Doctor insights on:
Hemiscralization Of L5
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 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
See details: Ask the doctor who examined you in the first place. One needs more specific information about the pain to offer any answers. ...Read more
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
Rest: Do not engage in any activity that makes your back hurt. May take some time. ...Read more
Not sure: I am not sure what a roman chair is but when it comes to recent surgery the best person to ask is your surgeon. Many times you can just call in and ask them the question on the phone without having to see them! ...Read more
Didn't fully form:
Your bottom lumbar level didn't fully form (or separate from the sacrum) when you were developing. One of the transverse processes (bone that sticks out to the side), either on the left or right, is still fused (connected) with the sacrum.
This means this level is either not moving at all (like a surgical fusion) or very little. These discs typically look underdeveloped but otherwise normal. ...Read more
Perhaps: As we age so do our disks. They dry out and can develop cracks or fissures. Most of these don't cause patients symptoms. Your disk may dry out or crack more with time but the real question is if that is important to your symptoms. That's why the test has to be correlated with your pain by your doctor. ...Read more
Depends: Lumbar stenosis is typically does not resolve on its own. It usually from hypertrophied ligaments or bones. If, however, stenosis is secondary to a herniated disc, this may resolve on its own. Discs have a fluid-like component which can dessicate over time, and as the disc dries up it lifts pressure off the nerve roots. ...Read more
Exercise : I presume you mean bulge of the l45 disc. This is normal finding with aging. Exercise and learning proper posture and body mechanics will usually control most low pain caused by bulging discs. ...Read more
Not enough info: Right side of what? Back, abdomen, leg? Need specifics. ...Read more
Sacralization lumbar: When one has sacralization of L5 vertebral body it becomes fused or a part of the sacrum. Such a condition shows only 4 lumbar vertebrae rather than the usual on x-ray imaging. If there is motion here at what should have been l4-l5 without the usual intervertebral disk, one could call this pseudo-articulation. In lumbaralization of the sacrum, there are 6 lumbar vertebrae on x-ray images. ...Read more
Termed spondylolysis: A condition called a pars fracture or spondylolysis this is typically a congenital defect that will manifest itself in childhood but may not become symptomatic at all or at some point later in life ; can be a real fracture. These typically can be managed non op 90% of the time. The most common vertebra to find it is at l5. Found in 6-8% of the us population. They can cause back ;/or leg symptoms. ...Read more
Not necessarily: The lumbar spine normally has 5 vertebrae. A sacralized L5 means that the transverse processes, normally separate from the sacrum, have become fused to the sacral ala. This process can also be partially complete, resulting in a transitional vertebra that is not completely fused. This process, however, is not associated with an increased or decreased lordosis. ...Read more
May be bone spur : I'm not certain. This may be a bone spur. It may be non-specific and not going to cause any problems. Ask your physician for fuller explanation. ...Read more
Transverse process: The transverse process is a small bone that comes off the side of the vertebrae for muscle to attach to. A sacralized tranverse process means that it is larger than normal and may be partially fused to the sacrum. This is rarely a cause for any pain or other symptoms. This is just an anatomic variation which is quite common. ...Read more
Whatever tolerated: Any aerobic activity you tolerate is fine. No harm is likely even if it hurts. Just experiment and find what you enjoy and tolerate best. I would expect a recumbent cycle to be best tolerated as it provides the best back support. Anything that stoops you forward will likely aggravate your pain a bit. ...Read more
Fusion at L5-S1: A there has been a fusion of the transverse process of L5 on the right to the sacrum. A boney or calcified bridge has formed. This may be congenital or from the time of birth, or it may be associated with degenerative arthritis. The condition by itself is harmless unless it caused encroachment of an exiting nerve root at a neuroforamen or window where a nerve root exits the spinal canal. ...Read more
Born with it: So basically, L5 is the last of your lumbar (low back) vertebrae and it sits on top of the sacrum which is the end of your spine. The transverse processes, or "arms" if you will, of the L5 sometimes are fused to the sacrum as an abnormality that you are born with. It can cause low back pain, or it can be asymptomatic. If it's partial, then there is only slight and not complete fusion. ...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
22 years old and I have disc bulges L2 through l5. It is onset almost every 6 months and it is excrutiating. What should I do?
See a surgeon: Sounds like it's time for you to see an orthopedic or neuro surgeon. ...Read more
What does the term "interval" mean in this context. Report says "appears to be some interval bony consolidation of bilat l5 pars defects"?
"Interval": The use of the term "interval" in that context usually implies that it's a finding that was not present on a preceding Xray of the area. It wasn't there before and now it is. ...Read more
Would plain pars defect at l5 cause the person increasing pain as time goes on? 20 y f. Pain x1 year. Scans laat year. Is something more wrong?
Yes: Pars defect or spondylolysis can increaseing cause pain if defect worsens and there is more motion at defect site. Sometimes bracing and reduction of activity is necessary to reduce pain followed by physical therapy ito strengthen spinal musculature. If bilateral defects occur vertebra can slip forward (spondylolisthesis) and put pressure on nerve roots and produce pain. ...Read more
I am 35 years old and have had ED for about 13 years now. I think it started happening after my L5 disc became herniated, are the two related?
Unlikely unless you : Had also experienced issues with your bowel and bladder control along with some numbness in your genital and buttock region at the time or if any of these symptoms persisted or resolved. Otherwise, ed by itself, would not be related. You should get evaluated by a urologist and/or neurologist. ...Read more