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Doctor insights on: Bilateral Pars Defect L5 S1

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Dr. M. Hytham Beck
Board Certified, General Surgery
38 years in practice
6M people helped
1

1
I had a fall in August 2014 - I lift 50 lbs- cart weighs about 200 lbs. pars defect in L2 and l5-s1-off work pain decreased-ret to work pain increase?

Dr. M. Hytham Beck
Board Certified, General Surgery
38 years in practice
6M people helped
I had a fall in August 2014 - I lift 50 lbs- cart weighs about 200 lbs. pars defect in L2 and  l5-s1-off work pain decreased-ret to work pain increase?

I am very sorry: Maybe it is me and lack of understanding abbreviation but I did not understand anything from your statement except you fell in August. ...Read more

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Dr. Mark Pack
Board Certified
26 years in practice
2M people helped
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Dr. Mark Pack
Board Certified
26 years in practice
2M people helped
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Dr. Steven Simon
Board Certified, Physical Medicine and Rehabilitation
33 years in practice
504K people helped
2

2
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?

Dr. Steven Simon
Board Certified, Physical Medicine and Rehabilitation
33 years in practice
504K people helped
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?

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. ...Read more

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Dr. Mark Pack
Board Certified
26 years in practice
2M people helped
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Dr. Mark Pack
Board Certified
26 years in practice
2M people helped
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Dr. Thomas Dowling
Board Certified, Orthopedic Spine Surgery
35 years in practice
15M people helped
3

3
Seeking non-surgical treatment options for adolescent bilateral grade 3 spondylolysis (pars defects) with herniated l5-s1 disc?

Dr. Thomas Dowling
Board Certified, Orthopedic Spine Surgery
35 years in practice
15M people helped
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 more

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Dr. Creighton Wright
Board Certified, General Surgery
51 years in practice
17M people helped
4

4
Can L4 anterolisthesis & L5 posterolisthesis on s1 with bilateral pars defect at L4 cause venous insufficiency in both legs? If so why?

Dr. Creighton Wright
Board Certified, General Surgery
51 years in practice
17M people helped
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

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Dr. Mark Pack
Board Certified
26 years in practice
2M people helped
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Dr. Jeffrey Juchau
Board Certified, Family Medicine
28 years in practice
15M people helped
5

5
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

Dr. Jeffrey Juchau
Board Certified, Family Medicine
28 years in practice
15M people helped
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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Dr. Ari Ben-Yishay
Board Certified, Orthopedic Spine Surgery
30 years in practice
122K people helped
6

6
Hw to treate pars defect of spine, L5 and s1, is t treatable and complicated...?

Dr. Ari Ben-Yishay
Board Certified, Orthopedic Spine Surgery
30 years in practice
122K people helped
Hw to treate pars defect of spine, L5 and s1, is t treatable and complicated...?

Yes treatable: Depends upon your age. Either rest, physical therapy or surgery to fuse l5-s1is the treatment. Brace if teenager with a "hot" bone scan. ...Read more

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Dr. Thomas Dowling
Board Certified, Orthopedic Spine Surgery
35 years in practice
15M people helped
7

7
Im 20 years old i was just diagnosed with a pars defect of the s1 and L5 i had surgery to get it fixed but now the pain is way worse why is that?

Dr. Thomas Dowling
Board Certified, Orthopedic Spine Surgery
35 years in practice
15M people helped

Sometimes the : Surgery does not heal in terms of the defect healing if a direct repair or if it did heal, possibly you needed a fusion of that level. Even with a successful surgery, there can be about a 10% failure rate in a nonsmoker and a significantly higher failure rate in a smoker. You need to see your surgeon but it takes months for a surgery like this to heal. Surgeon case assess your fusion status. ...Read more

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Dr. TORY MCJUNKIN
Board Certified, Pain Management
14 years in practice
169K people helped
8

8
Grade 2 anterolisthesis L5 on s1 with severe loss of disk height. Moderate loss of disk height at l3-4 and l4-5. Pars defect at l5. Right leg goes numb after standing still for 5 min or more. Surgery?

Dr. TORY MCJUNKIN
Board Certified, Pain Management
14 years in practice
169K people helped
Grade 2 anterolisthesis L5 on s1 with severe loss of disk height. Moderate loss of disk height at l3-4 and l4-5. Pars defect at l5. Right leg goes numb after standing still for 5 min or more. Surgery?

Spinal pain: It certainly time to consider advanced treatments, diagnosis, and possibly surgery. You have a bad spine with multiple pathologies. It's important to figure out if you have active ongoing nerve damage. An EMG will give you the information that you need. If you don't have active nerve damage try everything else (injections, decompression, chiro, pt) before surgery as many can avoid surgery. ...Read more

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Dr. Jimmy Bowen
Board Certified, Physical Medicine and Rehabilitation
29 years in practice
4M people helped
9

9
I have bilateral degenerative changes at l5-s1 level w/a grade 1-2 spondylolisthesis found 9/2012 has become worse will i end up needing surgery?

Dr. Jimmy Bowen
Board Certified, Physical Medicine and Rehabilitation
29 years in practice
4M people helped
I have bilateral degenerative changes at l5-s1 level w/a grade 1-2 spondylolisthesis found 9/2012 has become worse will i end up needing surgery?

Spine Surgery: Spine surgery is reserved for individuals that have unrelenting pain that has failed conservative care or who have a progressive neurologic condition due to the spinal changes. Many individuals with your radiographic finding are pain free. If worsening would followup with your doctor or see a surgical or nonsurgical spine specialist. ...Read more

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Dr. David Dinhofer
Board Certified, Radiology
36 years in practice
445K people helped
10

10
My l4 l5 discs have small bulge without significant compression. L5 S1 has reduced disc space and bilateral sacrelization of L5. What should I do?

Dr. David Dinhofer
Board Certified, Radiology
36 years in practice
445K people helped
My l4 l5 discs have small bulge without significant compression. L5 S1 has reduced disc space and bilateral sacrelization of L5. What should I do?

Nothing: Research has shown that the findings on imaging studies do not correlate all the time with patient symptoms. If you have no problems then don't worry about it. If you have back pain, it is more likely to be associated with muscle strain than the bulging disc. Sacralization is common on of no real signficance. ...Read more

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Dr. Mark Pack
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26 years in practice
2M people helped
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