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#174738 - 05/18/10 03:55 PM MRI Results - endplate spondylosis?
serena70 Offline
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Registered: 04/25/10
Posts: 506
Loc: Portland, OR
OK- The results are mild to moderate multilevel degenerative disc disease changes, more prominent in the mid and lower cervical spine. These changes are manifested as dis dehydration, loss of disc space height, endplate spondlylosis and disc bulging.

Level c4/5 has mild broad-based endplate spondylosis changes with superimposed mild central disc bugling.

Level c5/6 has mild broad-based disc herniation/protrusion in the left para central to left lateral recess region. No signs of left c6 nerve root impingement but abutment/irrtation is possible.


c6/7 has moderate broad-based endate spondylosis changes. There is moderate let c7 exit forminal narrowing from uncovertebral hypertrophy


It goes on to say moderate facet arthrosis on the right at c4/5 and to a lesser extent right c2/3. Moderate facet arthritis on the left at c3/4


What's it mean?
_________________________
AS July 2010
Failed remicade and humira | Now trying enbrel
mom to 1 daughter

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#174767 - 05/18/10 08:09 PM Re: MRI Results - endplate spondylosis? [Re: serena70]
melaniej Offline
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Registered: 12/11/08
Posts: 215
Loc: Texas
Sounds like disc degeneration or some OA (spondylosis) w/ herniated discs going on w/ c5-6 and c6-7.

That's what I have - where I have it too! Only now it's pushing on my nerves and I have things like hand tremors, coordination issues, continance problems (blush), weakness on one side, decreased sensation, etc. So.....watch for that! wink We're still checking to see if there's other things that could be causing this (b/c I have other symptoms that can't be attributed to nerve impingement so the neurologist is just checking everything) but it looks like I'll be having surgery in the near future! wink

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#174769 - 05/18/10 08:21 PM Re: MRI Results - endplate spondylosis? [Re: melaniej]
taberge Offline
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Registered: 05/25/09
Posts: 462
Loc: Sulphur,La. USA
Facet joints arthrosis is the joints in the spine fusing and is the progression of AS in the spine. The other spondylosis changes seem to be talking about the "squaring" effect of the vertebrae maybe.

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#174770 - 05/18/10 08:21 PM Re: MRI Results - endplate spondylosis? [Re: melaniej]
serena70 Offline
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Registered: 04/25/10
Posts: 506
Loc: Portland, OR
Yes, I'm having the hand tremors, coordination issues, and decreased sensation.

I see the pain specialist in a couple of weeks.

But none of this stuff has anything to do with AS does it?

I just have a hard time believing it's normal to have arthritis in my jaw, neck, upper back and sacroliac area at 40.

Seems like there is something systemic going on.

I hope you are able to relief from your issues. Definately let us know if you are having surgery. I'm hoping for an injection.
_________________________
AS July 2010
Failed remicade and humira | Now trying enbrel
mom to 1 daughter

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#174771 - 05/18/10 08:29 PM Re: MRI Results - endplate spondylosis? [Re: serena70]
mrye4709 Offline
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Registered: 03/30/09
Posts: 2224
Loc: Oklahoma
It's sad that we look forward to getting needles poked in our spines smile Proves we are not normal, lol. Have no idea what all the mumbo jumbo means, but hopefully the dr will expalin it all. If he doesn't then be sure to have your copy with you and ask specific questions. My first MRI years ago actually showed something, but the dr at teh time told me it didn't. I did not know to get a copy, had complete trust in the drs. I have learned alot since those days. I get all the results and keep and ask about when needed. Hope they can make it clear and help you......
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#174777 - 05/19/10 12:33 AM Re: MRI Results - endplate spondylosis? [Re: mrye4709]
melaniej Offline
Registered Visitor

Registered: 12/11/08
Posts: 215
Loc: Texas
I missed the facet part - the rest of it was pretty much verbatim as mine - give or take. I'll have to dig up my reports.

I did three injections in my neck and the pain let up quite a bit for about 2 months. But the pain doctor was NOT impressed b/c I still had decreased sensation (altho there was some minimal improvement - he said maybe it would continue to improve w/ time) and weakness. Then I went to the neurosurgeon - who did a very minimal exam - and found NO weakness or dec sensation. nice.

