Question 1

treatment  42 yr congenital scoliosis hemi vertebrae l4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis  + degenerative discs l4 l5?

Accepted Answer

See ortho spine doc: You may need reconstructive or supportive surgery to prevent nerve damage if you have more than one vertebral body affected by the osteoarthritis. If this is a congenital issue an ortho spine doctor would give you the best advice on how to proceed safely

Question 2

how to treat a fractured l4 and l5?

Accepted Answer

Depends on type: Treatment depends on type of fracture, stability of fracture, how much deformity fracture introduces to the spine. It also depends on how much spinal canal compromise, and if there is any neurological deficit present.

Most fractures of L4 and L5 vertebral bodies can be treated non-operatively with bracing, activity modification. A few may require surgery. Your surgeon will let you know.

Question 3

i have fractured left side transverse process l1 to l5. how serious is my case? what is your suggestion for recovery?

Accepted Answer

At least 6 weeks: Fractures take at least 6 weeks to heal, then count on atleast 6 more weeks to regain the strength to the area.  A transverse process fracutre is not a bad fracture, it does not arequire surgery.

Question 4

how serious is  l5  fractured verabre  along with 2 herniated disc have to take a veryo g drive-1200 miles a tithing i can do to make it less painf?

Accepted Answer

Take breaks: Anti-inflammatories and breaks are your best bet.  Stretch and walk around between drive segments.

Question 5

l5 fracture what are the next steps to treatment?

Accepted Answer

Depends: Depends on type and classification. See a spine or ortho doc.

Question 6

22 very active. fractured my l5 pars 7 months ago and went misdiagnosed. 3 weeks ago left pars started hurting. bone stim help? or too late to heal?

Accepted Answer

Depends.: Bilateral pars interarticularis fractures can lead to slip (spondylolisthesis). If increased distance between fracture fragments healing would be impaired. If no slip, stopping physical activity and conservative therapy measures may help heal. These fractures sometimes take 6 months to heal. Some pars fractures related to underlying dysplastic bone which will unlikely heal.

Question 7

what are the chances of a l5 pars fracture healing 7 months after injury. i'm 22?

Accepted Answer

Pretty good: Pars fractures usually heal with in 6-8 weeks to a point of stability, within 6 months to a return to activities without issue. However, this depends on whether or not the extension movements have been limited and it has been treated appropriately. It also depends if it was congenital or not. This often will not heal. Your doc should be able to tell whether congenital or not based on imaging.

Question 8

can a 31 year old male go back to work  when he fractured l3 fused l4 l5 spine work normal movement and ?

Accepted Answer

Hopefully: After healing, the bone should get back to normal strength. Recovery from a spine fracture and back surgery depends on the degree of injury, your own healing process, determination in rehabilitation, luck, and what type of work and activity you are trying to get back to!! I have patients who have returned to full normal activity in physically demanding jobs, but others were not able to. Good luck!

Question 9

i had spondylolisthesis 4 times. i had a total of 7 fractures in my l5 and l4. i am 24 and have been told i am too young for fusion. what can i do?

Accepted Answer

Is it symptomatic?: painless spondylolithesis if low grade can often be managed non operatively but if it is progressive and has neurological symptoms or has pain that fails conservative care surgery can be considered up to and including fusion

Question 10

interval bony consolidation of the l5 pars fractures bilaterally. coronal alignment is normal,  exception of positional leaning to the left. explain?

Accepted Answer

Ok: So, you initially had fractures in an area of the spine knows as the pars interarticularis, consolidation suggests they have now healed.  The alingnment if the spine when viewed from the back is normal. I would not hesitate to go through your study with the person that ordered it as well.

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Doctor answers about:

L5 pedicle fracture

A member asked:

Treatment 42 yr congenital scoliosis hemi vertebrae l4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degenerative discs l4 l5?

A member asked:

How to treat a fractured l4 and l5?

A member asked:

I have fractured left side transverse process l1 to l5. how serious is my case? what is your suggestion for recovery?

A member asked:

How serious is l5 fractured verabre along with 2 herniated disc have to take a veryo g drive-1200 miles a tithing i can do to make it less painf?

A member asked:

L5 fracture what are the next steps to treatment?

A member asked:

22 very active. fractured my l5 pars 7 months ago and went misdiagnosed. 3 weeks ago left pars started hurting. bone stim help? or too late to heal?

A member asked:

What are the chances of a l5 pars fracture healing 7 months after injury. i'm 22?

A member asked:

Can a 31 year old male go back to work when he fractured l3 fused l4 l5 spine work normal movement and ?

A member asked:

I had spondylolisthesis 4 times. i had a total of 7 fractures in my l5 and l4. i am 24 and have been told i am too young for fusion. what can i do?

A member asked:

Interval bony consolidation of the l5 pars fractures bilaterally. coronal alignment is normal, exception of positional leaning to the left. explain?

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