頸肩痛MRI報告：手術急迫性？-神經外科

頸肩痛 MRI report？

2023/11/30 MRI REPORTSummary :S Sorenss and pain over right shoudler jont since months ago. Then numbness and paon radiate to forearm and finger tips recently. Sleeping disturbance and grasp weakness was noted.O Consicous; clear, menatlity OK in time pclae and person, motor; gr 5/5 over four limbs , root tension sign +, abdurotr releasing sing +, parenthesis over C6-7 dermatone,A Cervical spondylosis with suspected HIVD of C- spine and radiculopathy.P 1. medication and arrange MRI of C spine if symptom persisited, 2. S/p cardiac generator implantation.2. education.3. RHE program Bed rest pending.Imaging findings :MR of the cervical spine on 1.5 T superconducting magnet on supine position utilizing array spine coil with 3 mm thickness on sagittal and 4 mm slice thickness on axial plane. The field of view was 25 cm. Intravenous injection of gadolinium was not given. Pulse sequence: 1. Spin echo T1WI and fast spin echo T2WI on sagittal plane.2. Gradient echo T2* and short TAU inversion recovery on axial plane.Findings:＞ Grade I spondylolisthesis of C4/5 is noted. ＞ Degenerative disk disease of cervical spine with marginal spur formation, disks dehydration, disk space narrowing at C6/7.＞ There are posterior disk-spur bulgings from C2/3 to C6/7, causing indentation of dural sac, mild cord compression at C4/5 to C5/6, neural foramina narrowing at bilateral C3/4 to C6/7 with nerve roots impingement. ＞ The cervical cord shows normal signal intensity.＞ The cervicocranial junction appears normal. The position of the cerebellar tonsil is above the foramen magnum.Impression: Degenerative disk disease of cervical spine with mild cord compression, neural foramina narrowing and nerveroots impingement as described.請問手術急迫性?