Doctor insights on:
Bilateral L5 Pars Interarticularis Defects
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
What does Bilateral L5 pars fractures with grade 1 anterolisthesis of L5 S1 and L5 S1 mild to moderate diffuse disk bulge mean?
See below : There is a term called isthmic spondylolisthesis that summarizes what you have. Basically at some point you developed a fracture in a part of the spine known as the pars interarticularis and this allowed one of your vertebrae to shift forward on the other. It is a fairly common cause of back and leg pain. Many good treatment options. Discuss directly with your doctor. ...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?
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?
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
Degenerative: Basically refers to degenerative (aging) changes of the spine. Disk/osteophyte refers to bone spur and/or disc protrusion, and facet/uncovertebral hypertrophy refers to arthritis of the joints at the back part (facets) and sides (uncovertebral) of the vertebrae. Ventral thecal sac deformity and ventral cord flattening refer to slight pressure on the spinal cord. Stenosis refers to pinched nerve. ...Read moreSee 1 more doctor answer
Pain! how to treat, chiro? X-ray shows spina bifida [email protected], grade1 anterolisthesis of L5 w/spondylosis, mild disc space height [email protected]&l5-s1
Too little info: As dr. Hines says, a neurosurgeon can help differentiate all of the above and provide you with the best treatment options for your condtion. There are many factors to consider- your age, how much spondylosis, pain location, duration, relief, exacerbation, general health, etc. See a neurosurgeon for some good answers. Best of luck to you. ...Read moreSee 1 more doctor answer
Mri-c6-7 there are bilateral uncovertebral osteophytes causing bilateral neural foraminal stenosis. What does this mean?
Lateral cervical spine, Loss of normal cervical lordosis. Evidence of spondylotic changes C5/6 with posterior osteophyte formation?
C5/6residual rparacentral disc osteophyte complex mild flatening & indent anterior aspect of cord-surgery with anterior fixation&fusion 2fix-soreneck?
Hard to say: The treatment options for someone with the MRI findings you are describing are based also on the degree of problem you have had with it and also with the understanding that many people can respond to nonoperative care. That being said, an anterior cervical discectomy and fusion is the time tested surgery for that condition and is reasonably safe and effective. Thank you for your question. ...Read more
L4-l5 large extrusion left subarticular foraminal. Severe compress left traversing L5 nerve root posterior displaced left lateral recess y no surgery?
MRI=C3-4 disc herniation stenosis ap 0.7cm c4-5 c5-6 bulging disc w impression on anterior thecal sac?Loss normal lordotic curvature? What are risks?
What are symptoms: What the risks are of not treating those anatomical findings depends and what your symptoms are. The spinal stenosis is of more concern as it may lead to a more severe neurological deficient and the potential for permanent damage a concern. If there are no symptoms, the risks may be less. In any event, best talk to you Doctor. ...Read more
Mri shows disc protrusion at l5-s1. Mod. Central spinal canal stenosis throughout L spine.mod degrees of neural forminal stenosis at l4-5 an esp l5-s1?
Degenarative disks: the cartilage disks that cushion vertrebrae, (which are the bones protecting the spinal cord), have degenarated. usually from wear - tear, the central portion loses water, which causes outer portions to bulge out and press upon surrounding nerve structures. the foramina are tiny holes from which nerves exit the spinal canal which is main space spine sits within vertebral cage. Tends to cause pain ...Read moreSee 1 more doctor answer
L4/5 marked diffuse disc bulge with bilateral encroachment on both neural exit foramina and spinal canal diameter compromise. solutions without OP?
Lumbosacral spondylosis with disc degeneration, mild posterior disc bulge at l3-4level indenting thecal sac, lateral canals & neural foraminae, treatment?
DDD=arthritis: Arthritis/spondylosis of the disc is ddd. Like wrinkles of skin, ddd happens to everyone to some degree. It starts to be evident on MRI late teens and early 20's, progressing with age. Ddd/arthritis does not = pain. So don't let the diagnosis bother you. Treatment is specific to the pain. If back pain, nonsurgical. Nsaids/tylenol, pt/core strength. For sciatica, above plus nerve root injections. ...Read moreSee 1 more doctor answer
L2-3 post.2-3mm disc protrusion effacing thecal sac, marrow edema post. endplate of L3, facet asym. at L4-5 & elev. marrow within 3 coccygeal sublux?
Symptoms guide tx: Symptoms guide treatment. Sounds like injections maybe worth a try. ...Read more
Disc desccation with posterior diffuse disc bulge at L5-S1 level mildly indenting the-cal sac and moderately narrowing bilateral neural formina?
Pushing on Things: If these herniated disks are causing pain then getting epidural injections may be helpful. However if you are doing OK and no pain, then I would leave them alone. Eventually they will heal as much as they can, but can take as much as 6-9 months to resolve. Unless you are getting increased pain or weakness, I wouldn't worry. Also start core strengthening exercises when you are feeling better. ...Read moreSee 1 more doctor answer
Grade1 anterolisthesis of L5 on S1, congenital anterior wedge deformities of T12 L1 present. Bilateral L5 pars interarticularis defects. Means what?
