Top
20
Doctor insights on: The Intervertebral Foramina Provide Passageways For

Share
1

1
What is the prognosis for lumbar stenosis with bulging discs at l4/l5 and l3/l4 with spinal cord effacement and bilateral facet joint hypertrophy.

What is the prognosis for lumbar stenosis with bulging discs at l4/l5 and l3/l4 with spinal cord effacement and bilateral facet joint hypertrophy.

Mixed: Facet hypertrophy is a common change as people age; the amount of joint enlargement is more important than the fact that it is present. Stenosis is an issue if it is symptomatic. Weight control and exercise can help. Surgery can help in cases that don't respond to other treatment. The spinal cord usually ends at l1-2, so if it truly goes down to l5, there are other issues that need to be addressed. ...Read more

See 2 more doctor answers
2

2
advice regarding my MRI result. "Smooth reversal of the cervical lordosis. Minor disc osteophyte bulge is effacing the CSF anterior to the cord C5-C6?

 advice regarding my MRI result. "Smooth reversal of the cervical lordosis. Minor disc osteophyte bulge is effacing the CSF anterior to the cord C5-C6?

A chronic: disc bulge or protrusion can get buttressed by bone overgrowth called an osteophyte. This "disc osteophyte" complex can bulge into the spinal canal and press on the sac that surrounds the spinal fluid and cord(effacement). It can cause symptoms depending on the severity. ...Read more

See 1 more doctor answer
3

3
My MRI report say this: levoconvex curvature of the lumbar spine. The spinal cord terminates at the inferior aspect of the t12 vertebral body.Meaning?

My MRI report say this: levoconvex curvature of the lumbar spine. The spinal cord terminates at the inferior aspect of the t12 vertebral body.Meaning?

Doctor speak: We need to sound smart. It basically means a bit of a scoliosis i the lower spine with the apex of the curve pointed to the left. The spinal cord is ending at the bottom of the last thoracic vertebrae, which isn't to far from normal. Speak to your doctor and they can likely go over the actual films with you and show you what they mean. ...Read more

See 1 more doctor answer
4

4
Treatments options for l5/s1 disc extrusion that effaces the s1 nerve root along with mild anterposterial congenital spinal stenosis of the lumbar spi?

Treatments options for l5/s1 disc extrusion that effaces the s1 nerve root along with mild anterposterial congenital spinal stenosis of the lumbar spi?

You're the patient..: ...not the MRI. You didn't just wander into an MRI facility one day & make an impulse purchase. You saw a doctor with symptoms & signs and that's why an MRI was done. You need to repost with WHY you got the MRI. ...Read more

5

5
What are the long term outcomes of posterior cervical foramenectomy and ACDF For cervical RADICULOPATHY from foraminal/spinal stenosis C4 thru C7?

What are the long term outcomes of posterior cervical foramenectomy and ACDF For cervical RADICULOPATHY from foraminal/spinal stenosis C4 thru C7?

ACDF outcomes: Even a surgeon can not answer that question. Long term can be pain relief all the way to more pain. I would say if you haven't found a good interventional pain specialist to consult with prior do so now and see what other options there are besides surgery. This is if it is just for pain, if you are having any neurological deficits surgery might be your option. ...Read more

6

6
Please explain lumbar MRI -there is a narrowing of the lateral recesses, particularly on the right but without displacement of traversing nerve roots.

Lumbar MRI findings: The explanation means early degeneration is causing compression of the spinal fluid sack, but is not putting pressure on the nerves. The results would not explain leg pain, but may cause back pain. Please review with the ordering physician to correlate your symptoms. ...Read more

7

7
Which part of the spinal column has the narrowest canal for the cord to pass through?

Canal anatomy: The diameter of the bony spinal canal is largest c1-2, and then in the lumbar spine. The spinal cord ends at l1-2. Generally, the canal is relatively constant in diameter from the cervical to thoracic spine accommodating the cord and providing another 60% of its diameter as a buffer for spinal fluid and tissues. Average diameters are around 17mm throughout and considered critical if under 10 mm. ...Read more

See 1 more doctor answer
8

8
Whats the difference with tumors in the spinal canal vs spinal cord?

Whats the difference with tumors in the spinal canal vs spinal cord?

