Neck pain and radicular pain to the right upper extremity. There are stable postoperative findings related to anterior cervical fixation at C4-C6. At other cervical levels, vertebral body heights and bone marrow signal are preserved. There is mild straightening of the normal cervical lordosis. Otherwise, alignment is anatomic. There is diffuse congenital narrowing of the spinal canal and multilevel degenerative spondylosis, including multilevel disc bulges and moderate ligamentum flavum hypertrophy. In particular, at C2-C3, there is unchanged disc-osteophyte complex and ligamentum flavum and facet hypertrophy, resulting in moderate spinal canal stenosis with impingement upon the cord and bilateral neural foramen stenosis. At C3-C4, there is an unchanged slight disc-osteophyte complex and ligamentum flavum hypertrophy, resulting in mild spinal canal stenosis, but no significant neural foraminal stenosis. At C6-C7, there is an unchanged slight disc-osteophyte complex and ligamentum flavum hypertrophy, resulting in mild spinal canal stenosis and moderate bilateral neural foraminal stenosis. A C7-T1, there is unchanged trace posterior disc-osteophyte complex and left uncovertebral joint hypertrophy with unchanged mild left neural foraminal narrowing. The spinal cord appears to be unremarkable. The paraspinal soft tissues are unremarkable.
1. Unchanged diffuse congenital narrowing of the cervical spine with superimposed degenerative spondylosis, that is most pronounced at C2-3, where there is impingement upon the spinal cord and at C6-7, where there is moderate bilateral neural foraminal stenosis. 2. Stable postoperative findings related to anterior cervical fixation at C4-C6.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.