Hello everyone, i was wanting some help, this is my second ddr and one says i have spondylolishtesis grade 1 and the other says grade 2. I will type exactly what this says and please give me some opinions
L1-L2 disc: Extra dural indentation of the thecal sac due to hyperthrophic spurs and mild central buldging of disc.
L2 L3 unremarkable
L4- L5 Disk Grade 2 Spondylolisthesis of L4 over L5. Central buldging of disc was seen. Foraminal stenosis is seen on the Right. Intermediate signal intesity seen at the marginal plates due to arthritus.
L5 S1 Disc. Paracentral bulging of disk was seen on the Left side exciteing into Left Neural canal with formal stenosis. No cental canal stenosis.
Paracental herniation of L5-S1 disc impinging over the exciteing lateral root and causeing Left foramal stenosis
Extra dural indentation over the thecal sac at L1-L3 disc due to hypertrophic spurs and cental buldging disk.
was wondering if i will be able to work as a heavy laborer after surgery.
thanku for any answers my back is in pain and i think i will need surgery and just trying to figure it out.
Last edited by jasonrekart; 08-04-2011 at 07:01 PM.
Welcome to the board. I'm afraid I do not understand your question. The radiology report you copied indicates there is a grade 2 spondylolisthesis at L4-5. That means the slippage ranges from 25 to 50%. With that amount of slippage it does not necessarily mean that surgery is necessary. It depends on what other symptoms you have and how badly spinal nerves might be compressed.
I had a grade 1 spondylolisthesis and ended up with surgery because I was very unstable from L3 to S1.
How long ago were you diagnosed? I have grade 4 spondylolthesis. Before you jump into surgery please try conservative methods( physical therapy injections. accupuncture ext..) I know my neuro told me even at a high grade ( with at first very minimal pain) that once you have surgery you can't go back. I would try other options first and if all else fails then consider surgery. Low grades do respond better to conservative treatments. Good luck to you. I totally understand the pain and struggle. Especially with the lifting issue( I have a 15 lb weight max)
Thanks Jacquelyn i appreciate your advice, but i think if you do the excercise why and the shots that the problem is still there just covering it up, but like i said i dont know much about this. I have been haveing problems with my back for years and now it is hard for me to even get around and been off work since this happened july 8th this year. I work on the river as river boat mate and it is heavy work so i am afraid i will not be able to do that anymore
If you were to have surgery and if it were without incident, and you healed completely, you MIGHT be able to go back to heavy work after the first year. (It takes a good year for the bone to grow in strong and "set"). But I would say that chances are equally good that you could go through surgery and still end up not being able to resume your current occupation. I'm not sure how heavy the workload is, but I can imagine it is hard on the spine, right?
I also would imagine that trying to continue with your job while you are attempting to make your back better through conservative means is going to be close to impossible. Usually in order for the spine to heal, you have to stop doing the activities that got you into trouble in the first place.
thanks tetonteri66 for the quick answers. At work i will have to lift objects that way over 100 pounds numerous times a day and yank 75 pound wires into a ratchet. It is very hard lifting work and alot of twisting climbing. I just got done reading that if you do that kind of work more then likely your spondylolisthesis will worsen. What do you think. Then if haveing surgery i here that is to hard to, what do u think.