My Dad's suffering from cervical spondylyosis since past 4 and half yrs. Latest CT scan says
XR CERVICAL SPINE AP & LAT
There is loss of normal cervical lordosis.
C5 and C6 anterior osteophytes with mild decrease in intervertebral disc space. rest of the cervical vertebrae and interveing disc spaces are unremarkable.
Posterior elements appear normal.
Bony spinal canal diameter is normal.
No obvious pre/paravertebral soft tissue abnormality noted. o bony cervical rib seen.
MRI CERVICAL SPINE
Procedure: MRI of the cervical spine was performed using multiplanar, multiecho sequences. Screening of the whole spine was also performed.
Findings: Mild straightening of cervical spine with normal vertebral alignment is noted.
There is ossification of posterior longitudinal ligament extending from C3 level to C6 vertebra. It appears darkoi
Ti & T2 but better appreciated on CT scan. Resultant moderate diffuse canal stenosis with cord compression is
seen. Maximum thickness of ossified posterior longitudinal ligament is seen at C4 level is 5 mm
At C516 level, there is ligamentum flavum thickening also noted. There is signal abnormality in the cord
consistent with ischemia. Unco-vertebral arthrosis are also noted causing foramen stenosis The pre / paravertebral soft tissues appear normal.
Screening of dorso-lumbar spine is unremarkable.
1. Ossification of posterior longitudinal ligament extending from C3 to C6 vertebra causing moderate canal stenosis and cord compression.
At C5/6 level, there is additional ligamentum flavum thickening contributing to cord compression. There is cord signal abnormality suggestive of ischemia. Unco-vertebral arthrosis is also noted causing foramen stenosis..
Please suggest the options for relieving is problem and if surgery is mandatory please also assess the risk and consequences if he is not willing to take surgery