Thoracic spine, not a lot of info....

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sweet sunshine 4 me
Regular Member


Date Joined Aug 2014
Total Posts : 24
   Posted 10/5/2014 2:36 PM (GMT -6)   
Hi,
there doesn't seem to be a lot of info when it comes to the thoracic spine and I am hoping someone, anyone can help me decipher what my MRI is saying in plain English. I know no one is a doctor here but I'd like to know if anyone has experienced surgery on the thoracic spine and may have gone thru this. My MRI says;


Anterior cervical fusion is again identified at C4-5 and C5-6 levels. At T6-T7
there is a right paracentral disc protrusion with ventral impression on the
thecal sac. At the T6 level there is dorsal impression on the thoracic cord with
loss of volume of the thoracic cord which is felt to reflect a cystic structure
demonstrating signal characteristics which follow CSF. This may reflect an
intradural extra medullary thoracic arachnoid cyst. A small disc osteophyte
complex is noted at T7-T8 with minimal ventral impression on the thecal sac
without spinal canal stenosis. The remainder of the thoracic spinal canal is
unremarkable. No significant thoracic cord signal abnormalities are identified.
Impression:
1. There is dorsal mass effect on the thoracic cord at the T6 level which
appears to be secondary to an oval cystic structure 2.2 cm in length and 7 mm in
diameter possibly reflective of an intrathoracic intradural extra medullary
arachnoid cyst. There is some loss of volume of the thoracic cord at this level.
Additionally there is a component of ventral impression on the thoracic cord at
the T6-T7 level secondary to a right paracentral disc protrusion.

**From what I have read, there aren't very many doctors that have experience or even do these types of surgeries. I appreciate anything anyone has to offer on this subject.

Thank you in advance.
ACDF 2 Level C4-5 and C5-6 Dec 2011
DLIF 4 Level L-1 to L-5 Total reconstruction-possible failed surgery Dec 2013
Current MRI's with issues...
Brain, Cervical, Thoracic and
Lumbar-hardware impairs views clearly

Dixie6
Veteran Member


Date Joined Aug 2014
Total Posts : 1022
   Posted 10/5/2014 3:08 PM (GMT -6)   
Hey Sweet Sunshine...I'm NO help with the thoracic, but I wanted to give you my support for issues with the cervical and lumbar spine.  I was just told a year ago that my spine is a train wreck.  The neuro said that I am a good candidate for FAILED surgery...sent me to PM=(
 
Keep your post bumped. Someone will be here shortly to help you.
 
Hugs~~Dixie
Stage 4 Endometriosis
Radical Hysterectomy w/Ovaries removed in 1993-94
Debilitating Pelvic, Vaginal and Rectal Pain
IBS w/constipation, Diverticulosis
Herniated Cervical and Lumbar Discs w/Nerve Compression
Arthritis, Osteoarthritis (Severe Bone Loss), DDD, Sciatica
Severe Depression, Anxiety, Panic Attacks
SHINGLES VIRUS IN MY EYE/FACE since 6/7/14...NO RELIEF IN SIGHT...literally=(

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 14994
   Posted 10/5/2014 3:09 PM (GMT -6)   
Hi Sweet, what has the dr told you that ordered this MRI & what is he/she recommending at this time? Did your dr recommend surgery? It is not drs lacking experience being the reason they will not do thoracic surgery, it is because it is a very high risk dangerous surgery. There are not many surgeons out there willing to do thoracic surgery for this reason.

We have had one member that has had thoracic surgery, his user name is SyXx. I cannot remember what his surgery consisted of either. Your can use the search feature here at the forum & read his posts. We do ask that you not post on his older threads as we like to keep the older threads off of the main page. You will get a better response by asking questions here.

A very reputable website devoted to the spine is SpineUniverse.com.. You may want to go there & see if there is info about what is showing on your MRI. Your best bet though is to get your info straight from your dr.

Take care.
Susie
Moderator Chronic Pain & Psoriasis Forums

sweet sunshine 4 me
Regular Member


Date Joined Aug 2014
Total Posts : 24
   Posted 10/5/2014 3:30 PM (GMT -6)   
Thanks Dixie & straydog,
My back surgeon ordered MRI's on Cervical, thoracic & lumbar at the same time I think the thoracic because he wanted to check other areas to find my pain generators. I'm not sure but finding what he did, he sent me to a neurologist, she sent me for a brain MRI and OMG I have several issues.

But I'm trying to focus on my thoracic right now and self educate. My Ortho sent me to a neurosurgeon because he said he doesn't do surgery for cysts. I'm having a ct myelogram this Friday so he can see if the cyst is inside or outside the dura. He also is doing my lumbar area at the same time.

I'll try to find the thread for SyXx to read, I won't post on them. Also, I have been on spine universe for other stuff, I'll check that out too.

Thanks again. I still hope someone responds that had thoracic issues
ACDF 2 Level C4-5 and C5-6 Dec 2011
DLIF 4 Level L-1 to L-5 Total reconstruction-possible failed surgery Dec 2013
Current MRI's with issues...
Brain, Cervical, Thoracic and
Lumbar-hardware impairs views clearly

SyXx
Veteran Member


Date Joined Nov 2012
Total Posts : 890
   Posted 10/5/2014 3:31 PM (GMT -6)   
I am busy tonight. But feel free to message me any questuins. The surgery is very invasive and painful.

