Female, 60 years old, with history of myeloma, presenting with neck spasms. Anterior instrumented fusion of C5-C7 has been performed with evidence of vertebral body osseous incorporation. Evidence of posterior instrumented fusion is also seen from the occiput down to C6.A severe compression deformity of the C3 vertebral body appears similar to that noted on prior CT with mild retropulsion. Some STIR signal abnormality is seen within the compressed vertebra and in the adjacent inferior C2 endplate. There may be mild enhancement in these areas as well. No paraspinal or epidural fluid collections are detected. The remaining vertebral bodies are free of pathologic marrow replacement or edema.The visualized spinal cord is free of definite focal signal abnormality. No epidural lesions are suspected.C2-3: Retropulsion and osteophytic spurring cause effacement of the ventral thecal sac but no significant generalized spinal canal stenosis. The left neural foramen is moderately to severely narrowed. C3-4: Retropulsion and osteophytic spurring, with central focality, cause effacement of the ventral thecal sac but no significant generalized spinal canal stenosis. Some degree of left foraminal narrowing is suspected. C4-5: Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild left foraminal narrowing. C5-6: Obliteration of the disc space. No spinal canal stenosis. Perhaps mild foraminal narrowing on the left. C6-7: Obliteration of the disc space. No spinal canal stenosis. Perhaps mild left foraminal narrowing. C7-T1: The intervertebral disc is preserved. No spinal canal or foraminal stenosis.
1.Postoperative findings compatible with both anterior and posterior instrumented cervical fusion.2.A severe compression deformity of the C3 vertebral body appears similar to that noted on prior CT. There are no definitive findings of active inflammation or infection at this level.3.Relatively mild disc degeneration is seen at those levels which are not fused. No areas of high-grade spinal canal stenosis are demonstrated. Moderate to severe foraminal narrowing is, however, seen on the left at C2-3.