Hyperreflexia and gait abnormality The sagittal images extend inferiorly through the superior endplate of the T5 vertebral body. There is a 3-4 mm retrolisthesis of C5 on C6. There is mild height loss of the C5 and C6 vertebral bodies. There is no bone marrow edema within the vertebral bodies to suggest acute fracture. Severe degenerative spondylosis affects the cervical spine, worst at C5-6 and C6-7 where there is marked loss of disc height. There is no abnormal cord signal. The prevertebral soft tissues are unremarkable.C2/3: Disc osteophyte complex and posterior element hypertrophy without significant spinal canal stenosis or neural foraminal narrowing.C3/4: Disc osteophyte complex and posterior element hypertrophy with indentation of the ventral thecal sac and perhaps mild flattening of the cord without associated abnormal signal. Moderate to severe spinal canal stenosis and moderate neural foraminal stenosis.C4/5: Disc osteophyte complex and posterior element hypertrophy with indentation of the ventral thecal sac and mild flattening of the cord without associated abnormal signal. Moderate spinal canal stenosis, mild left and moderate right neural foraminal narrowing.C5/6: Disc osteophyte complex and posterior element hypertrophy with indentation of the ventral thecal sac and mild cord deformity without associated abnormal signal. Moderate spinal canal stenosis and moderate neural foraminal narrowing.C6/7: Disc osteophyte complex and posterior element hypertrophy with mild left and moderate right neural foraminal narrowing. No significant spinal canal stenosis.C7/T1: Disc osteophyte complex and posterior hypertrophy without spinal canal stenosis or neural foraminal narrowing. T1/2: Central disc protrusion without spinal canal stenosis or neural foraminal narrowing.Small posterior disc bulges are noted at additional upper thoracic levels on the sagittal images.
1.Severe degenerative spondylosis of the cervical spine as described above worst at C3-4, C4-5, and C5-6, where there is moderate to severe spinal canal stenosis with cord flattening but without abnormal cord signal.2. Multilevel neuroforaminal narrowing as described above.