Doctor insights on:
L5 S1 Laminectomy And Discectomy
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
Discectomy is the a surgical procedure in which the ruptured portion of a ruptured spinal disc (the pad between two vertebrae) is removed. Disc tissue near the rupture may also be removed, but usually most of the disc is saved. If a spinal fusion is needed, a more ...Read more
MRI showed grade 1 L5/ s1 anterolisthesis and severe bilateral L5/S1 foraminal stenosis with mass effect on exiting bilateral L5 roots. My options?
Lumbar stenosis: Lumbar spinal deformities in form of varying degrees affects 6% of the population in the U.S,..THE treatment spectrum varies from avoiding activities that produce pain, bracing , physiotherapy, NSAIDs, to surgical interventions which involve decompress ions and or fusions. Recovery from surgery depends upon whether or not a fusion is performed , but can take up to 9-12 months. ...Read more
Back disc L4 L5 compresed moderately to L5 nerveroot & L5 s1 mildly intending calsac s1 nerveroot.doing PT. can it cure? Once cured will this come agn
Sorry..: No cure .......manageable. PT will improve functionality ...Read more
Fusion at L3 L4 lateral herni at L5 moderate bulge l5s1 mild bilat neural foraminal exit stenos should L4 L5 s1 all be fused at this point ? Help pl
Surgical risks: It sounds like you have chronic back pain, and that surgery(ies) have not been helpful. The problem with MRI scans of the spine is that they are good at identifying structural changes but do not let us know what is causing the pain. The changes you note on the MRI are common age associated changes. I suggest you see a physical medicine & rehab doctor (non-surgeon) who specializes in the spine. ...Read more
Back disc L4 L5 compresed moderately to L5 nerveroot & L5 s1 mildly intending calsac s1 nerveroot. doing PT. can it cure? Once cured wil ths come agn?
Yes and no: Physical therapy does not "cure" the radiologic findings you are describing; but some people can come through therapy with much less pain and able to be much more active. And because the findings in the MRI are not dangerous, if anything nonoperative can be done to reduce your pain and improve your activity level that would essentially be a form of "cure." ...Read more
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
23m s/p l5-s1 discectomy w/ daily moderate-severe back pain & radiculopathy both leg. What is my next treatment option? More epidural? Fusion surgery?
I have bulging disks at l-4-l-5, l5-s-1, compression of nerve bundle, stenosis, aethrotic spurs.3recs.Diskectomy, lamenectomy, fusion. What is best route?
Decompression: When someone has symptoms from nerve compression due to stenosis and the spine is stable, decompressive procedures such as discectomy (laminotomy) or laminectomy are usually best. If the spine is unstable or if decompressing the spine would make it unstable, the decompressive procedures are best combined with fusion. ...Read moreSee 1 more doctor answer
Got MRI report, broad based dic bulge l4, l5. Facet hypertrophy l4, L5 and l5, s1. What are treatment options? 3mths pain, no improvment w/pt or st shot
Complex answer: Best way to reduce back pain is to be as light as you can (optimal weight) be as fit as you can (high level of fitness with good core muscle strength) and don't smoke. The intermittent use of anti-inflammatory medications will help as well. If the epidural was not effective the injection can be placed in the facet joint or the disc. The pain generator needs to be found. ...Read moreSee 1 more doctor answer
I was diagnosis w/ lumbar spondylolysis, bilateral nerve root impingement and radiculitis w/ L5 being slipped forward. Surgery or long-term pain management?
Surgery: Sometimes it solves with pain control, pain procedures (epidurals w/local anesthetic and steroids). After reducing the inflammation the disk if it is intact could slip backwards in place. The spondilosis is a chronic condition similar to the osteoarthritis that can not be cured like the disk herniation.I think you meant spondylolisthesis. Surgery can be efficient but also can have complications. ...Read moreSee 1 more doctor answer
I have herniated disc on L4 L5 and buldge on L5 s1. Before pain in flexion now more on extension. Y? Any sugstn?Mri done
Many treatments: Start with physical therapy and core conditioning. At some point an epidural steroid injection might be helpful. If all else fails and your symptoms impact your activities of daily living, surgery can be curative. I would suggest seeing a spine surgeon with expertise in minimally invasive spine surgery if it comes to that. ...Read moreSee 1 more doctor answer
After having a failed laminectomy w/ spinal fusion @ l5-s1, what can't they surgically fix the area ?
Lumbar fusion: Failed can mean alot of things. Is it that you are not happy with the results? Or is there still a problem that is operative, i.e. Adjacent level syndrome at the level above the fusion or did the fusion not take at l5/s1 and there is a nonunion. I'm sure that your spine surgeon has discussed this with you. ...Read moreSee 1 more doctor answer
I had a hemilaminectomy, discectomy, partial facetctomy, foraminotomy, l5--s1 1 having numbness in foot and pain in buttocks. Dr recommends spinal fusion another dr recommends spinal lamina.I'm confused.
Medial branch block: Mbb stands for medial branch block. The medial branch is a small branch of the spinal nerves that supplies sensation to the facet joints, which are the joints in the back of the spine. L4 and L5 refer to the specific spinal nerves in the lower back (lumbar spine). Likely this procedure would be performed for somebody with pain due to facet joint arthritis at l5-s1 on both sides (bilateral). ...Read more
I would like to ask about m xray result:
Loss of lumbar lordosis
L5 seen sacralized
Spna bifida L5
L5-S1 is narrowed
Disc prolapse L5-S1?
Herniated l5-s1 herniation post l5-s1 laminectomy w/ fusion, why can't i be surgically treated when all has failed ?
Vague question: Assuming you mean why _further_ surgery is not advised (the laminectomy & fusion certainly are surgeries!) there may be many factors including general health. However, i would suspect that scar tissue formation around nerves in the area of prior surgery may be so intertwined with the nerves, matted down, that one might easily damage the nerves trying to take away the scar tissue. ...Read moreSee 1 more doctor answer
L5s1 laminoforaminotomy aug 2012.Recent MRI shows L5 s1 disc herniation. Scar tissue abutting s1 nerve root neural cysts. Is another surgery an opt?
Yes, but....: Having another surgery is an option, but you should try conservative treatment like physical therapy first if you are having pain. Every time that you have surgery, you create more scar tissue. Before proceeding with surgery again, you should get a second opinion from another neurosurgeon or orthopedist. ...Read more
I suffer from a congenital fusion of L3 L4 anteriorly & partial fusion with bony sclerosis in L4 L5 & mild retrograde listhesis of L5 s1 also...
Unclear question: What are you asking. Please clarify.Get a more detailed answer ›
Common surgery: Anterior cervical fusion is a common surgery. Check out soine-health.Com for videos and information on the procedure. Good luck. ...Read more
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