Hello doctor, I had a neck fusion a few years back. I like to understand more about my MRI. I am going to start Gabapentin for nerve issues soon and also I have Crohn's disease and Lyme. Currently experiencing pins and needles in both legs. I have seen a neurologist and going to see a few surgeons this week. I would like to know, what you think about all this information? The neck is worse than the back at this point. Also, I want to know what my options are for fixing scar tissue? Thank you in advance.
Hi. I have read through your query in detail. Sorry to hear the pain and discomfort you are having and wish you a quick recovery. Please find my observations below. Your MRI scan reports (attachment removed to protect patient identity) show that there are changes seen in the neck region of the spinal cord at the level of fusion surgery for which the term myelomalacia (softening of the spinal cord) and myelopathy (compression of the spinal cord) has been used. The cervical spondylosis has probably increased from before. These changes make the neck changes a little worse than the lower back. There is significant pinching of nerve roots at C6 - C7 level on the right side and this becomes important because it affects your daily activities. There are changes in the spinal cord at this level which is a concern. If you are right-handed and have to use the computer at work then this can be one of the reasons for the tingling and numbness. The lower back problem is mild and is of less concern when compared to the neck. In conclusion, the visit to the neurosurgeon should be focused on reducing the nerve pinching in the neck C6 - C7 level and preventing any progressive changes in the spinal cord at that level. I would be glad if you can share the CD so that I can have a look at your images. However, my observations will most likely be the same as mentioned above.