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Doctor insights on: What Does Grade 1 Spondylolisthesis At The L4 5 Level Mean

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What does grade 1 spondylolisthesis at the l4-5 level mean?

What does grade 1 spondylolisthesis at the l4-5 level mean?

Up to 25%: Grade 1 means that the forward slippage of L4 is up to one quarter (25%) of the top of the L5 vertebra. So if the top of L5 front to back is 50 mm, the forward slip of L4 is more than zero and less than 12.5 mm. ...Read more

Dr. Michael Bolesta
317 Doctors shared insights

Spondylolisthesis (Definition)

Is the subluxation or slippage of one vertebral body over another, usually with the more superior body slipping forward relative to the body below. This can be due to to etiologies such as ligamentous laxity or an abnormality of the bone (spondylolysis). If mild, it may be asymptomatic. If severe or unstable, it could cause kinking/compression of the spinal cord ...Read more


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Spondylolisthesis with flexion. Extension level 3.55 mm of anterolisthesis. Flexion is 5.99, neutral 3.77 mm, mod central stenosis. L4-5 anterolisthes?

Spondylolisthesis with flexion. Extension level 3.55 mm of anterolisthesis. Flexion is 5.99, neutral 3.77 mm, mod central stenosis. L4-5 anterolisthes?

Spondylolisthesis: This is an MRI report of the low back which shows moderate narrowing of the spinal canal at the lumbar 4/5 level. In addition, there is a small slip with instability at the lumbar 4/5 level. This is arthritis which often causes pain in the low back with bending and stooping. The pain may radiate into the calf, ankle or big toe. There may be numbness too. See a neurosurgeon for treatment. ...Read more

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Mild scoliosis; grade 1 spondylolisthesis l5-s1; l4-5 prom l paracentral disc extrusion; mild ligamentous & facet hypertrophy. Treatments?

Depends: Most disks get better within 6 months with pt and conservative treatment, assuming that the disk is even related to the pain. Keep an eye on spondy to make sure it's stable. If you develop instability surgery may be in order. ...Read more

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Spondylolisthesis. L3, 4-5 slipped off. Surgery fixed l4-5 but not l3.Was it done right? Now having pain on right leg. (had pain on left leg before surgery

Spondylolisthesis. L3, 4-5 slipped off. Surgery fixed l4-5 but not l3.Was it done right? Now having pain on right leg. (had pain on left leg before surgery

Depends on multiple: Factors. It appears your symptoms are mainly leg pain, and hence a surgeon may have decided that the l45 was the only level with stenosis or pressure on nerve, and wanted to to do only what was needed at the time, and not what maybe needed in the future. Difficult to tell without seeing your prior images, but could be an okay decision. Now, you have to consult with a well trained spine surgeon. ...Read more

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Diffuse disc bulge at l4/5 level indenting the thecal sac, what does this mean?

Diffuse disc bulge at l4/5 level indenting the thecal sac, what does this mean?

MRI finding: This sounds like an MRI description of your lumbar spine. What this refers to is a bulging of the l4-5 disc. This can lead to compression on the thecal sac which is the dural lining that encases the spinal nerves. The degree of compression determines if there are symptoms or if surgical decompression is needed. Symptoms include back pain with radiation down both legs with weakness. ...Read more

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I have a grade 1 spondylolisthesis l4/l5/s1 with stenosis. My pain would be described as burning and a feeling of heaviness in my lower back.?

I have a grade 1 spondylolisthesis l4/l5/s1 with stenosis. My pain would be described as burning and a feeling of heaviness in my lower back.?

Common: Spondylolisthesis commonly causes back pain. Lumbar stenosis commonly causes leg pain, numbness especially with extended activity. Weight control and core muscle exercises are a first step. If these don't help, consultation with a neurosurgeon or orthopedic spine surgeon would be a reasonable next step. ...Read more

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What does Grade 0 mean in a Grade 0 discs at L3-4 and L4-5?

What does Grade 0 mean in a Grade 0 discs at L3-4 and L4-5?

Normal: It means the discs are normal. No evidence of displacement (herniation) of the disc. ...Read more

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I just had this surgery and not sure what it all means. Drs tried to explain but I was on strong meds. Hemimamirotomy l4-5 plif clamps?