Look up the anatomy: Spinal cord is a neurological structure which runs inside the spine; the space inside the spine is called spinal canal. Cord is a vital organ that controlls our arms and legs movements, whereas the spinal canal is just a channel wherein lies the spinal cord. ...Read more

See 1 more doctor answer
9

9
Can i get approved for disability for herniated nucleus pulposus which indents the ventral aspect of the thecal sac?

Can i get approved for disability for herniated nucleus pulposus which indents the ventral aspect of the thecal sac?

No: Ultimately this decision would rest with your doctor, but what you are describing many many people have. And many of them do nothave symptoms. ...Read more

See 1 more doctor answer
11

11
"Facet enlargement in the lower lumbar spine and multilevel degen disc narrowing.There is foraminal stenosis, greatest on the r side @ L4-L5" Meaning?

These findings are: all part of the spectrum of degenerative arthritis. The facets are small joints between the posterior parts of successive vertebral bodies. Foraminal stenosis means that the opening(foramen) that the nerve root exits the spinal canal through is narrowed, usually by degenerative disease, and may be pinching the nerve root, in your case the right L4 nerve root exiting the L4-L5 foramen. ...Read more

See 1 more doctor answer
14

14
Should severe multilevel neural foraminal narrowing of the cervical spine and stenosis be concern for paralysis?

Should severe multilevel neural foraminal narrowing of the cervical spine and stenosis be concern for paralysis?

Usually not quick: Unless neck is injured, the quick paralysis does not occur but a gradually progressive paralysis does occur which a neurologist or astute clinician can detect. It can be fixed by surgery and further progression will stop. ...Read more

Dr. Wenhui Cao Dr. Cao
2 doctors agreed:
15

15
L4/5 marked diffuse disc bulge with bilateral encroachment on both neural exit foramina and spinal canal diameter compromise. solutions without OP?

Dr. Wenhui Cao Dr. Cao
2 doctors agreed:

Depends : Depends on symptoms and physical signs, although most cases can be managed by conservative measures including physical therapy, home exercise regimens, some medication ...Read more

16

16
Smooth Reversal of the cervical lordosis. Minor disc bulge is effacing the CSF anterior to the cord at C5-C6. ?

Smooth Reversal of the cervical lordosis. Minor disc bulge is effacing the CSF anterior to the cord at C5-C6. ?

Neck: The reveral of the cervical lordosis is usually from muscle spasms. The bulging disc is pushing against the sac that holds the CSF and spinal cord. You don't mention of it is pushing against the cord itself so I will assume it doesn't. Usually need rest, pain meds and muscle relaxers. Keep all your appointments with your doctor. You might benefit from physical therapy too. Hope this helps. ...Read more

17

17
Had an MRI and dont understand results. "large posterior disk extrusion contacting the anterior spinal cord and causing severe spinal canal stenosis.

Spinal Stenosis: Did a doctor explain to you the results or did you just obtain a copy? In general you have a protruding disc (not sure if neck or back) that is impinging on the spinal canal and resulting in narrowing of the canal. I would imagine you are having pain, weakness, numbness? ...Read more

18

18
Mri test shows loss of spinal height & signal spinal stenosis narrowing of spinal canal diffused disc bluge in contact with thecal sac neural formina narrowed bilatery what treatment do you recommend?

See a spine surgeon,: Who depending on your symptoms and response to the medication, will have you go through a course of epidural shots (steroids) or might advise to enlarge the narrowed (stenosis) canal, to take pressure off the cord or the nerves. Good luck. ...Read more

See 1 more doctor answer
19

19
What is involved in clipping spinal nerves for relief of pain from stenosis?

What is involved in clipping spinal nerves for relief of pain from stenosis?

Nerve heating: Spinal nerve clipping is usually done by pain management anesthesiologist by inserting a needle into the back and directing it to the nerve root channel in the spine with x-ray. The needle is then heated to destroy the nerves. It is rare for surgeons to offer open clipping of the nerves. The results vary; some patients have months of relief, some have little benefit. ...Read more

20

20
How does one see the foramenal and tiny blood vessels of the lumbar spine? (e.G. The vessels that exit with the nerves)

How does one see the foramenal and tiny blood vessels of the lumbar spine? (e.G. The vessels that exit with the nerves)

Imaging studies: Either a ct with contrast (to enhance blood vessels) or an MRI should be able to delineate the lumbar vasculature. More invasive study would be selective angiography. ...Read more

See 1 more doctor answer