Cervical Stenosis

My husband had neck surgery in 2021. He has weakness in his arms and legs. It is getting difficult for him to even open a door. He is 61 and is on disability for degnerative disc disease, ankylosing spondolytis, spinal stenosis. He has been seeing a pain management doctor and has had several injections. This is not the same doctor that did the neck surgery. He is sick of seeing doctors. This is the results from his last Cervical WO Contrast-CT in 2022. Can someone help me out? The doctor who did his surgery says there is nothing wrong and even though his arms felt better for about six months, he says there is nothing else he can do.

Neck and bilateral arm pain with weakness.History of ACDF in March 2021. COMPARISON: None TECHNICAL INFORMATION: High resolution thinsection CT imaging was performed through the postoperative levels and adjacent transition levels. Highresolution coronal and sagittal reformatted images were produced. Bilateral artifact reduction imageswere also obtained. INTERPRETATION: Digital scout radiographs show anterior screw and plate at C5-6and C6-7, status post ACDF. Lung apices appear clear. Craniocervical junction structures areunremarkable. Congruent occipitocervical and C1-2 articulations. Adequate space available for the cordat C1. C2-3: Mild central stenosis, 1 mm spondylolisthesis, right hypertrophic facet degeneration andmoderate to severe right foraminal stenosis. C3-4: Central disc protrusion contacts and indents the cordwith mild central stenosis. Right hypertrophic facet arthropathy and severe right foraminal stenosis. C4-5: 1.5 mm spondylolisthesis, osteophyte and bulge abut the cord with mild central stenosis andadvanced right hypertrophic facet arthropathy. Moderate to severe right foraminal stenosis and patentleft nerve root canal. C5-6 and C6-7: Interbody fusions appear solid. Anterior screws and plate are intact without loosening or fatigue. Mild recumbent kyphosis at C6-7 and mild residual central stenosis at each level. Left greater than right facet degeneration at C5-6 and right greater than left facet degeneration at C6-7, severe chronic bilateral foraminal stenosis at C6-7 and severe on the left at C5-6.C7-T1: No disc herniation or central stenosis, hypertrophic facet arthropathy and patent foramina. CONCLUSION: 1. Solid interbody fusion at C5-6 and C6-7 with residual facet degeneration and foraminal stenosis, as reported. 2. Central disc protrusion at C3-4 contacts the cord, mild central stenosis and severe right facet degeneration/severe right foraminal stenosis. 3. Right hypertrophic facet degeneration and foraminal stenosis at C2-3 and C4-5. 4. No fractures identified.
Thanks in advance

My husband had neck surgery in 2021. He has weakness in his arms and legs. It is getting difficult for him to even open a door. He is 61 and is on disability for degnerative disc disease, ankylosing spondolytis, spinal stenosis. He has been seeing a pain management doctor and has had several injections. This is not the same doctor that did the neck surgery. He is sick of seeing doctors. This is the results from his last Cervical WO Contrast-CT in 2022. Can someone help me out? The doctor who did his surgery says there is nothing wrong and even though his arms felt better for about six months, he says there is nothing else he can do.

Neck and bilateral arm pain with weakness.History of ACDF in March 2021. COMPARISON: None TECHNICAL INFORMATION: High resolution thinsection CT imaging was performed through the postoperative levels and adjacent transition levels. Highresolution coronal and sagittal reformatted images were produced. Bilateral artifact reduction imageswere also obtained. INTERPRETATION: Digital scout radiographs show anterior screw and plate at C5-6and C6-7, status post ACDF. Lung apices appear clear. Craniocervical junction structures areunremarkable. Congruent occipitocervical and C1-2 articulations. Adequate space available for the cordat C1. C2-3: Mild central stenosis, 1 mm spondylolisthesis, right hypertrophic facet degeneration andmoderate to severe right foraminal stenosis. C3-4: Central disc protrusion contacts and indents the cordwith mild central stenosis. Right hypertrophic facet arthropathy and severe right foraminal stenosis. C4-5: 1.5 mm spondylolisthesis, osteophyte and bulge abut the cord with mild central stenosis andadvanced right hypertrophic facet arthropathy. Moderate to severe right foraminal stenosis and patentleft nerve root canal. C5-6 and C6-7: Interbody fusions appear solid. Anterior screws and plate are intact without loosening or fatigue. Mild recumbent kyphosis at C6-7 and mild residual central stenosis at each level. Left greater than right facet degeneration at C5-6 and right greater than left facet degeneration at C6-7, severe chronic bilateral foraminal stenosis at C6-7 and severe on the left at C5-6.C7-T1: No disc herniation or central stenosis, hypertrophic facet arthropathy and patent foramina. CONCLUSION: 1. Solid interbody fusion at C5-6 and C6-7 with residual facet degeneration and foraminal stenosis, as reported. 2. Central disc protrusion at C3-4 contacts the cord, mild central stenosis and severe right facet degeneration/severe right foraminal stenosis. 3. Right hypertrophic facet degeneration and foraminal stenosis at C2-3 and C4-5. 4. No fractures identified.
Thanks in advance