Went to the neurologist a bit later for my headaches getting worse and other problems I was having - like the tremors - and found out a lot of it could be associated to the discs. Never really occured to me. So for me - Had I perhaps been seeing the pain doctor back in 08 when I first found the hern discs ad gotten injections then - maybe I wouldn't be in the boat I'm in now. For me, I think it's like spitting on a fire. It's just too late to have any effect. you know? Oh - and my neurologist told me my NS must not have done any exam if he didn't get any abnormal results! lol! (i have abnormal reflexes too and you can't fake those - lol)

Oh - and I've been told as well - I may just be "one of those uncommon people" that gets OA earlier in life than others. JUST what I wanted to hear. My son that's 14 and dx w/ juv. spondy and my 10 yo dd (who's not but is a girl) are getting plenty of Ca and Vit D these days! lol!

I hope you find your answers!!! It's not fun being almost 40 and going thru all this. And yes myre - it's definitely abnormal to be looking FORWARD to injections! LOL!


Edited by melaniej (05/19/10 12:34 AM)

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#174806 - 05/19/10 08:53 AM Re: MRI Results - endplate spondylosis? [Re: melaniej]
JenInCincy Offline
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Registered: 05/19/08
Posts: 13279
Loc: Cincinnati, OH
Disc degeneration is a normal part of aging. Discs lose some of their water (dehydration) and thus lose height. Often they become wedge shaped first before coming to a final rest as a flattened/thinned disc (loss of disc space height). This causes the vertebrae to rub together and can be a cause of disc bulges. Sometimes bone growths (osteophytes) occur. All of this may or may not be painful. Spondylosis is osteoarthritis. I don't know what the "endplate" is but I do think spondylosis is OA.

I believe facet arthrosis/arthritis is degenerative arthritis (OA) in the facet joints. I don't think it means fusion.

http://www.eorthopod.com/content/what-is-facet-joint-arthrosis-thats-what-i-have-at-the

Was this MRI done with contrast? If not, it won't have picked up the inflammation that precedes fusion (if fusion happens at all) in the spondy diseases.
_________________________
Jen, 42, happy partner of James and Moma to Evan, 14, & Lucy, 12.5 (Crohn's dx @ age 3; on Remicade since April 2010.) I take piroxicam, Flexeril, & Nucynta ER nightly. 3 anti-TNFs didn't pan out for me.

"Science is the father of knowledge, but opinion breeds ignorance." -- Hippocrates

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#174852 - 05/19/10 04:56 PM Re: MRI Results - endplate spondylosis? [Re: JenInCincy]
taberge Offline
Registered Visitor

Registered: 05/25/09
Posts: 462
Loc: Sulphur,La. USA
I just have a hard time believing it's normal to have arthritis in my jaw, neck, upper back and sacroliac area at 40.

-----

Hmm.. inflammatory arthritis is not due to age at all.

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#174858 - 05/19/10 05:51 PM Re: MRI Results - endplate spondylosis? [Re: taberge]
JenInCincy Offline
Registered Visitor

Registered: 05/19/08
Posts: 13279
Loc: Cincinnati, OH
My post was a response to serena, taberge. It wasn't about you.

I wasn't saying she does or doesn't have AS, and I don't know if you do either. I have some similar MRI findings and I've spent a lot of time digging and trying to make sense of it, as I'm sure you have as well. She asked for help understanding her results and that is what I was trying to do.

I haven't seen the word spondylosis used to refer to inflammatory arthritis, only degenerative, but I certainly could have missed something. If you have more info I'm sure serena and I aren't the only ones who'd be interested.
_________________________
Jen, 42, happy partner of James and Moma to Evan, 14, & Lucy, 12.5 (Crohn's dx @ age 3; on Remicade since April 2010.) I take piroxicam, Flexeril, & Nucynta ER nightly. 3 anti-TNFs didn't pan out for me.

"Science is the father of knowledge, but opinion breeds ignorance." -- Hippocrates

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