Myelopathy: twitching/numbness. There is a C4-C5 anterior cervical discectomy and fusion with an intervertebral device. There is also anterior cervical discectomy and fusion of C5 through C7 with intervertebral disc grafts at C5-C6 and C6-C7. There is no evidence of fracture. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. However, there is a diffusely narrow spinal canal, which measures up to approximately 10 mm in anteroposterior dimension. At C2-3, there is a small uncinate spur with minimal left neural foramen stenosis. At C3-C4, there are small bilateral uncinate spurs, contributing to mild bilateral neural foramen narrowing, and a small posterior disc-osteophyte complex with mild left spinal canal stenosis. Likewise, at C4-C5, there are small bilateral uncinate spurs, contributing to mild left neural foramen narrowing. There is also a posterior disc-osteophyte complex at C6-7 with associated mild spinal canal stenosis. The spinal cord displays normal signal characteristics. The paravertebral soft tissues are unremarkable.
1. Postoperative findings related to C4-5 anterior cervical discectomy and fusion with a cage device as well as anterior cervical discectomy and fusion of C5 through C7 with intervertebral disc spacers at C5-C6 and C6-C7. 2. Mild degenerative cervical spondylosis with mild spinal canal stenosis at C3-4 and C6-7 superimposed upon a diffusely narrow spinal canal.