My husband, a 52 yr. old, has slight retrolisthesis at L1-L2, L2-L3, and L3-L4. The vertebrae have normal height, with no fracture. The pedicles appear congenitally short, creating a congenitally small AP diameter canal. T12/L1 have slight circumferential disc bulge. L1/2 have moderate canal stenosis due to a moderate circumferential disc bulge and congenitally short pidcules. L2/3 have slight central canal stenosis with a mild circumferential disc bulge and short pedicles. In addition, there is a a large broad based right foraminal and lateral disc protrusion, which impinges the exiting right L2 nerve root and mildly flattens the right lateral recess of the thecal sac. L3/4 have no significant central canal stenosis. There is a mild circumferential disc bulge, short pedicles and mild facet arthropathy. L4/5 have no significant central canal stenosis, despite a mild circumferential disc bulge, short pedicles, and moderate facet arthropathy. There is however, moderate bilateral foraminal stenosis with mild effacement exiting of the L4 nerve roots bilaterally. L5/S1 have mild circumferential disc bulge plus a moderate-sized broad based central/right paracentral and foraminal disc protrusion. There is only slight flattening of thecal sac without significant central canal stenosis, however, there is impingement of the exiting right L5 nerve root. There is severe bilateral facet arthropathy.
With all this said, should he see an orthopaedic surgeon or a neurosurgeon to help him? We are not sure which way to go. He has neuropathy in both legs. Please advise.
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