Myelopathy There are postsurgical changes of anterior cervical discectomy and fusion from C4 to C5. Vertebral body heights are grossly maintained with minimal anterior superior endplate deformities at C7 and T1 with associated fatty endplate changes. No suspicious osseous lesions are seen. No findings to suggest a recent compression fracture.There is T2 hyperintensity in the bilateral cervical cord at the upper C5 level with volume loss consistent with myomalacia, which may be related to prior compression. There is minimal retrolisthesis of C3 on C4. Alignment of the cervical spine is otherwise grossly maintained.Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina. Left greater than right facet arthropathy.C3-4: There is a disc osteophyte complex including uncovertebral hypertrophy as well as ligamentum flavum thickening contributing to mild to moderate spinal canal stenosis. There is also moderate left and mild right neural foraminal stenosis.C4-5: Myelomalacia and postoperative changes as described above. No significant spinal canal stenosis. Mild right neural foraminal stenosis. Left neural foramen is patent.C5-6: Small disc osteophyte complex and uncovertebral hypertrophy. There is mild mild narrowing of the spinal canal. Mild to moderate bilateral neural foraminal stenosis.C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Postsurgical changes related to anterior cervical fusion at C4-C5.2. Bilateral cord signal abnormality and volume loss consistent with myomalacia at the upper C5 level, which may be related to prior stenosis and can be compare with prior studies if available.3. Mild to moderate spinal canal stenosis at the C3-C4 level above the fusion. Otherwise no significant spinal canal stenosis is seen in the cervical spine. Neural foraminal stenoses as detailed above. 