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A member asked:
C4-5 central disc protrusion indent thecal sac. c5-6 central, left paracentral & lateral herniation w/ endplate spur.severe central stenosis & severe comp.left lateral recess and neural canal. will surgery be needed?
3 doctors weighed in across 2 answers
Severe stenosis: Would recommend a neurosurgery opinion as far as surgery is concerned. Usually if the symptoms are significantly affecting the quality of life and conservative measures have failed then surgery will be required. Also the age of the person and associated medical conditions will impact the decision. Typically progressive severe central canal stenosis ends up needing surgery.
Answered 11/21/2020
25 views
Perhaps: I tend to delay surgery to the last moment if possible, but you describe chronic issues that may in part have been lifelong. The severe central stenosis with focal left issues are to be carefully managed, but the C4-5 needs to be watched due to potential cord compromise. Would suggest at least three neurosurgical opinions regarding your complexities.
Answered 11/23/2020
25 views
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