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Chronic Pars Defect
Spondylolysis is a defect of a vertebra. More specifically it is defined as a defect in the pars interarticularis of the vertebral arch. The great majority of cases occur in the lowest of the lumbar vertebrae (l5), but spondylolysis may also occur in the other lumbar vertebrae, as well as in the thoracic vertebrae. Spondylolysis occurs in three to six ...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
Potentially : A spondylolisthesis refers to a condition in which one vertebrae shifts forward on another. There are multiple potential causes. One cause can be degenerative, as noted in the degenerative changes in your facet joint. Another type is called "isthmic" which requires a bilateral pars defect to occur. ...Read more
Chronic unilateral left pars defect , osseous edema right anterior L5 body centrum acute/subacute fracture tried everything should I consider surgery?
Mild uncovertebral joint hypertrophy c5c6 eccentric to right; mild t-spine scoliosis, bilat pars defect l4, foram stenosis at l4l5 - is surgery needed?
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 ›
Grade 1 anterolisthesis of L5 over s1 with fatty marrow conversion at left L5 pars inter articular with bowing indicative of a healed fracture, 22yo/m?
Spondylolisthesis L5: You have described what is probably a congenital condition with a defect in the pars interarticularis. The symptoms may have become apparent after some trauma. 90% of the time people of this condition can be treated conservatively with a lumbosacral brace and analgesics. If symptoms worsen, further imaging may include MRI or ct with intrathecal contrast. Decompression and fusion may become neces. ...Read more
Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?
Xray recently shows severe joint space narrowing involve the patellofemoral compartment with underlying subchondral sclerosis & osteophyte formation?
Osteoarthritis: These are classical findings of osteoarthritis being spelled out by the radiologist. Osteoarthritis develops as we lose the cartilage that is not seen on X-ray and usually leaves a "joint space" on films. During this degenerative cascade, sclerosis happens to the bone under cartilage and bone tries to increase its surface area when weakened by forming spurs called osteophytes. Good luck. ...Read more
Pars defect: Bilateral pars defect also commonly called spondylolysis is a stress fracture near the joint of the spine. This usually occurs in the lower lumbar spine and can be painful and cause instability. This defect often occurs during the teenage years but can persist into adulthood and become symptomatic later in life. ...Read more
Lumbar Pars Defect: The defect is a stress fracture of the posterior portion of the spine that connects the facet joints and lamina with the anterior vertebral body at the level of the pedicle. This process is also known as a spondylolysis. It occurs in 5% of the general population but can be as high as 15% in certain athletes like gymnasts and football lineman due to the lumbar hyperextension. ...Read more
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
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
C-spine mild uncovertebral joint hypertrophy c5c6 eccentric to right; upper t-spine scoliosis, bilat pars defect L4 w/ foraminal sten at l4l5 surgery?
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