Doctor insights on:
L5 And S1
Spondylolisthesis: This refers to a less than 25% slippage of the L5 vertebra in relation to s1. Increasing grades denote worse slippage. ...Read more
Chronic fractures: A part of the L5 vertebral body, the pars articularis, has fractured on both sides and because of this the L5 vertebral body has been able to move forward in relation to s1, which is located directly below L5 (see picture). These fractures are most often chronic and its possible may have been present even since childhood. ...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
If L5 disc was herniated would it cause L5 and s1 nerve symptoms or just l5? Would L5 and SI both have to be herniated to cause those symptoms?
Believe it not---: Herniated L5/S1 disc could cause root symptoms of L5 but not S1, S1 but not L5 (more unlikely), L5 & S1 (common), L4 & L5 (tough but not impossible), or NO symptoms (unusual). With your pain symptoms shooting down the leg an L5 nerve root compression is virtually a gimme. To know if S1 or L4 are affected needs an exam. Wanna talk? www.healthtap.com/drsaghafi ...Read more
Varies: It really is based on symptoms. If symptoms are mild, no treatment necessarily needed. If increased back or leg pain or difficulty walking, the progressively more involved options include medications, therapy, chiropractic, interventional pain managemt; or in severe cases that fail non- operative care: surgery. ...Read more
XRay findings: This means that your L5 vertebral body has moved slightly backwards over S1. Grade 1 means it is mild. The foramina are holes in the vertebrae wear the nerves exit. They can become narrowed with arthritis, etc. "Mild" indicates that this should probably not be causing symptoms. ...Read more
I have 2 herniated discs at l4, L5 and s1 with annular tears. Can it be fixed. If so, how? Success rate? Complications?
I was just diagnosed with spondylolisthesis 9-10 mm anterolisthesis L5 on S1, in neutral, flexion and extension. What "grade" does this mean?
"Probably" 3: The degree of a spondylolisthesis is measured not based on the mm of slippage, but rather percent of slippage. That takes out any errors due to magnification. Grade I is 0-25 percent, grade II is 25-50, Grsde III is 50-75 percent, and grade IV is 75-100 percent; the percent is based upon what percent one vertebrae is shifted over the other. Usually a 9 mm slip would be grade III, but can vary. ...Read more