The tiny plates:
which help stabilize the veterbrae one with another are missing at the 5th Lumbar Veertebral level causing a SLIPPAGE of the L-5 veterbrae on the sacrum (S1). this is associated with a smaller height of two of the veterbrae ABOVE the defect T-12 (the lowest chest (thoracic) veterbrae and the highest Lumbar (low back) veterbrae..... Hope this helps..difficult to explain without a "pointer"
Z ...Read more
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
A CT results states: "bilateral pars interarticularis defects are present at l5." everything else normal. What does that mean?
Fracture: That part of the vertebral body that connects the body to the joints is the pars. Can break easily. ...Read more
I had a NM bone spect today, what does this mean?
Findings compatible with L5 pars interarticularis
left defect or stress injury with uptake.
Not much: In the future you might have a slippage of L5 on S1. Your doctor can tell you more. ...Read more
Spondylolysis: Spondylo means spine and lysis means crack. These can be congenital variety which is genetic in origin occuring in 6% of the us population or after trauma which can be repetitve particularly in certain high level athletes like swimmers, gymnasts, pitchers, football linemen to name a few. Most are treated non operatively. It can be from trauma too. They can be found in about 6% of the us ...Read more
What does this mean? There is asymmetrical uptake in the left L5 pars interarticularis and the sacro iliac joints bilaterally
Recommendation : This is absolutely necessary to discuss this result with your doctor, who knows your clinical presentation. Otherwise it's not conclusive. ...Read more
Im 19.I have lower back pain. CT scan stated that I have a "chronic break in l5-s1 pars interarticularis with facet arthropathy" what does this mean?
Refer to an ortho: In general, I would normally tell a patient to see an orthopedic specialist. ...Read more
Called spondylolysis: Spondylo means spine and lysis means crack. Can be congenital variety which is genetic origin occuring in 6% of us population or after trauma which can be repetitve particularly in certain high level athletes ie. Swimmers, gymnasts, pitchers, football linemen to name a few. Most treated non operatively. Chronic means long standing ; no potential for healing but not meaning remaining symptomatic. ...Read more
Defect of spine: A pars defect of the lumbar spine involves a part of a vertebra called the pars interarticularis. " A defect in the pars is a break in this portion of bone. This break leads to a separation of the upper, front portion of the vertebra from its lower, back portion. This condition is a precursor to another condition called spondylolisthesis, which allows slipping of a vertebra in relation to the vertebrae above or below it. Previously, it was assumed that pars defects were congenital anomalies, or birth defects. Today, we understand that most pars defects are really stress fractures that usually occur in the spines of young people. The presumed cause is repeated hyperextension ...Read moreSee 1 more doctor answer
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
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
What to do if I have just recently learned I have bilateral pars defect in l5, what does this mean?
Spine defect known : As spondylolysis. Spondylo means spine ; lysis means crack. Can be congenital variety which is genetic in origin occuring in 6%-8% of us population or after trauma which can be repetitve particularly in certain high level athletes like swimmers, gymnasts, pitchers, football linemen, etc.. Most rx'ed non operatively ; cause no symptoms although some can lead to back ;/or leg pain or neuro symptom. ...Read more
What to do if I have just recently learned What to do if I have bilateral pars defect in l5, what does this mean?
If it is painful: Then the question is congenital, degenerative & is it unstable. Also is its traumatic, this may be very unstable. See a fellowship trained spine surgeon for advice and care. Orthopedic surgeon is my choice but neurosurgeons undergo the same fellowships. ...Read more
Is there any surgery to fix a Grade 1 anterolisthesis of L4 and L5 with a bilateral pars defects on L4?
Me too!: Bilateral pars defects are genetic defects of the spine that mean that the joints that hold the spine together at that are, and you could be more prone to spondylolisthesis--the top vertebra slipping over the bottom, which can case back pain, and radicular pain from pinched nerves. My mother had this, and so do i. Mine caught earlier because i was a gymnast--didn't know i had this until too late. ...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
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
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 í have and will surgery fix my pain ?
A spondylolisthesi-: -is, usually causes mainly back pain. L5 on S1 may cause some hip pain. But in young people+/-20, it is usually back pain. In older it may also cause spinal stenosis which is may B leg & back pain. The spine surgeons object is 2 relieve your pain. My wife at 66yrs had a fusion L4-S1, & has never looked back. Exercises @ a gym, ,no pain. Not all R success stories. Listen 2 adverse effects. Goodluk ...Read moreSee 1 more doctor answer
I had an MRI last December, these are the findings....at L5-S1, there is a disk bulge, facet arthropathy, bilateral Ora defects, 5mm of anterolisthesis. I have had pain for the last 18 years, but wiithin the last 2 years it has gotten progressively worse
Radiological Studies: their clinical significance and the necessary treatment options should be discussed with the physician who ordered the study. They have all the history, physical examination and now the study to make proper treatment decisions and offer opinions. ...Read more
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