise grossly maintained in the cervical spine. There is mild spinal canal stenosis at the C3-C4 and C4-C5 levels similar to prior. No high-grade spinal canal stenosis in the cervical spine. Again seen is a C6 vertebral body lesion with T1 hyperintensity, which is compatible with a hemangioma.Thoracic vertebral body heights and alignment are maintained. No significant spinal canal stenosis is evident. Trace central canal prominence in the upper and mid thoracic cord also appears grossly similar to prior but can be better assessed on dedicated thoracic study. Intraspinal catheter is again noted.In the lumbar spine, again seen is a severe compression fracture involving the L3 vertebral body with bone marrow edema similar to prior. Interval changes of kyphoplasty are noted. There is moderate to severe spinal canal stenosis at the L2-L3 level similar to prior, and can be better compared with dedicated lumbar spine images. Low-lying conus/distal neural tissue again noted to terminate near the L5 level. There are diminished posterior osseous elements from L3-L4 to the sacrum reflecting combination of prior laminectomies and dysplasia.
1. Examination limited to sequences per cord compression protocol. Again seen is moderate to severe spinal canal stenosis at the L2-L3 level which is better assessed on dedicated lumbar spine study. Severe L3 compression fracture again seen, grossly similar to prior, with interval changes of kyphoplasty. Please see separate lumbar spine report.2. No high-grade spinal canal stenosis in the cervical or thoracic spine. Mild spinal canal stenosis at C4-C5 again seen. There is also trace prominence of the central canal/tiny syrinx in the cervical and thoracic cord, better assessed on recent MRI spine study from 2/22/2016. Unchanged appearance of the low-lying conus which extends to the L5 level.