My husband had neck surgery in 2021. He has weakness in his arms and legs. It is getting difficult for him to even open a door. He is 61 and is on disability for degnerative disc disease, ankylosing spondolytis, spinal stenosis. He has been seeing a pain management doctor and has had several injections. This is not the same doctor that did the neck surgery. He is sick of seeing doctors. This is the results from his last Cervical WO Contrast-CT in 2022. Can someone help me out? The doctor who did his surgery says there is nothing wrong and even though his arms felt better for about six months, he says there is nothing else he can do.

Neck and bilateral arm pain with weakness.History of ACDF in March 2021. COMPARISON: None TECHNICAL INFORMATION: High resolution thinsection CT imaging was performed through the postoperative levels and adjacent transition levels. Highresolution coronal and sagittal reformatted images were produced. Bilateral artifact reduction imageswere also obtained. INTERPRETATION: Digital scout radiographs show anterior screw and plate at C5-6and C6-7, status post ACDF. Lung apices appear clear. Craniocervical junction structures areunremarkable. Congruent occipitocervical and C1-2 articulations. Adequate space available for the cordat C1. C2-3: Mild central stenosis, 1 mm spondylolisthesis, right hypertrophic facet degeneration andmoderate to severe right foraminal stenosis. C3-4: Central disc protrusion contacts and indents the cordwith mild central stenosis. Right hypertrophic facet arthropathy and severe right foraminal stenosis. C4-5: 1.5 mm spondylolisthesis, osteophyte and bulge abut the cord with mild central stenosis andadvanced right hypertrophic facet arthropathy. Moderate to severe right foraminal stenosis and patentleft nerve root canal. C5-6 and C6-7: Interbody fusions appear solid. Anterior screws and plate are intact without loosening or fatigue. Mild recumbent kyphosis at C6-7 and mild residual central stenosis at each level. Left greater than right facet degeneration at C5-6 and right greater than left facet degeneration at C6-7, severe chronic bilateral foraminal stenosis at C6-7 and severe on the left at C5-6.C7-T1: No disc herniation or central stenosis, hypertrophic facet arthropathy and patent foramina. CONCLUSION: 1. Solid interbody fusion at C5-6 and C6-7 with residual facet degeneration and foraminal stenosis, as reported. 2. Central disc protrusion at C3-4 contacts the cord, mild central stenosis and severe right facet degeneration/severe right foraminal stenosis. 3. Right hypertrophic facet degeneration and foraminal stenosis at C2-3 and C4-5. 4. No fractures identified.
Thanks in advance

My husband had neck surgery in 2021. He has weakness in his arms and legs. It is getting difficult for him to even open a door. He is 61 and is on disability for degnerative disc disease, ankylosing spondolytis, spinal stenosis. He has been seeing a pain management doctor and has had several injections. This is not the same doctor that did the neck surgery. He is sick of seeing doctors. This is the results from his last Cervical WO Contrast-CT in 2022. Can someone help me out? The doctor who did his surgery says there is nothing wrong and even though his arms felt better for about six months, he says there is nothing else he can do.

