Neck pain In comparison with MRI cervical spine dated 3/27/2014, interval postsurgical changes of cervical laminoplasty are seen with spinous processes resection, right-sided laminectomies from C3 to C7, and placement of grafts at the C4 and C6 levels. Osseous changes are better appreciated on prior cervical spine CT. Compared to prior MRI there is evidence of increase in the spinal canal diameter with increased visualization of the posterior thecal sac from from C3 to C7 levels. There does however remain some deformity of the right ventral cord at C4-C5, C5-C6, and C6-C7 related to prominent osteophytes.Degenerative changes appear similar compared to 3/27/2014 with disc osteophyte complexes from C3-C4 to C6-C7, particularly prominent at the C5-C6 and C6-C7 levels. Again seen is bilateral moderate to severe neural foraminal stenosis at C3-C4, C4-C5, C5-C6, and C6-C7.There is abnormal T2 signal within the ventral lateral aspects of the cord bilaterally at C4-C5 which was present on preoperative MRI and more discrete particularly on the left on the current study likely related to evolution of myelomalacia.Vertebral body heights are maintained. Alignment is preserved without evidence of new kyphosis in the supine position. There is been evolution of postsurgical changes with small residual fluid collection noted in the posterior midline soft tissues superficial to the musculature.
1. Compared to preoperative MRI dated 3/27/2014, there has been interval laminoplasty from C3 to C7. Decompression of the cervical spinal canal is evident with improved visualization of the posterior thecal sac. There does remain mild deformity of the right ventral aspect of the cord related to the prominent osteophytes at the C4-C5, C5-C6, and C6-C7 levels. Moderate to severe neural foraminal stenosis at C3-C4, C4-C5, C5-C6, and C6-C7 is again seen and similar to prior.2. Abnormal T2 signal within the ventral lateral aspects of the cord bilaterally at C4-C5 which was present on preoperative MRI and more discrete, particularly on the left, on the current study and consistent with evolution of myelomalacia.