Doctor insights on:
L5 S1 With Thecal Sac Indentation
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
What is mild spondylosis without small right para central osteophyte & a tiny central disk protrusion with significant thecal sac deformity at C3-4 ?
Arthritis: Mild spondylosis = mild aging changes (aka arthritis). Tiny disc protrusion is just what it sounds like. Small right paracentral osteophyte = small bone spur just to the right. With a tiny disk protrusion, I'm betting the report says "without" significant thecal sac deformity, which means no significant pressure on the spinal cord. In a 47 yo patient, all this would be considered normal. ...Read more
L5-s1 shows annular tear and a central protrusion touching both s1 roots and thecal sac.No effacement or deformity. Nerve roots exit normally.
Your question is?: If the disc is worsening and causing weakness, muscular atrophy and/or numbness, and especially if initiation of urination is troublesome, need to have a spinal surgeon involved. Otherwise, conservative therapies may be successful. An EMG test may determine extent of nerve damage at this point and act as a baseline. ...Read more
C3-c4c4-c5 left paracentral osteochondral bar indenting thecal sac no foraminal stenosis. c5-c6 central osteochondral bar indenting thecal sac. means?
Spinal stenosis: That is another way to describe a condition known as spinal stenosis. One way to say it is that you have developed some bone spurs (oseochondral bars) that are narrowing (narrowing equals stenosis) the central part of the nerve canal but not the for amen. I would discuss your findings and treatment options with your doctor. ...Read moreSee 1 more doctor answer
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
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
Treatment for L4/5 posterior protrusion/annular tear; L3/4 and L2/3 posterior bulge, all indenting thecal sac. No neural compression. C4/5/6/7 bulges?
Bulging disc: As discs age they lose water and become less resilient. This causes broad based bulging of the disc. The ligament on the outer part of the disc (annulus fibrosus) is stressed more when the disc bulges and small annular tears can result. ...Read more
What does disc/spur with protrusion/bulging, particualary at c5-6 c6-7 c4-5 centerally and right parcentrally, with anterior thecal sac effacement?
Slipped disc: Most people who have a slipped disc and low back pain have it in the low back (the lumbar spine). You have it in your neck where there are 8 cervical vertebrae. You might have neck pain, upper back or shoulder pain, headache or scalp pain if so the respective nerves are compressed. ...Read more
Desiccation of L4-L5 & L5-S1 discs. Mild diffuse posterior protrusion L4-L5 & L5-S1 discs mildly indenting the thecal sac. What does that mean?? Thnxx
Plz, t11-t12 broad-based central disc protrusion, it measures about 4x18 mm in size.
The thecal sac is flattened and deformed. Ap dimenesion of sac 7 mm?
Spine Specialist: You may be a candidate for an epidural steroid injection to relieve this pain. Also some surgeons may do surgery if needed. Lastly you could consider a percutaneous discectomy since it is less invasive than surgery however you do need to be the best candidate. ...Read moreSee 1 more doctor answer
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
L5-S1 Annular tear with left paracentral protrusion causing mild impression
on thecal sac and mild impingement of the left traversing S1 nerve root.
No question!: So what is your question? Please ask again and give more details. Remember that there is a 150 character limit for questions, inc. spaces and punctuation. We won't be able to see your previous question when you ask again, so keep it brief but complete! ...Read moreSee 2 more doctor answers
Mri says postero central and paracentral disc protusion at l5 s1 level causing thecal indentation encroachment upon bilateral canals with compressio?
Not exactly: sure of the question, but you are describing a disc protrusion(herniations) which is pressing on the sac that encloses the spinal cord and cauda equine, and is also pressing on the L5 nerve roots. There is no mention of how severe this is. Talk to your doctor about whether this might be causing your symptoms. Not all disc protrusions produce symptoms. ...Read moreSee 1 more doctor answer
L5-s1 central disc protrusion encroaches both s1 nerve roots. L4-5 disc protrusion indents thecal sac. Right neural frontal narrowing at l4-5 l5-s1?
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
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
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
Protruding disc l4-5 l5-s1 touching both s1 roots, indents thecal sac, neural narrowing. Is this a serious problem? Whats the estimated recovery time?
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