Pre-Op MRI Question

[debbei]

Hi,

I just got the RX for my pre-op MRI in the mail. I have a thorasic and lumbar curve, but the MRI is just for the lower spine (LSS). The RX also says 'Rule Out Stenosis'. Why are they not checking my upper spine? My upper curve is 66 degrees. Is it because I didn't complain of arm problems? I don't get it.

[txmarinemom]

Debbei,

What is the planned fusion level for your surgery, and which of your curves are structural vs. compensatory?

I know Hanson only MRI'd my compensatory areas (cervical and lumbar ... I had a right thoracic structural curve - apex at T9), and really, the main focus was on the lumbar to make sure the discs were good below the planned fusion area (at that time, T5-L1 ... the morning of surgery, we decided to take the upper to T4 to avoid possible decompensation and to give better odds at relief for protruding discs at C5/C6 and C6/C7. It did fix them, BTW.).

Had Hanson seen any degeneration of my spine below L1, he would have proposed an extension further down. My guess is your surgeon is checking the lumbar for the same reason.

Regards,
Pam

[debbei]

Pam,

my fusion levels are supposed to be T3 to L3 or L4. The thorasic is structural and lumbar is compensatory so I guess that makes sense.

Thanks,