Question 1

what does mild to moderate thecal sac stenosis mean?

Accepted Answer

Means: Compression of a bag that has nerve roots and fluid in the lower back region.

Question 2

c3-c4c4-c5 left paracentral osteochondral bar indenting thecal sac no foraminal stenosis. c5-c6 central osteochondral bar indenting thecal sac. means?

Accepted Answer

Abnormal bone growth: You have some abnormal bone growth in your cervical vertebrae that is pressing on the sac that surrounds the spinal cord. No foraminal stenosis means the nerve roots coming out of the spinal cords are not being compressed.

Question 3

what does this mean? c6/c7: posteriorly projecting disc osteophyte complex with partial effacement of the ventral thecal sac. mild bilateral foraminal stenosis?

Accepted Answer

: You describe some of the features secondary to wear and tear evolving into cervical spondylosis.  None of this sounds "surgical" yet, but do have a neurosurgical consultation to provide an opinion of the current best therapy.

Question 4

l4-5 loss of disc signal central disc protrusion ind. thecal sac. mild facet disease & central stenosis.
l5-s1 loss of disc signal & shallow disc protrusion ind. thecal sac. mild central stenosis. 
is surgery only option?

Accepted Answer

Try Non-operative : First treatment option would always be physical therapy/rehab to strengthen core muscles groups.  If that fails then epidural and or/facet injections using either steroid or plasma rich platelets.  If that all fails then surgery would be last resort.

Question 5

c5c6 ant post bone spurs press. thecal sac + spin cord post. mod sev lt parace spin can sten, mod sev rt neurof. sten. and severe left neurof stenosis?

Accepted Answer

Pinched nerves: A laymans way to describe what you have is that you have some pinched nerves in your neck.  The fancy term is spinal stenosis.  There are a number of operative and no operative treatment options, i would encourage you to be seen.

Question 6

i had an mri done of my neck. the report says central canal stenosis 7mm in two different places and says severe compression of thecal sac 4mm in a third location. does this mean surgery?

Accepted Answer

: If there is active spinal cord compression or signs of "myelomalacia", you are at great risk.  If you have weakness or tightness of the legs, and/or urinary issues, this could be a relatively crucial indication for surgical decompression.  Discuss these films with a neurosurgeon ASAP.

Question 7

is thecal sac impingement at l4-l5 the same as lumbar stenosis?

Accepted Answer

: Lumbar Stenosis refers generally to narrowing of the lumbosacral cistern at several levels.  An L4-5 "thecal sac impingement" refers to a solitary level disc protrusion or herniation, large enough to contact the thecal sac and perhaps deform the contours.

Question 8

mri=c3-4 disc herniation stenosis  ap 0.7cm c4-5 c5-6 bulging disc w impression on anterior thecal sac?loss normal lordotic curvature? what are risks?

Accepted Answer

What are symptoms: What the risks are of not treating those anatomical findings depends and what your symptoms are. The spinal stenosis is of more concern as it may lead to a more severe neurological deficient and the potential for permanent damage a concern. If there are no symptoms, the risks may be less. In any event, best talk to you Doctor.

Question 9

i had an mri - says l4-l5- disc buldge with superimposed central disc protusion.  severe spinal  canal stenosis with compression of the thecal sac with bilateral neurofarminal narrowing. a chair broke and i collapsed on back.  ?

Accepted Answer

Pinched nerve: Spinal stenosis is one way to say you have a narrowing or "pinching" of your nerve canal, in your case it is severe.  The cause of the pinching is at least in part from a disc protruding into the nerve canal (herniated disc) which could potentially have occurred in the injury on the chair.  I would not hesitate to be seen, many good treatment options available.

Question 10

c6-c7 broad based disc osteophyte complex with a superimposed focal central disc protrusion causing canal stenosis measuring 8.5mm. there is complete obliteration of the anterior posterior thecal sac space. there is mild anterior deformity.

Accepted Answer

Pinched nerve: This is another way to say that you have a "pinched nerve" in your neck.  This can potentially cause neck pain, headaches, and/or pain that radiates into the arm.  Don't hesitate to be seen as there are many good treatment options.

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Doctor answers about:

Thecal sac stenosis

A member asked:

What does mild to moderate thecal sac stenosis mean?

A member asked:

C3-c4c4-c5 left paracentral osteochondral bar indenting thecal sac no foraminal stenosis. c5-c6 central osteochondral bar indenting thecal sac. means?

A member asked:

What does this mean? c6/c7: posteriorly projecting disc osteophyte complex with partial effacement of the ventral thecal sac. mild bilateral foraminal stenosis?

A member asked:

L4-5 loss of disc signal central disc protrusion ind. thecal sac. mild facet disease & central stenosis. l5-s1 loss of disc signal & shallow disc protrusion ind. thecal sac. mild central stenosis. is surgery only option?

A member asked:

C5c6 ant post bone spurs press. thecal sac + spin cord post. mod sev lt parace spin can sten, mod sev rt neurof. sten. and severe left neurof stenosis?

A member asked:

I had an mri done of my neck. the report says central canal stenosis 7mm in two different places and says severe compression of thecal sac 4mm in a third location. does this mean surgery?

A member asked:

Is thecal sac impingement at l4-l5 the same as lumbar stenosis?

A member asked:

Mri=c3-4 disc herniation stenosis ap 0.7cm c4-5 c5-6 bulging disc w impression on anterior thecal sac?loss normal lordotic curvature? what are risks?

A member asked:

I had an mri - says l4-l5- disc buldge with superimposed central disc protusion. severe spinal canal stenosis with compression of the thecal sac with bilateral neurofarminal narrowing. a chair broke and i collapsed on back. ?

A member asked:

C6-c7 broad based disc osteophyte complex with a superimposed focal central disc protrusion causing canal stenosis measuring 8.5mm. there is complete obliteration of the anterior posterior thecal sac space. there is mild anterior deformity.

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