I will respond in more detail later.

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 14994
   Posted 10/5/2014 3:33 PM (GMT -6)   
Awesome, SyXx has seen your post!!!
Susie
Moderator Chronic Pain & Psoriasis Forums

sweet sunshine 4 me
Regular Member


Date Joined Aug 2014
Total Posts : 24
   Posted 10/5/2014 4:29 PM (GMT -6)   
I just came back from reading posts from SyXx, that's too funny, ESP or what...LOL

Ok SyXx, I'll check my thread tomorrow for you. In the mean time, How are you doing??? I'm not sure what questions I have. I don't know a lot about the thoracic spine.

I certainly know pain after having a 4 level fusion! My whole lumbar! Plus I had mild scoliosis in there. I'm still in pain and am sick of it. My Ortho surgeon thinks it's coming from my thoracic. I hope not, I seriously don't want to go thru another horrible & awful surgery like I had 10 months ago. I hope the Neuro I'm seeing now has good news for me after he sees the myelogram. I am hoping & praying he says I don't need surgery.

I know I need another surgery on my neck though, the level above my fusion is now pushing on to my spinal cord...Been there done that almost 3 years ago!

Anyway, I'll be back and Thank you soooo much so far.
ACDF 2 Level C4-5 and C5-6 Dec 2011
DLIF 4 Level L-1 to L-5 Total reconstruction-possible failed surgery Dec 2013
Current MRI's with issues...
Brain, Cervical, Thoracic and
Lumbar-hardware impairs views clearly

SyXx
Veteran Member


Date Joined Nov 2012
Total Posts : 890
   Posted 10/7/2014 12:23 PM (GMT -6)   
The pain associated with Thoracic spine is beyond anything you can imagine. I have never been in so much pain in my life. The surgery lasted about 6 hours and I was in the hospital for 7 days. I was on IV Dialaudid for 4 days and then oral dialaudid, oxycontin for 7 months. The surgery fixed the nerve pain, and I would definately do it again to fix that. I have had some issues with the medial branch nerves, I have done several injections and am in the process of doing RFA. I did 2 treatments out of 8, but the pain was to much so they stopped. They are giving me more sedation and pain meds before we start next time.

To do my surgery they did a 8 inch incision in my back and an 8 incision in my left rib cage. They split the ribs and move the aorta and lung. Like I said, even though it was invasive and painful, I would do it again. It is very hard to find a doctor who will work on the thoracic spine. My doctor specializes on thoracic spine, especially deformities.

I would honestly ask if RFA is an option, they will do nerve block treatments first and if it works you can get anywhere from 6 months to 2 years of relief. I guess it is supposed to be very good in patients with thoracic spine issues.

Anyways, why don't you give me some questions you want specifically answered. I can then go from there. I am from MN, and the surgeon I saw does remove cysts also.

Midwest Spine Institiute
Dr. Sinicropi
Sean

Secondary Biliary Cirrhosis
T11-T12 Disc Fusion 10/30/13
L2 & L3 Compression Fractures
DDD Lumbar region
Multiple Annular Tears in Lumbar and Thoracic Spine
Arthritis Lumbar Region

sweet sunshine 4 me
Regular Member


Date Joined Aug 2014
Total Posts : 24
   Posted 10/7/2014 5:16 PM (GMT -6)   
Hi SyXx,
The Neuro surgeon I am seeing now has reviewed my MRI's and like I said, he's having me do a myelogram.
I don't feel pain in the middle of my back but I do on my upper back, neck, shoulders, my left side at the surgery site, etc. I can imagine the horrible pain you had or still have...Whew :(

Do you know anything about the thoracic causing pain in the lower extremities? Or in my sides? Or butt & legs? Or even the lumbar area? Do you have a thorough understanding of the thoracic spine?
Are you still in horrific pain or are you better now? Your post wasn't that clear to me, I have brain fog.

What is RFA?

My Ortho surgeon that did my back surgery seems to think that my pain is being caused from the thoracic area. When he physically examined me, that's what he said. I don't understand how it's possible. He found some points that hurt pretty bad when he touched me in certain areas is all I can say. Plus he won't touch cysts, not his specialty. So he sent me to the Neuro.& I believe he does cysts, he didn't say but I assumed he does during my visit with him. Of coarse we have to wait for the myelogram results, then I'll know more.

7 hours is very long. My DLIF was a 12 hour surgery and I have no memory of the 4 days after. I spent 2 weeks in the hospital. Ortho said the reason was from anesthetic and pain meds combined & memory loss has happened to some people. That was the worst, painful surgery I've ever had. I can't say that I would do mine again due to having more pain after.

I'm glad your surgery was successful & are happy with the out come. Your surgeon sounds like a really good one!

I live in South Florida.
ACDF 2 Level C4-5 and C5-6 Dec 2011
DLIF 4 Level L-1 to L-5 Total reconstruction-possible failed surgery Dec 2013
Current MRI's with issues...
Brain, Cervical, Thoracic and
Lumbar-hardware impairs views clearly
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