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Backbone surgery
by pakistanmilitary, Apr 25, 2008 10:29AM
My relative is having backache since 2000. Neurosurgeon advised to conduct the MRI, so we undergone MRI on 8th Jan 2008, which stated:
Scanning Protocol:
Spin Echo T1 & T2 weighted images were obtained in axial and sagittal plane.
Findings:
Disc dessication is seen at multiple levels.
Diffuse disc protrusion seen at the level of L4/L5 causing thecal indentation with bilateral foraminal stenosis.
Disc bulge is seen at the level of L5/S1.
The caudae equina and filum terminale are normal. No facet joint abnormality is seen. The vertebral bodies show no abnormal signal to indicate bone marrow replacement.
Conclusion:
Disc dessication is seen at multiple levels.
Diffuse disc protrusion seen at the level of L4/L5 causing thecal indentation with bilateral foraminal stenosis.
Disc bulge is seen at the level of L5/S1.
Based on this MRI report, neurosurgeon recommended and conducted the surgery. The patient felt better in her first 10 days with bit relieve of pain but gradually the pain started to increase. After having the medication when no change in pain was observed, another qualified neurosurgen was approached. He advised post-surgery MRI and the MRI was conducted on 29 Feb 2008, which stated:
Scanning Protocol:
Axial and sagittal T2 weighted images were obtained.
Findings:
Disc dessication is seen at multiple levels.
Previous laminectomy is noted at L4/L5. No residual or recurrent disc herniation is seen at this level. Mild central disc bulge is noted at this level.
The caude equina and filum terminale is normal.
The papavertebral soft tissues are normal. No facet joint abnormality is seen. The vertebral bodies show no abnormal signal to indicate bone marrow replacement.
Conclusion:
Disc dessication is seen at multiple levels.
Previous laminectomy is noted at L4/L5. No residual or recurrent disc herniation is seen at this level. Mild central disc bulge is noted at this level.
Based on this 2nd MRI after 1st post-surgery report, neurosurgeon recommended and conducted the surgery. The patient felt better in her first 15 days with little relieve in pain but gradually the pain again started to increase. After having the medication for a month when no relief in pain was observed, surgen advised for the 2nd post-surgery MRI and the MRI was conducted on 14 Apr 2008, which stated:
Scanning Protocol:
Multiplanar T2 images were obtained according to department protocol.
Findings:
Disc dessication is seen at multiple levels.
Laminectomy noted at the L4/L5 level.
Post surgical changes seen in the posterior paraspinal region as well as in the epidural region at the L4/L5 and L5/S1 level.
At the L4/L5 level there is a residual/recurrent right paracentral disc protrusion which is resulting in a right lateral recess stenosis.
The caude equina and filum terminale is normal.
The papavertebral soft tissues are normal. No facet joint abnormality is seen. The vertebral bodies show no abnormal signal to indicate bone marrow replacement.
Conclusion:
Disc dessication is seen at multiple levels.
Laminectomy noted at the L4/L5 level.
Post surgical changes seen in the posterior paraspinal region as well as in the epidural region at the L4/L5 and L5/S1 level.
At the L4/L5 level there is a residual/recurrent right paracentral disc protrusion which is resulting in a right lateral recess stenosis.
Now he has again recommended surgery which is about to be within next 2 days and he assures to make this surgery successful. Please can an expert on this can guide me, is this surgery will going to work or any other best option?
Regards.
Scanning Protocol:
Spin Echo T1 & T2 weighted images were obtained in axial and sagittal plane.
Findings:
Disc dessication is seen at multiple levels.
Diffuse disc protrusion seen at the level of L4/L5 causing thecal indentation with bilateral foraminal stenosis.
Disc bulge is seen at the level of L5/S1.
The caudae equina and filum terminale are normal. No facet joint abnormality is seen. The vertebral bodies show no abnormal signal to indicate bone marrow replacement.
Conclusion:
Disc dessication is seen at multiple levels.
Diffuse disc protrusion seen at the level of L4/L5 causing thecal indentation with bilateral foraminal stenosis.
Disc bulge is seen at the level of L5/S1.
Based on this MRI report, neurosurgeon recommended and conducted the surgery. The patient felt better in her first 10 days with bit relieve of pain but gradually the pain started to increase. After having the medication when no change in pain was observed, another qualified neurosurgen was approached. He advised post-surgery MRI and the MRI was conducted on 29 Feb 2008, which stated:
Scanning Protocol:
Axial and sagittal T2 weighted images were obtained.
Findings:
Disc dessication is seen at multiple levels.
Previous laminectomy is noted at L4/L5. No residual or recurrent disc herniation is seen at this level. Mild central disc bulge is noted at this level.
The caude equina and filum terminale is normal.
The papavertebral soft tissues are normal. No facet joint abnormality is seen. The vertebral bodies show no abnormal signal to indicate bone marrow replacement.
Conclusion:
Disc dessication is seen at multiple levels.
Previous laminectomy is noted at L4/L5. No residual or recurrent disc herniation is seen at this level. Mild central disc bulge is noted at this level.
Based on this 2nd MRI after 1st post-surgery report, neurosurgeon recommended and conducted the surgery. The patient felt better in her first 15 days with little relieve in pain but gradually the pain again started to increase. After having the medication for a month when no relief in pain was observed, surgen advised for the 2nd post-surgery MRI and the MRI was conducted on 14 Apr 2008, which stated:
Scanning Protocol:
Multiplanar T2 images were obtained according to department protocol.
Findings:
Disc dessication is seen at multiple levels.
Laminectomy noted at the L4/L5 level.
Post surgical changes seen in the posterior paraspinal region as well as in the epidural region at the L4/L5 and L5/S1 level.
At the L4/L5 level there is a residual/recurrent right paracentral disc protrusion which is resulting in a right lateral recess stenosis.
The caude equina and filum terminale is normal.
The papavertebral soft tissues are normal. No facet joint abnormality is seen. The vertebral bodies show no abnormal signal to indicate bone marrow replacement.
Conclusion:
Disc dessication is seen at multiple levels.
Laminectomy noted at the L4/L5 level.
Post surgical changes seen in the posterior paraspinal region as well as in the epidural region at the L4/L5 and L5/S1 level.
At the L4/L5 level there is a residual/recurrent right paracentral disc protrusion which is resulting in a right lateral recess stenosis.
Now he has again recommended surgery which is about to be within next 2 days and he assures to make this surgery successful. Please can an expert on this can guide me, is this surgery will going to work or any other best option?
Regards.
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