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Cervical stenosis: Wait or treat?

Spine Health | Last Active: Sep 24, 2021 | Replies (22)

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@jenniferhunter

@amberrose @ray666 Hello Nance and Ray. The term is actually spondylolisthesis, but I was trying to use common language that would make sense. Think of it like this. You have a string with large beads on it. The string is the spinal cord and each bead is a vertebra. If you pull on a bead to offset it, it pulls on the string of you pull it hard enough. If a spinal disc is allowing movement of the vertebrae in any forward, back or sideways direction, that is called listhesis. My reports stated I had retrolisthesis which is (backward movement) of C5 over C6. It meant that when I bent my neck, my C5 vertebra was sliding backward past C6 by 2 millimeters, so my vertebrae were not stacked perfectly in line with each other. Your spine changes position when you lay down, and if you have spondylolisthesis, it can cause spinal nerves to get compressed if the vertebrae are moving out of alignment. The spinal nerve exit the spine between the vertebrae. If that is something that you can change and reproduce the results with a change in position, make sure you explain that to your doctor. Sometimes spine surgeons take a standing full body X-ray of the spine for this reason, to show if the vertebrae are slipping past each other which can be common with spinal deformity cases. The standing vs laying down images can show very different alignment.

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Replies to "@amberrose @ray666 Hello Nance and Ray. The term is actually spondylolisthesis, but I was trying to..."

Thank you, Ray and Jennifer....your explanations are spot on! My diagnosis is different from either of yours as I have Degenerative Disc Disease with osteophytes or bone spurs pressing on my spinal cord at three levels, possibly displacing the cord at this time. I receive my MRI interpretation on Monday.

Ray, I also have the gait disturbance ...from all I have researched, just keep walking!

Jennifer, wish you could give your fine explanation of disc pressure on the nerves to my neurologist !

Diagnosis remains the most difficult area of medicine!! Thank you both for your information! Nance

Jennifer, this explanation, as your many others, really sheds a lot of light on my situation. I, too, have the balance problem when walking. I get my MRIs, (cervical and thoracic) done Monday the 20th. Hearing your conversations, I think I know what the results are going to be. Thank you all so much for your info.