Hi dr Vivek follow is your report as stated, and now i will upload new images from ct scan if possible video as well please have a look compare with your previous report and give me new update

REPORT REGARDING CERVICAL X RAY (2016,2019 AND 2021)

"Brief Answer
Mild to moderate cervical spondylosis and that has minimally progressed

Detailed Answer:

The cervical curvature is mildly straightened in the xray done in 2016 and in the 2019 and 2021 xrays, there is more persisting straightening of the cervical vertebrae.

The alignment is well maintained in the 3 xrays. There is no subluxation.

There are beaking anterior osteophytes in the cervical vertebrae in the 2021 xrays as previously mentioned in C3 to C7 cervical vertebral levels and the ostophyte at the anterior inferior part of C4 is bridging the disc space between C4 and C5 vertebrae. Comparing the 3 xrays I find increase in the calcification of osteophytes in C4 and C5 vertebrae.

There are mild posterior osteophytes from C3 to C7 vertebrae levels and there is minimal increase in calcification of the posterior osteophytes at C6-C7 vertebral levels.

The posterior elements are normal in shape except for mild degenerative changes as previously.

The C2-C3 disc space is minimally decreased in the xrays. The disc spaces in the 2021 xray are much clear than the older ones and shows the disc spaces well. This is due to the positioning and skill of the person taking the xrays. I must tell that the disc spaces are well maintained for your age.

The pre and para-vertebral soft tissues appear normal.

The lines are normal in both xrays.

There is no significant compression or height loss in the vertebrae.

The facet joints are showing mild degenerative changes in all the xrays.

I continue to suggest a diagnosis of mild to moderate cervical spondylosis and that has minimally progressed over 5 years. Not something serious but it can cause varying amounts of pain and discomfort.

It is possible that there is an element of nerve compression due to disc indentation or the intervertebral discs causing pressure on the cervical spinal cord itself and can cause severe pain in your upper limbs and that is something that goes unnoticed in xrays.

The balance mechanism in humans is controlled in the cerebellum (the small part of the brain posteriorly) and by the inner ear. It is of concern since when there is the closure of eyes, there is a lack of visual inputs to the brain and this is causing you to lose balance,

From the above clinical features, it is highly recommended that you consult a neurologist and an ENT doctor who will examine the balance mechanism in detail and suggest more investigations.

Regards,
by Dr. Vivek Chail