I just had this surgery and not sure what it all means. Drs tried to explain but I was on strong meds. Hemimamirotomy l4-5 plif clamps?

Ask your doctor: Don't be afraid or ashamed. Everything you don't understand or are not sure about your condition or treatment can be perfectly explained by your doctor. Nobody better than the person that just operated on you to tell you precisely what he did. It is common to forget what doctors tell you when under medication. Ask him again. ...Read more

Dr. Kevin Yoo Dr. Yoo
1 doctor agreed:
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What does mild facet fluid in L3-4 and L4-5 region mean?

Dr. Kevin Yoo Dr. Yoo
1 doctor agreed:

Nothing much: Facets are the left and right joints of the back of the spine present at each level such as L3-4 and L4-5. They contain fluid because as joints they need lubricants. Sometimes MRI can show this fluid. If there is only mild amount seen, it probably means very little. When there is a lot, we spine surgeons feel that there is possibly too much movement, perhaps inflammation, and possibly cause pain. ...Read more

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Can you explain my findings...grade 1 anterolisthesis of L5 on S1 of 4mm. Degenerative about facet joints L4-5 and L5-S1.

Can you explain my findings...grade 1 anterolisthesis of L5 on S1 of 4mm. Degenerative about facet joints L4-5 and L5-S1.

Yes: Normally the vertebrae line up when going from one to the next. An anterilisthesis simply means one varrtebrae is shifted forward on the other. The facet joints are joints in the back of the spine and at the two lower levels you have developed some degenerative arthritic changes. ...Read more

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X-ray says: grade 1 anterolisthesis of L4 on L5 (6mm) mild disc height loss @ l3-4, l4-5, l5-s1. Feel asymmetric pain: upper r calf/l sole. Related?

X-ray says: grade 1 anterolisthesis of L4 on L5 (6mm) mild disc height loss @ l3-4, l4-5, l5-s1. Feel asymmetric pain: upper r calf/l sole. Related?

Yes: This is also called degenerative spondylo and is dueit to degenaration of the facet joints. It also produces some degree of spinal stenosisand some impigment of the nerve roots and hence some radiculopathy that can give you the symptoms you are expiriencing now. ...Read more

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Xray=3 mm Anteriolisthesis @ C3-4 facet arthritis, Mild DDD @ C4-5 & C5-6, Grade 1 Anteriolisthesis @ L4-5, Moderate-severe DDD at L5-S1. Doc says no treatment. In lots of pain. Numb feet & hands. Low back feels unstable walk w/ cane. Butt pain too?

Xray=3 mm Anteriolisthesis @ C3-4 facet arthritis, Mild DDD @ C4-5 & C5-6, Grade 1 Anteriolisthesis @ L4-5, Moderate-severe DDD at L5-S1. Doc says no treatment. In lots of pain. Numb feet & hands. Low back feels unstable walk w/ cane. Butt pain too?

Further work up: May want to consider further work up including an mri of the cervical and lumbar spine and a nerve conduction test if your extremities. Xrays don't tell the whole story and there may be a simple solution to your symptoms. If you are not being taken seriously, consider a second opinion. ...Read more

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Lumbar lordotic curvature is reduced. Loss of T2WI hyperintensity is seen at L4-5 & L5-S1 disc levels suggestive of desiccative disc change.?

Lumbar lordotic curvature is reduced. Loss of T2WI hyperintensity is seen at L4-5 & L5-S1 disc levels suggestive of desiccative disc change.?

Degenerative disc: As we age we do develop gradual degenerative disc disease, a "wear and tear", and not unique to see desiccation or drying out of disc structure, which can shrink. This is NOT an indication for either surgery or injections, and best handled by good nutrition, sleep, and exercise. If you have low back pain, a physical therapy program can benefit. ...Read more

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Cervical and lower lumbar intervertebral discs are dessciated, diffuse disc bulge with annular tear at l4-5 level. How can be cured?

Cervical and lower lumbar intervertebral discs are dessciated, diffuse disc bulge with annular tear at l4-5 level. How can be cured?

Integrative care: A herniated disc can cause back pain as well as foot pain by physically pressing on the nerves that travel to the foot and by irritating them through the extrusion of pro-inflammatory disc materials. Physical therapy and other conservative measures, including medication management, are considered first line treatment. If these fail, your physician may recommend epidural steroid injections. ...Read more

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Leg's numb and tingling sensation xray show L4-5 sacralization with no significant degenerative changes what does that mean?

