Question: I had severe scoliosis most of my life. I had A/P fusion from T2 to the sacrum done in 2004. I had a balance issue after surgery so a year later an osteotomy was done @ L3. I continued to lean forward and two years later in 2007 another osteotomy was performed @ L2, the fusion extended to S2 and instrumentation to the pelvis was also done. At the time nothing was done to my neck even through I had a curve there as well. My surgeon said my spine was covered in arthritis and I had a lot of DDD. I have osteoarthritis in other parts of my body as well. I just had my left knee replaced due to arthritis under the kneecap and bone on bone in the joint. I would like your opinion of my latest MRI report of my neck that I have pasted below this message. If I do need to have something done, do you think it will involve the rods that are already there? Looking forward to your reply. Thank You, XXXXXXX B.
The cervical spinal cord signal and morphology are normal. There is severe degenerative change involving the articulation between the odontoid and anterior arch of C1. The atlantoaxial facets demonstrate moderate degenerative changes as well. The craniocervical junction is unremarkable.

C2-C3 - There is mild disc desiccation. No disc herniations or spinal stenosis. There is mild facet joint arthropathy.

C3-C4 - There is mild disc desiccation. There is a small disc osteophyte complex without stenosis. There is mild facet arthropathy.

C4-C5 - There is mild disc desiccation and disc height loss. There is a circumferential disc osteophyte complex without stenosis. There is mild facet joint arthropathy.

C5-C6 - There is moderate Modic type I endplate change. There is severe disc desiccation and moderate loss of disc height. There is a circumferential disc osteophyte complex. There is mild central spinal canal stenosis. The thecal sac measures 10-11 mm. There is severe right foraminal stenosis. No left foraminal stenosis. There is minimal facet arthropathy.

C6-C7 - There is mild disc desiccation and minimal loss of disc height. There is a small 2 mm broad-based central disc protrusion. This results in mild central spinal canal narrowing. The thecal sac measures 10 mm. No foraminal stenosis. There is mild facet joint arthropathy.

C7-T1 - There is minimal disc desiccation. No disc herniations or stenosis. The facet joints are normal.

IMPRESSION:
1. Degenerative disc disease and mild scattered facet joint arthropathy involving the cervical spine as detailed above. There is mild central spinal canal stenosis at C5-C6 and C6-C7. There is severe right forminal stenosis at C5-C6. There is Modic type 1 endplate change at C5-C6.