I received a written blurb from my PA who recommended I seek surgery. He stated I would need pins down my spine. also recommended pain management. I refuse to take narcotics so that is not an option.
The impression was
1. early degenerative arthritis
2. schimorl's node inferior endplate of L1
3. minimal retrolisthesis of L1 on L2 through L4 on L5
Circumferential disc bulges L1-L2 through L5-S1 impinging on the anterior spinal canal.
No evidence of spinal stenosis or nerve root clumping
Lumbar tilt to the right.
When I am n pain, it is so severe, I cannot function or move.
will someone please assist me with these results as my PA did not offer much.
Do not enter into a spine surgery without getting at least one more opinion. I'm not sure what the PA meant by "pins" so it is difficult to comment.
I am only aware of two situations were hardware is used on the lumbar spine. One is for a fusion procedure and the other would be for scoliosis.
You have spondylolisthesis mentioned: minimal retrolisthesis of L1 on L2 through L4 on L5
Of course I am not a doctor but this finding is somewhat strange to me....spondylolisthesis is when one vertebra slides over the top of the adjacent vertebra. Retrolisthesis just indicates the direction of the slip, in this case to the posterior side....it is most common to have one level slip. I haven't known of anyone else who had a whole lumbar area, like L1 to S1 to all be affected with spondylolisthesis. Second, the spondy is described as "minimal" which is the smallest amount that is rated. I am assuming this would be considered a Grade 1 spondylolisthesis which is usually just noticed and watched. Surgery would not be done to correct it unless there was severe nerve compression associated with it.
The only other issue, which may or may not be significant are the disc bulges at all levels from L1 -L2 to L5-S1. These are not described so it is impossible to know how significant they are. Many people have disc bulges. In only a small percentage of people are they symptomatic. They become a problem when they are compressing a nerve or causing stenosis, or something similar. It would be unusual to have that many discs that would require surgery.
So I am a bit curious why a PA would tell you that you should have surgery that required "pins."
Sorry I can't be of more help. I would suggest you get an opinion from a spine specialist who will discuss your problems in detail.
Thank you for your response. I have made an appointment with a neurosurgeon but since my MRI was 1 year ago he is requesting a new one to compare the two. I just picked up my CD and radiology report to bring to the surgeon and what I wrote came from the report.
Thank you for your help. It is appreciated.
Be sure to request a copy of the MRI and the radiology report when you go in to get the test. It is easier to gather this information at the time of service rather than having to go back months or even years later to get a copy. When one has spine issues, it is a good idea to start a file for your own use.
After you get the new report, we can help you take a look at it.
What are your symptoms?
The Following User Says Thank You to teteri66 For This Useful Post: magick1130 (11-30-2012)
I will and thanks for the advice. Once my new MRI is done I will let you know.
Appreciate your assistance.
My symptoms began about 1 year ago when I was mopping the floor and heard a "swoosh" in my back. The pain was indescribable. Since that time I have had times where I am bending or cleaning and it happens again. When it happens I cannot walk and am pretty much bed bound. No leg pain or numbness. No tingling just severe lower back pain right by my tail bone. I live in constant fear that any movement will aggravate it.
Last edited by magick1130; 11-30-2012 at 02:35 AM.
Reason: Forgot to add symptoms