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What Does Reversal Of Normal Cervical Lordosis Mean?
ACDF hardware with associated screws are seen from C4 through C7. There is reversal of the normal cervical lordosis. The bone marrow signal is homogenous. C2-C3: No stenosis C3-C4: Right paracentral protrusion of the disc osteophyte complex effacing the thecal sac C4-C5: No stenosis C5-C6: Right uncovertebral arthropathy resulting in mild right neuroforaminal stenosis. C6-C7: Right facet and and uncovertebral arthropathy results in mild right neuroforaminal stenosis. C7-T1: No significant stenosis. The spinal cord is normal in caliber without any abnormal signal changes. No pathologic enhancement is seen. There are no prevertebral or paravertebral masses.
Fri, 3 Feb 2017
Hi there , welcome to HCM, thanks for your question.
By convention we doctors use several technical terms to describe the alignment of the spine.Lordsis is one such term.When seen from the side our spine has 4 curves.In the neck and the lower tummy area the spine is curved backwards,such a backward curve is known as Lordosis. In the chest and tail.bone area our spine is curved forwards, such a forward curve is know as kyphosis. with forward facing and tw backward.Such alignment is required for up right posture of human beings so that our head is balanced on our limbs.So the neck area (cervical) we have natural lordosis (back ward bending)
In the radiology report you have mentioned the normal lordosis of the neck is lost, that is the spine so no more curged as it should be.This can be as a result of normal variation, muscle imbalance,post surgery finding or owing to long term postural imbalance.However loss of cervical Lordosis is a radiological term and need not always be associated with clincal symptoms of pain and discomfort.Pain in such cases of post op loss of lordosis can also be due to muscle imbalance or some times due degeneration of adjacent level, which is c3/c4 level in the given report.Physiotgerpay with spinal strengthbeing exercixes ad medicines shold help initially.Further treatment would require correlation of your symptoms and radiology by a trained spine surgeon.
Hope this answers your question.All the best.
with best regards.
Dr.SBK
By convention we doctors use several technical terms to describe the alignment of the spine.Lordsis is one such term.When seen from the side our spine has 4 curves.In the neck and the lower tummy area the spine is curved backwards,such a backward curve is known as Lordosis. In the chest and tail.bone area our spine is curved forwards, such a forward curve is know as kyphosis. with forward facing and tw backward.Such alignment is required for up right posture of human beings so that our head is balanced on our limbs.So the neck area (cervical) we have natural lordosis (back ward bending)
In the radiology report you have mentioned the normal lordosis of the neck is lost, that is the spine so no more curged as it should be.This can be as a result of normal variation, muscle imbalance,post surgery finding or owing to long term postural imbalance.However loss of cervical Lordosis is a radiological term and need not always be associated with clincal symptoms of pain and discomfort.Pain in such cases of post op loss of lordosis can also be due to muscle imbalance or some times due degeneration of adjacent level, which is c3/c4 level in the given report.Physiotgerpay with spinal strengthbeing exercixes ad medicines shold help initially.Further treatment would require correlation of your symptoms and radiology by a trained spine surgeon.
Hope this answers your question.All the best.
with best regards.
Dr.SBK
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