Leg's numb and tingling sensation xray show L4-5 sacralization with no significant degenerative changes what does that mean?

Merger: Sacralization means the lumbar bones listed are calcifying together, with a appearance like the sacrum (whose bones are all fused together). Can be a normal variant, can occur after trauma (or surgery). If no degenerative changes noted, less likely the source of your symptoms, but nerve studies might be needed. ...Read more

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I have l4&5 herniated discs, I have a new sysmtom, my hands and feet r numb and tingling. What does that mean is it getting worse.?

I have l4&5 herniated discs, I have a new sysmtom, my hands and feet r numb and tingling. What does that mean is it getting worse.?

No: No the nerves that supply the hands have left the spine well above the low back. So low back problems can not directly cause symptoms in the hands. The three most common causes are a pinched nerve in the neck, pinched nerves in the arms (carpal tunnel syndrome being one example), or a neurological condition such as a neuropathy. Let your doctor know as soon as possible. ...Read more

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Mri help plz, l4-5 sever facet arthropathy, t11-12 broad based central disc protrusion causing central canal stenosis, the cord is flat at that level.?

Mri help plz, l4-5 sever facet arthropathy, t11-12 broad based central disc protrusion causing central canal stenosis, the cord is flat at that level.?

Spinal stenosis: From what you are describing on the mr I would highly recommended seeing a spine neurosurgeon for further evaluation, the central canal stenosis can be quite worrisome and based on your age of 42 you will likely need to have something done or at the least evaluated. ...Read more

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What does moderate bilateral L4-5 and L5-S1 facet OA with mild ligamentum flavum hypertrophy mean? It's from an MRI Scan I had done.

What does moderate bilateral L4-5 and L5-S1 facet OA with mild ligamentum flavum hypertrophy mean? It's from an MRI Scan I had done.

Back degeneration: Age appropriate moderate spine degeneration with early signs of changes that can become spinal stenosis these findings need clinical correlation they can cause back and or leg pain or be asymptomatic ...Read more

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MRI:Straightening of lumbarspine with suggestion of sacralisation of L5 vertebral body. Mild posterior disc bulge seen at L4-5 level Cause of backpain?

MRI:Straightening of lumbarspine with suggestion of sacralisation of L5 vertebral body. Mild posterior disc bulge seen at L4-5 level Cause of backpain?

Potentially: Degenerative disc disease, as described by your description of the protrusion at L4-5, is one of the most common causes of back pain. Many options for treaent available. ...Read more

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I have mild facet arthropathy from l3-s1 as well as bulging discs at l4-5&l5-s1 and bilateral neural foraminal stenosis @l5-s1. What does this mean?

Mild Back arthritis: Degenerative changes of spine all above findings are 30% asymptomatic may or not be cause of your symptoms. Now you have a more detailed list of suspects to investigate with a spine specialist. ...Read more

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My MRI states that I have 2 bulging disc at L3-4 and L5-S1 and moderate spinal stenosis at L4-5 narrowing the thecal sac to 8.7 mm. What does it mean?

My MRI states that I have 2 bulging disc at L3-4 and L5-S1 and moderate spinal stenosis at L4-5 narrowing the thecal sac to 8.7 mm. What does it mean?

Non-specific: 24y female has reported unilateral sciatica 4 weeks post-delivery & MRI shows "spinal canal stenosis" L-4/5 & "disc bulges" lumbar regions. MRI report does not explain symptoms; disc bulges oft seen in asymptomatic people. More likely birthing injured pelvic sacroiliac joint, now hyper mobile & impinging presacral plexus. Was excessive trendelenberg posture forced while had epidural anesthesia? ...Read more

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Had lumbar MRI for acute butt pain. Says " loss of disc height seen at the l4/5 and l5/s1 levels. Degenerative changes of the sacroiliac joints.

Coccydinia: Degenerating discs in the lumbar spine lose elasticity and cushioning which can lead to tail bone pain. Cortisone injections (caudal block) along with physical therapy and bracing can help reduce the pain. See a neurosurgeon to identify the source of the pain. ...Read more