Re: Please help with MRI results
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: [B] minimal retrolisthesis of L1 on L2 through L4 on L5[/B]
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.