דיסק צווארי האם צריך ניתוח
דיון מתוך פורום ניתוחי עמוד שדרה אנדוסקופים, פריצות דיסק
THE CERVICAL SPINE  FINDINGS: THERE IS REVERSAL OF THE NORMAL MILD LORDOTIC CURVATURE (THERE IS MODERATE KYPHOSIS). THERE IS MODERATE TO SEVERE DISC DESICCATION WITH ASSOCIATED DEGENERATIVE END PLATE CHANGES AT MULTIPLE LEVELS. THERE IS NO EVIDENCE OF ANY FRACTURES OR OSTEOLYTIC PROCESS. AT THE C3-C4 DISC LEVEL THERE IS A 3 MM DISC PROTRUSION ABUTTING AND CAUSING MINIMAL COMPRESSION OF THE VENTRAL CORD. THERE IS NO CENTRAL CANAL STENOSIS. AT THE C4-C5 DISC LEVEL THERE IS A 2 MM DISC BULGE WITHOUT ANY CORD COMPRESSION OR CENTRAL CANAL STENOSIS. AT THE C5-C6 DISC LEVEL THERE IS A 2 MM DISC OSTEOPHYTE COMPLEX WHICH EXTENDS INTO THE LEFT FORAMINA WHEREIN COMBINATION WITH MILD FACET JOINT ARTHROPATHY HAS RESULTED IN MODERATE LEFT FORAMINAL STENOSIS. THERE IS NO CORD COMPRESSION OR CENTRAL CANAL STENOSIS. AT THE C6-C7 DISC LEVEL THERE IS A 2-3 MM DISC BULGE WITHOUT ANY CORD COMPRESSION OR CENTRAL CANAL STENOSIS. THE BULGE EXTENDS INTO THE NEURAL FORAMINA BILATERALLY WITH THE RESULTANT MODERATE TO SEVERE LEFT FORAMINAL STENOSIS WITH POSSIBLE IMPINGEMENT OF THE EXITING LEFT C7 NERVE ROOT. THERE IS MILD RIGHT FORAMINAL STENOSIS. THE REMAINDER OF THE EXAM IS WITHIN NORMAL LIMITS.