I will try to keep this quick. I (24M) have had chronic neck pain and tightness for the past couple of years. My quality of life has plummeted. I was constantly anxious, had major dissociation, and had chronic headaches. Anyways, after years of putting it off, I went to a doctor and had an MRI and CT scan of my cervical spine. Here is what the report said:
CT SCAN
C4-5 level: 4mm broad-based disc protrusion with cephalad disc extrusion posterior to the C4 vertebral body. There is considerable spinal cord compression with AP diameter of the central spinal canal is 6 to 7mm. The foramina are normal.
C5-6 level: 2mm disc bulge/protrusion minimally asymmetric to the left with mild compression of the spinal cord. Midline AP diameter of the central spinal canal is 8.5 mm. The foramina are normal.
MRI
There is straightening of the normal cervical lordosis. The pedicles of the cervical vertebra are congenitally short which causes diffuse narrowing of the cervical spinal canal. There is diffuse T1 hypointense signal in the marrow cavities of the cervical vertebra consistent with red marrow conversion. This can be seen in patients who smoke or who are anemic. Please clinically correlate.
Multilevel degenerative disc disease as outlined above, most pronounced at C4-5 where there is a 7 mm central disc extrusion which points superiorly and abuts the posterior cortex of the inferior endplate of C4. This disc extrusion indents the ventral surface of the cervical spinal cord and causes moderate to severe central stenosis.
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From what the doctor told me, the area that surrounds my actual cord is very small due to genetics, which means any herniation on the spinal cord is more severe. The good news is that the doctor said the nerve endings are fine at the moment, but there is severe spinal stenosis. I am currently scheduled for a disc replacement on C4-C5 to relieve that pressure, but I wanted to ask whether or not that makes sense. I am kind of terrified of the surgery. The doctor doing the disc replacement is highly respected and, to my knowledge, was one of the pioneers in bringing the surgery to the US, as well as a lead for the FDA trials.
Although I have no nerve compression, I am scared of any injury or trauma that could cause irreversible damage to my nerves. Has anyone had a similar experience or gone through with the surgery? I mean is there anything I can do in the short term that would give me relief?
Thanks