Orthopedics Community
Multi-level Lumbar Disc Issues
About This Community:

This patient support community is for discussions relating to orthopedics, back pain, bone or joint pain, broken bones, hip or knee replacement, neck and shoulder pain, orthopedic surgery, spinal injury, sports injury, and tennis elbow.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Multi-level Lumbar Disc Issues

Hello. I am being recommended for L5/S1 spinal fusion.  I have already had L4/L5 fused.  Based on the results of a recent MRI (see notes below), please let me know your thoughts on if this would be a logical mode of treatment.  Thank you

L5-S1: Moderate bilateral facet arthrosis is present, with 3 mm of mild grade 1 degenerative anterolithesis of L5 and S1.  There is disc uncovering and a small central/left paracentral disc protusion (with annular fissure/tear) which minimally effaces the ventral thecal sac without central spinal canal stenosis or foraminal stenosis.  

L4-L5: Residual small endplate osteophytes mildly efface the ventral thecal sac and results in mild bilateral foraminal narrowing.  No significant central spinal canal stenosis.

L3-L4: A broad-based disc protusion measuring 4 mm in AP diameter and mild bilateral facet arthrosis are present, resulting in mild effacement of the ventral thecal sac (10 mm AP diameter of the thecal sac) without significant foraminal narrowing.  

L2-L3 Minimal annular bulges with no spinal canal or foraminal stenosis.
Related Discussions
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Orthopedics Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1371753642
Blank
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank
Top Orthopedics Answerers
7721494_tn?1431631564
Blank
philnoir
Four Corners