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MRI of lumbo sacral spine
by dollykurian, Jul 08, 2009 12:56PM
my husbands MRI LUMBO SACRAL SPINE says
1.degenerative changes in L3-4,L4-5,and L5-S1 discs.
2.bilateral postero lateral disc bulge at L4-5 level more towards left side.There is thecal sac indentation & bilateral neural foramina stenosis.Subtle nerve root impingement noted on left side.
3.Left postero lateral disc extrusion at L5-S1 level .There is thecal sac compression & bilateral neural foramina stenosis.Evidence of nerve root impingement noted on left side.
4.Early spondylotic changes in lumbar spine with evidence of paraspinal spasm.
want to know whether any type of surgery needed ?
he has pain & numbness on left leg.
1.degenerative changes in L3-4,L4-5,and L5-S1 discs.
2.bilateral postero lateral disc bulge at L4-5 level more towards left side.There is thecal sac indentation & bilateral neural foramina stenosis.Subtle nerve root impingement noted on left side.
3.Left postero lateral disc extrusion at L5-S1 level .There is thecal sac compression & bilateral neural foramina stenosis.Evidence of nerve root impingement noted on left side.
4.Early spondylotic changes in lumbar spine with evidence of paraspinal spasm.
want to know whether any type of surgery needed ?
he has pain & numbness on left leg.
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The disc bulges noted at the L4-L5 level are causing some pressure (indentation) on the thecal sac (fluid filled sac containing nerve root endings) The left side is affected more than the right --- hence your husband's current symptoms.
The disc extrusion at the L5-S1 level is also causing pressure on the thecal sac and in addition there is evidence of stenosis (narrowing) of the neural foramen (opening through which the nerve roots travel). Again, more prominent nerve root involvement on the left side.
The spondylotic changes refer to arthritic changes in the vertebrae of the lumbar spine and the paraspinal spasm is related to the muscle spasm which usually occurs when the back pain is significant.
Any decision regarding surgery and/or the type of surgery needed is best discussed with his doctor --- if the symptoms are severe enough, surgery (discectomy) may be helpful.
The extent of the nerve involvement is a primary consideration as the longer the nerve is compressed, the greater the risk of nerve damage that surgery may not be able to correct. If your husband's symptoms are causing significant problems with his ability to perform daily activities, surgery may be indicated.
Post again with the specific surgery being recommended and we will try and assist you further.
Best wishes ----