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Does "multiple Posterior Disc Osteophyte" Indicate Requirement Of A Surgery?
Question: I've uploaded my cervical MRI that was taken about 2 weeks ago that has multiple posterior disc osteophyte complex and central canal stenosis. Would you please review the MRI findings and let me know if I need surgery again (your best guess anyway). I'm having great pain in my head at certain times with the feeling that I'm going to pass out. I would certainly appreciate your opinion.
Thank you, XXXXXXX
Thank you, XXXXXXX
Brief Answer:
According to MRI findings no need for surgery.
Detailed Answer:
Hi, I had gone through your question and understand your concerns. I think there's no need for decompressive surgery, this according to your cervical MRI findings. Disc osteophytes complex means that there is a degenerative disc disease in process, however not compressing the spine and not causing cervical myelopathy.
The main reason to go for surgery or not is your clinical condition ( pain or neurologic deficit) correlating with imaging study. You experience headaches that are not supported from MRI findings. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
According to MRI findings no need for surgery.
Detailed Answer:
Hi, I had gone through your question and understand your concerns. I think there's no need for decompressive surgery, this according to your cervical MRI findings. Disc osteophytes complex means that there is a degenerative disc disease in process, however not compressing the spine and not causing cervical myelopathy.
The main reason to go for surgery or not is your clinical condition ( pain or neurologic deficit) correlating with imaging study. You experience headaches that are not supported from MRI findings. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
it's not that I "get headaches", it's that if I move my head a certain way (and I never know what way that might be), my neck "clicks and locks", severe pain rushes to my head, and I get the feeling that I'm going to pass out. That's something new and it scares me because I never know when it's going to happen. What's your take on it now?
Brief Answer:
There's need for plain radiographs of your spine.
Detailed Answer:
Hi and thanks for asking again. In this case, in my opinion you need plain radiographs of your cervical column in neutral, flexed and extended position to check for/ rule out any instability. About your concern to "passing out", that is just a feeling of yours or is the pain that causes it? It is normal to be scared, but I suggest you to try not to overestimate the problem. I think that what's happening with your neck is reparable, If you have further questions feel free to ask.
There's need for plain radiographs of your spine.
Detailed Answer:
Hi and thanks for asking again. In this case, in my opinion you need plain radiographs of your cervical column in neutral, flexed and extended position to check for/ rule out any instability. About your concern to "passing out", that is just a feeling of yours or is the pain that causes it? It is normal to be scared, but I suggest you to try not to overestimate the problem. I think that what's happening with your neck is reparable, If you have further questions feel free to ask.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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