Doctor insights on:
Bilateral L3 Pars Defects
Pars defect: Refers to the pars interarticularis which is the bone connecting the inferior and superior facets which is anterior to the lamina and posterior to the pedicle. There are two per vertebrae. Lumbar pars defects can occur in young athletes or from stress fractures secondary to chronic arthritic changes or sudden severe trauma. ...Read more
Mild uncovertebral joint hypertrophy c5c6 eccentric to right; mild t-spine scoliosis, bilat pars defect l4, foram stenosis at l4l5 - is surgery needed?
C-spine mild uncovertebral joint hypertrophy c5c6 eccentric to right; upper t-spine scoliosis, bilat pars defect L4 w/ foraminal sten at l4l5 surgery?
For most no serious : Ones in terms of the "congenital type" with some back pain and/or leg pain with some risk over time of tissue growth or hypertrophy at the defect site which could lead to some nerve root compression via foraminal stenosis .Most are treated non operatively. ...Read moreSee 2 more doctor answers
Had MRI & report says Suspected chronic although possibly incomplete L5 pars defects with no visualized listhesis evident on exam. S2 (racepinephrine) Tarlov cyst 2cm?
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 >2 cm. Therefore, your cyst could potentially cause S2 (racepinephrine) symptoms. ...Read more
Seeking non-surgical treatment options for adolescent bilateral grade 3 spondylolysis (pars defects) with herniated l5-s1 disc?
Options: Congenital variety genetic origin occuring in 6% us population in particularly in certain high level athletes like swimmers, gymnasts, pitchers, football linemen to name a few. Most treated non operatively including associated with herniated disc with bracing, physical therapy & medication and activity modification. Epidural steroid injections can also be considered with 90% treated nonop. ...Read moreSee 1 more doctor answer
I suffer from a congenital fusion of L3 L4 anteriorly & partial fusion with bony sclerosis in L4 L5 & mild retrograde listhesis of L5 s1 also...
Unclear question: What are you asking. Please clarify.Get a more detailed answer ›
Chronic unilateral left pars defect , osseous edema right anterior L5 body centrum acute/subacute fracture tried everything should I consider surgery?
I have bilateral foraminal stenosis present at l4l5 with bilateral pars defect at L4 and am curious if the pars and stenosis can heal without surgery?
Generally, symptoms : Can resolve due to either condition the majority of the time without surgery as the only reason for surgery would be a failure of nonop care to control symptoms. If the pars defect was an acute fracture it has the potential to heal without surgery. But even if it doesn't or if not an acute fracture type, 90% are treated non op while only 15% of stenosis cases end up with surgical intervention. ...Read more
Spondylolisthesis: Isthmic spondylolisthesis is another term for what you are describing. Basically one of the vertebrae is shifted foreword over the other. What has caused this condition in your case is a "defect" if the pars interarticularis, which usually stabilizes the spine. This condition can be associated with back and leg pain and difficulty standing or walking for long periods. Many treaent options. ...Read more
Xray Report = 6 mm anterior listhesis of L5 on S1; evidence of spondylolysis defect at L5 level; severe interspace narrowing L5-S1." I'm in pain!
Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?
Fusion at L3 L4 lateral herni at L5 moderate bulge l5s1 mild bilat neural foraminal exit stenos should L4 L5 s1 all be fused at this point ? Help pl
Surgical risks: It sounds like you have chronic back pain, and that surgery(ies) have not been helpful. The problem with MRI scans of the spine is that they are good at identifying structural changes but do not let us know what is causing the pain. The changes you note on the MRI are common age associated changes. I suggest you see a physical medicine & rehab doctor (non-surgeon) who specializes in the spine. ...Read more
Can lumbar spondylolisthesis & L4 bilateral pars defect w/ mild neural foramina stenosis cause tiny focal lesions in brain or is it 2 diff things?
Different things: Those are not related.Get a more detailed answer ›
What is the basic meaning when MRI shows Bilateral L5 pars Interarticularis defects without subluxation? This incurred after a multiple car accident.
Spondylolysis: Spondylosysis, or pars interarticularis defect, is essentially a stress fracture of the narrow bridge of bone between vertebral body and the spinous process of the vertebrae. This is not an uncommon condition following repetitive trauma (seen also in gymnasts and football players). Subluxation occurs if the fracture separates from normal position and becomes displaced. ...Read moreSee 2 more doctor answers
Can L4 anterolisthesis & L5 posterolisthesis on s1 with bilateral pars defect at L4 cause venous insufficiency in both legs? If so why?
No: Bone, and discs, not vascular and would be incredibly unusual to slip, enough to compress major veins. Trauma, coagulopathy, DVT lead to venous valvular leakage- insufficiency. ...Read more
Female (55) C4 C5 osteophyte complex indents ventral thecal sac/lateral recess. Disc protrusion contacts/flattens ventral hemicord ?
Not sure of your ?: If you're asking about the imaging results you posted, you have a bone spur that is growing off of two of your vertebrae. It is large enough that it is pressing against your spinal cord and possibly some of the nerves that are exiting from the spinal cord. Your doctor will recommend treatment based on the severity of your symptoms. ...Read more
MRI showed grade 1 L5/ s1 anterolisthesis and severe bilateral L5/S1 foraminal stenosis with mass effect on exiting bilateral L5 roots. My options?
Lumbar stenosis: Lumbar spinal deformities in form of varying degrees affects 6% of the population in the U.S,..THE treatment spectrum varies from avoiding activities that produce pain, bracing , physiotherapy, NSAIDs, to surgical interventions which involve decompress ions and or fusions. Recovery from surgery depends upon whether or not a fusion is performed , but can take up to 9-12 months. ...Read more
- Talk to a doctor live online for free
- Bilateral pars defect at l5
- Bilateral l5 pars defects
- Bilateral par defect
- Ask a doctor a question free online
- Bilateral l5 pars interarticularis defects
- Bilateral pars defect l5 s1
- Pars defect
- What is a pars defect of the spine?
- Bilateral pars interarticularis defects