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iSpine Discuss MRI question on report in the Main forums forums; I would think that most of the pathology at the fused level would have developed before it was fused??? Note ...

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Old 07-31-2011, 06:36 AM
mmglobal's Avatar
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I would think that most of the pathology at the fused level would have developed before it was fused???

Note that different radiologists will interpret differently. Also, you eluded to the fact that the standard MRI is a static image generated in a neutral position.

It is not uncommon that the pain syndrome doesn't match what shows on the imaging. That's why the good docs don't 'operate on the films'.

Mark
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Old 08-01-2011, 05:13 PM
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Default very well stated

Quote:
Originally Posted by mmglobal View Post
I would think that most of the pathology at the fused level would have developed before it was fused???

Note that different radiologists will interpret differently. Also, you eluded to the fact that the standard MRI is a static image generated in a neutral position.

It is not uncommon that the pain syndrome doesn't match what shows on the imaging. That's why the good docs don't 'operate on the films'.

Mark
So the reality may be that your condition is slightly worse than seen?
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female age 45, height 5"6", 145 lbds, non smoker, conservative treatments failed, (7/2007) C4/5/6 peek disc replacements,plate & screws failed fusion,
(9/2008) revision with bone replace plate and screws, (10/2009) C3/4 stand alone peek cage, (12/2010) facet joint injections C3-7, (1/2011) rhizotomy C6/7 failed, Trouble swallowing
most recent mri (7/2011) shows ajacent level issues: right neural foraminal narrowing C2/3, posterior bulge indents thecal sac at C6/7/T1 no mass effect on cord.
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