Question 1

what does grade 1 spondylolisthesis at the l4-5 level mean?

Accepted Answer

Up to 25%: Grade 1 means that the forward slippage of L4 is up to one quarter (25%) of the top of the L5 vertebra. So if the top of L5 front to back is 50 mm, the forward slip of L4 is more than zero and less than 12.5 mm.

Question 2

spondylolisthesis with flexion. extension level 3.55 mm of anterolisthesis.flexion is 5.99, neutral 3.77 mm, mod central stenosis. l4-5 anterolisthes?

Accepted Answer

Spondylolisthesis: This is an MRI report of the low back which shows moderate narrowing of the spinal canal at the lumbar 4/5 level. In addition, there is a small slip with instability at the lumbar 4/5 level. This is arthritis which often causes pain in the low back with bending and stooping. The pain may radiate into the calf, ankle or big toe. There may be numbness too. See a neurosurgeon for treatment.

Question 3

mild scoliosis; grade 1 spondylolisthesis l5-s1; l4-5 prom l paracentral disc extrusion; mild ligamentous & facet hypertrophy. treatments?

Accepted Answer

Depends: Most disks get better within 6 months with pt and conservative treatment, assuming that the disk is even related to the pain.  Keep an eye on spondy to make sure it's stable.  If you develop instability surgery may be in order.

Question 4

spondylolisthesis.l3, 4-5 slipped off.surgery fixed l4-5 but not l3.was it done right?now having pain on right leg.(had pain on left leg before surgery

Accepted Answer

Depends on multiple : Factors. It appears your symptoms are mainly leg pain, and hence a surgeon may have decided that the l45 was the only level with stenosis or pressure on nerve, and wanted to to do only what was needed at the time, and not what maybe needed in the future. Difficult to tell without seeing your prior images, but could be an okay decision. Now, you have to consult with a well trained spine surgeon.

Question 5

diffuse disc bulge at l4/5 level indenting the thecal sac, what does this mean?

Accepted Answer

MRI finding: This sounds like an MRI description of your lumbar spine. What this refers to is a bulging of the l4-5 disc. This can lead to compression on the thecal sac which is the dural lining that encases the spinal nerves. The degree of compression determines if there are symptoms or if surgical decompression is needed. Symptoms include back pain with radiation down both legs with weakness.

Question 6

what does minimal posterior annular bulges at l4-5 and l5-s1 level mean. spinal canal, neural foramina and nerveroots are normal? how serious is this?

Accepted Answer

Annular bulges: Often seen on MRI of spine as people age. What is clinically significant is what symptoms the patient experiences. If numbness tingling or weakness likely significant. Speak to your doctor!

Question 7

i have a grade 1 spondylolisthesis l4/l5/s1 with stenosis.  my pain would be described as burning and a feeling of heaviness in my lower back . ?

Accepted Answer

Common: Spondylolisthesis commonly causes back pain. Lumbar stenosis commonly causes leg pain, numbness especially with extended activity. Weight control and core muscle exercises are a first step. If these don't help, consultation with a neurosurgeon or orthopedic spine surgeon would be a reasonable next step.

Question 8

what does grade 0 mean in a grade 0 discs at l3-4 and l4-5?

Accepted Answer

Normal: It means the discs are normal. No evidence of displacement(herniation) of the disc.

Question 9

what does mild facet fluid in l3-4 and l4-5 region mean?

Accepted Answer

Hard to say: May mean nothing. May mean early changes of arthritis.

Question 10

at l4/5 i have a minor annular disk bulge that only minimally indents thecal sac at this stage, what's this mean and can it reside?

Accepted Answer

Not much: This is not a significant mechanical issue.

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Doctor answers about:

What does grade 1 spondylolisthesis at the l4 5 level mean

A member asked:

What does grade 1 spondylolisthesis at the l4-5 level mean?

A member asked:

Spondylolisthesis with flexion. extension level 3.55 mm of anterolisthesis.flexion is 5.99, neutral 3.77 mm, mod central stenosis. l4-5 anterolisthes?

A member asked:

Mild scoliosis; grade 1 spondylolisthesis l5-s1; l4-5 prom l paracentral disc extrusion; mild ligamentous & facet hypertrophy. treatments?

A member asked:

Spondylolisthesis.l3, 4-5 slipped off.surgery fixed l4-5 but not l3.was it done right?now having pain on right leg.(had pain on left leg before surgery

A member asked:

Diffuse disc bulge at l4/5 level indenting the thecal sac, what does this mean?

A member asked:

What does minimal posterior annular bulges at l4-5 and l5-s1 level mean. spinal canal, neural foramina and nerveroots are normal? how serious is this?

A member asked:

I have a grade 1 spondylolisthesis l4/l5/s1 with stenosis. my pain would be described as burning and a feeling of heaviness in my lower back . ?

A member asked:

What does grade 0 mean in a grade 0 discs at l3-4 and l4-5?

A member asked:

What does mild facet fluid in l3-4 and l4-5 region mean?

A member asked:

At l4/5 i have a minor annular disk bulge that only minimally indents thecal sac at this stage, what's this mean and can it reside?

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