Neck and bilateral arm pain with weakness.History of ACDF in March 2021. COMPARISON: None TECHNICAL INFORMATION: High resolution thinsection CT imaging was performed through the postoperative levels and adjacent transition levels. Highresolution coronal and sagittal reformatted images were produced. Bilateral artifact reduction imageswere also obtained. INTERPRETATION: Digital scout radiographs show anterior screw and plate at C5-6and C6-7, status post ACDF. Lung apices appear clear. Craniocervical junction structures areunremarkable. Congruent occipitocervical and C1-2 articulations. Adequate space available for the cordat C1. C2-3: Mild central stenosis, 1 mm spondylolisthesis, right hypertrophic facet degeneration andmoderate to severe right foraminal stenosis. C3-4: Central disc protrusion contacts and indents the cordwith mild central stenosis. Right hypertrophic facet arthropathy and severe right foraminal stenosis. C4-5: 1.5 mm spondylolisthesis, osteophyte and bulge abut the cord with mild central stenosis andadvanced right hypertrophic facet arthropathy. Moderate to severe right foraminal stenosis and patentleft nerve root canal. C5-6 and C6-7: Interbody fusions appear solid. Anterior screws and plate are intact without loosening or fatigue. Mild recumbent kyphosis at C6-7 and mild residual central stenosis at each level. Left greater than right facet degeneration at C5-6 and right greater than left facet degeneration at C6-7, severe chronic bilateral foraminal stenosis at C6-7 and severe on the left at C5-6.C7-T1: No disc herniation or central stenosis, hypertrophic facet arthropathy and patent foramina. CONCLUSION: 1. Solid interbody fusion at C5-6 and C6-7 with residual facet degeneration and foraminal stenosis, as reported. 2. Central disc protrusion at C3-4 contacts the cord, mild central stenosis and severe right facet degeneration/severe right foraminal stenosis. 3. Right hypertrophic facet degeneration and foraminal stenosis at C2-3 and C4-5. 4. No fractures identified.
Thanks in advance

My husband had neck surgery in 2021. He has weakness in his arms and legs. It is getting difficult for him to even open a door. He is 61 and is on disability for degnerative disc disease, ankylosing spondolytis, spinal stenosis. He has been seeing a pain management doctor and has had several injections. This is not the same doctor that did the neck surgery. He is sick of seeing doctors. This is the results from his last Cervical WO Contrast-CT in 2022. Can someone help me out? The doctor who did his surgery says there is nothing wrong and even though his arms felt better for about six months, he says there is nothing else he can do.

Neck and bilateral arm pain with weakness.History of ACDF in March 2021. COMPARISON: None TECHNICAL INFORMATION: High resolution thinsection CT imaging was performed through the postoperative levels and adjacent transition levels. Highresolution coronal and sagittal reformatted images were produced. Bilateral artifact reduction imageswere also obtained. INTERPRETATION: Digital scout radiographs show anterior screw and plate at C5-6and C6-7, status post ACDF. Lung apices appear clear. Craniocervical junction structures areunremarkable. Congruent occipitocervical and C1-2 articulations. Adequate space available for the cordat C1. C2-3: Mild central stenosis, 1 mm spondylolisthesis, right hypertrophic facet degeneration andmoderate to severe right foraminal stenosis. C3-4: Central disc protrusion contacts and indents the cordwith mild central stenosis. Right hypertrophic facet arthropathy and severe right foraminal stenosis. C4-5: 1.5 mm spondylolisthesis, osteophyte and bulge abut the cord with mild central stenosis andadvanced right hypertrophic facet arthropathy. Moderate to severe right foraminal stenosis and patentleft nerve root canal. C5-6 and C6-7: Interbody fusions appear solid. Anterior screws and plate are intact without loosening or fatigue. Mild recumbent kyphosis at C6-7 and mild residual central stenosis at each level. Left greater than right facet degeneration at C5-6 and right greater than left facet degeneration at C6-7, severe chronic bilateral foraminal stenosis at C6-7 and severe on the left at C5-6.C7-T1: No disc herniation or central stenosis, hypertrophic facet arthropathy and patent foramina. CONCLUSION: 1. Solid interbody fusion at C5-6 and C6-7 with residual facet degeneration and foraminal stenosis, as reported. 2. Central disc protrusion at C3-4 contacts the cord, mild central stenosis and severe right facet degeneration/severe right foraminal stenosis. 3. Right hypertrophic facet degeneration and foraminal stenosis at C2-3 and C4-5. 4. No fractures identified.
Thanks in advance

He has not went to a neurologist. Has only doctored with an orthopedic doctor as he was doctoring with his lower back and then had arm pain so they did the CT of his neck to see if he had a pinched nerve and discovered the degenerative disks. I’m my opinion, the doc who did his neck surgery was only concerned about the hardware he put in and blew off anything else this scan indicated - very unhappy with a few choice names for him.

Did any of this surgery help the weakness in your husband's legs? The reason I ask is that I just recently had a cervical MRI but have not met yet with the orthopedic doctor. My problem is mostly weakness in the legs. My arms are fine

@dmp19650989 I use a neurologist for my cervical issues, and an ortho who does not do surgery. I have not yet reached the point of consulting a surgeon. I wonder if another doc in neuro or ortho could help. Do you have a positive Babinski reflex? I have that and it indicates spinal cord damage. Contact with the cord is concerning as I wrote before. It shouldn't be so hard to get help in your situation!

Unfortunately we do not. He has had two EMT and they say tell us there are no pinched nerves causing the weakness in his arms. Really frustrated.