Question 1

can the l5 pars defect cause severe pain?

Accepted Answer

Pars defect: Pars defects are disruption of the bony connection between the front and back of the spine.  These defects can be asymptomatic  or cause back and leg pain depending on the severity or lack of associated nerve compression. Treatment for symptomatic lesions includes core strengthening, pain management with possible pars injection, or surgery.

Question 2

do pars defects get worse over time? left l5 pars defect. pain since march 2014. otc meds taken daily. surgery options? conservative options failed.

Accepted Answer

No: The defects themselves don't get any " worse" they represent stress fractures that occurred in the pars interarticularis that never healed.  They sometimes can lead to a spondylolisthesis in which the vertebrae can start to shift over each other.  Thankfully, a lot of people do respond to nonoperative care.  Surgical option are either direct repair of the defect or a fusion.

Question 3

can a l4 l5 pars defect cause sciatica pain?

Accepted Answer

The defect itself: doesn't cause radicular symptoms(sciatica), but it can result in slippage of one vertebra over another(spondylolisthesis), and extensive degenerative changes, which can.

Question 4

doctor said im having loss of the lordotic curvature, impression: l5 pars defect with muscle spasm ?

Accepted Answer

Spondylolisthesis : So what... Those are radiologic findings.  Only thing that matters is  if you are symptomatic.  Start with core strength regimen, nsaids, weight loss if needed.  I have countless patients living with pars defects and slips that aren't surgical.  I also have some that are.

Question 5

l5-s1 fail segmentation&sbo, t11-l1 fused, post. hemivertebra & superior endplate infraction, facet oa & ddd t10-11, l1-2, l2-3. l5 pars defect, help?

Accepted Answer

Back,pain treatment: Major back problems needing surgery sometimes leave pain, even when the surgery went well.  You  need a pain management doc to evaluate if this is a compression vs nerve related problem.,treatments can include medication, bracing, injections, heating  nerves to stop their pain, and over riding nerve pain with direct electrical stimulation -- spinal stimulation therapy.

Question 6

what does the term "interval" mean in this context. report says "appears to be some interval bony consolidation of bilat l5 pars defects"?

Accepted Answer

"Interval": The use of the term "interval" in that context usually implies that it's a finding that was not present on a preceding Xray of the area.  It wasn't there before and now it is.

Question 7

had mri & report says suspected chronic although possibly incomplete l5 pars defects with no visualized listhesis evident on exam. s2 (racepinephrine) tarlov cyst  2cm?

Accepted Answer

Tarlov cyst: "Pars defects" are fractures of the back wall of the spinal canal. Although this sounds scary, it is usually caused by chronic stress upon the lower back and not an acute accident. Over time, these can move (listhesis) and cause nagging back pain. Tarlov cysts (pictured) do not usually cause symptoms UNLESS they are &gt;2 cm. Therefore, your cyst could potentially cause S2 (racepinephrine) symptoms.

Question 8

i have a bilateral l5 pars defects and grade 1anterolisthesis of l5 relative to l4 and s1 i've been having back pain and hip and leg pain what is the options  have and will surgery fix my pain ?

Accepted Answer

No guarantees: Treatment options for spinal conditions include physical therapy, medications, spinal injections, and surgery, typically done in that order (least to most invasive).  Surgery, like most things in life and in medicine, offers no guarantee of pain relief, however surgical outcomes are generally good for decompression and fusion in patients with anterolisthesis.

Question 9

i have spondylolisthesis l5 s1 pars defect and foraminal stenosis, nerve compression severe lower leg pain for 8 weeks  will i need surgery?

Accepted Answer

Back pain : Best speak with a back specialist soon especially with the nerve involvement

Question 10

pinched nerves in neck from bulges at c5-c6 and c6-c7 via neck mri, shoulder pain.  related?  6 mm slip at l5-s1 with pars defect and leg pain.  related?

thanks.

Accepted Answer

..Spine Specialist: 47 y/o Male w Pinched nerves in neck from bulges at C5-C6 and C6-C7 via neck MRI, shoulder pain. Related 6MM slipp at L5-S1 with pars defect and leg pain. Related? Thanks. Yes related called Degenerative Joint/ Disc disease. The Doctor who ordered the studies know what he/she is looking for Have him/her provide treatment guidance or see Spine Specialist. Thereafter mind Diet/ Exercise/ Lifestyle

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Doctor answers about:

L5 pars defect

A member asked:

Can the l5 pars defect cause severe pain?

A member asked:

Do pars defects get worse over time? left l5 pars defect. pain since march 2014. otc meds taken daily. surgery options? conservative options failed.

A member asked:

Can a l4 l5 pars defect cause sciatica pain?

A member asked:

Doctor said im having loss of the lordotic curvature, impression: l5 pars defect with muscle spasm ?

A member asked:

L5-s1 fail segmentation&sbo, t11-l1 fused, post. hemivertebra & superior endplate infraction, facet oa & ddd t10-11, l1-2, l2-3. l5 pars defect, help?

A member asked:

What does the term "interval" mean in this context. report says "appears to be some interval bony consolidation of bilat l5 pars defects"?

A member asked:

Had mri & report says suspected chronic although possibly incomplete l5 pars defects with no visualized listhesis evident on exam. s2 (racepinephrine) tarlov cyst 2cm?

A member asked:

I have a bilateral l5 pars defects and grade 1anterolisthesis of l5 relative to l4 and s1 i've been having back pain and hip and leg pain what is the options have and will surgery fix my pain ?

A member asked:

I have spondylolisthesis l5 s1 pars defect and foraminal stenosis, nerve compression severe lower leg pain for 8 weeks will i need surgery?

A member asked:

Pinched nerves in neck from bulges at c5-c6 and c6-c7 via neck mri, shoulder pain. related? 6 mm slip at l5-s1 with pars defect and leg pain. related? thanks.

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