Question 1

mri:bi lateral hypertrophy l4-l5 with minimal spondylosis, flattening of the thecal sac and bilateral neural foramina.can this cause goosebumps in leg?

Accepted Answer

Back/leg pain: L4/5 spondylosis is arthritis of the low back. The l4/5 level is a very common level where the joints become overgrown (facet hypertrophy) and cause narrowing and nerve impingement.  The nerve irritation (sciatica) can cause skin changes but goosebumps is not one of them.

Question 2

l5-s1 disc herniation.1mm anterior to posterior extending from the left to the right subarticular region.patient has contact of the right s1 nerve root, flattening of the ventral thecal sac. does it mean its affecting only right leg or left leg too?

Accepted Answer

: Based upon the report (likely an MRI), the demonstrated nerve root compression affected mainly the right side, and radiating pain would mainly afflict the right leg.  If this herniation increases in size, it could also affect the left leg.  Suggest a surgical opinion regarding these findings.

Question 3

what does this mean... at c6/7 there is left-sided a broad-based disc bulge flattening the thecal sac anteriorly.

Accepted Answer

Neck pain: A bulging disc at the C6/7 level (cervical spine) is early arthritis that can lead to neck and left arm radiating down to the hand. A bulging  disc is a less severe version of a herniated disc. The flattening of the thecal sac is indicatve of mild to moderate spinal canal narrowing. Usually, the symptoms can be treated with nonoperative remedies rather than surgery.

Question 4

what is facet hypertrophy l
flatten the ventral thecal sac and encroach upon the lateral recesses abutment of the traversing nerve roots?

Accepted Answer

Pain and weakness: can result from compression of the nerves that exit at the level of the narrowing caused by bony overgrowth of the facets (the area where the vertebral bones meet) In the lumbar region the nerves exit at a higher level and "traverse" the space next to the facets below this before they exit the spinal canal at a lower level. Discuss this with your doctor.

Question 5

i have c5-6 mild posterior spur indenting the thecal sac & flattening the anterior cord.meds & passive tx not helping pain.  is surgery an option?

Accepted Answer

Spur: Treatment really depends on the symptoms and the response to various treatments conservative and minimally invasive. Surgery is definitely an option.

Question 6

large posterior disc herniation at t5-6, with posterior herniating disc material extending for 5 mm thin expected posterior confines the disc. there is abutment with flattening the anterior surface of the thoracic spinal cord. thecal sac is 1.1 cm?

Accepted Answer

: Often best to avoid surgery for thoracic disc rupture but if spinal cord compression is the issue, may well need an aggressive approach.  Get two surgical opinions but also see a physiatrist.

Question 7

what does all this mean? c2-3 small disk osteophyte complex with ventral thecal sac deformity. c4-5 disk osteophyte complex with ventral cord flattening. c 5-6 facet arthropathy and uncovertebral hypertrophy is severe right neural foraminal stenosis. face

Accepted Answer

May not have-: -enough room. TheC2-3 complex means these is some arthritic spurring with a protruding disk that indents the dural (thecal) sac being indented some, common finding in your age group. C4-5 is the same but is more pronounced so it protrudes enough to flatten the spinal cord.C5-6=arthritic facet joints @this level &amp; severe enough to narrow the canal the nerves exit from. Could B cause of pain R arm.

Question 8

what is effacement of the ventral thecal sac?

Accepted Answer

Back pain: The thecal sac covers the spinal cord. It becomes thinned , or effaced, when pressure is applied to it from degenerative disk disease of the spine. In other words, the bulging disk squeezes the sac as it presses towards the spinal cord.

Question 9

what does mild to moderate thecal sac stenosis mean?

Accepted Answer

Means: Compression of a bag that has nerve roots and fluid in the lower back region.

Question 10

surgery needed for compression of anterior thecal sac?

Accepted Answer

Neurosurgery : Only surgeon who evaluated you have access to your health profile and he is the best suited to make this call or get 2 nd opinion.

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Doctor answers about:

Flattening of the thecal sac

A member asked:

Mri:bi lateral hypertrophy l4-l5 with minimal spondylosis, flattening of the thecal sac and bilateral neural foramina.can this cause goosebumps in leg?

A member asked:

L5-s1 disc herniation.1mm anterior to posterior extending from the left to the right subarticular region.patient has contact of the right s1 nerve root, flattening of the ventral thecal sac. does it mean its affecting only right leg or left leg too?

A member asked:

What does this mean... at c6/7 there is left-sided a broad-based disc bulge flattening the thecal sac anteriorly.

A member asked:

What is facet hypertrophy l flatten the ventral thecal sac and encroach upon the lateral recesses abutment of the traversing nerve roots?

A member asked:

I have c5-6 mild posterior spur indenting the thecal sac & flattening the anterior cord.meds & passive tx not helping pain. is surgery an option?

A member asked:

Large posterior disc herniation at t5-6, with posterior herniating disc material extending for 5 mm thin expected posterior confines the disc. there is abutment with flattening the anterior surface of the thoracic spinal cord. thecal sac is 1.1 cm?

A member asked:

What does all this mean? c2-3 small disk osteophyte complex with ventral thecal sac deformity. c4-5 disk osteophyte complex with ventral cord flattening. c 5-6 facet arthropathy and uncovertebral hypertrophy is severe right neural foraminal stenosis. face

A member asked:

What is effacement of the ventral thecal sac?

A member asked:

What does mild to moderate thecal sac stenosis mean?

A member asked:

Surgery needed for compression of anterior thecal sac?

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