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Old 12-29-2012, 04:33 PM   #1
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MRI results on back pain

Just receive Clinical Summary: Lumbargo, pain radiating to the lower limb
Procedure and Findings:Multiplanar multisequential lumbar spine mri scans are presented
- There is early reversal of lumbar lordosis implying a muscle spasm.
- All lumbar discs are hypointense on T2W suggesting reduced water content.
- Axial scans shows a diffuse annulus disc prolapse at L3/L4 and L4/L5.
- The prolasping disc material indents the cal sac.
These are associated with bilateral radicular canal narrowing at the same levels.
Spinal dimension is reduced at L3/L4 and L4/L5

[U]Conclusion[/U]- L3/L4 disc prolapse with bilateral neuralforamina stenosis
Dessicated Lumbar discs
Moderate lumbar canal stenosis at L3/L4 and L5/L6
Lumbar muscle spasm

Doctor recommended the following for my 68 yr old mom that due:
evidence of disc prolapse L3L4 L4L5 causing compression of the dural sheath and nerve roots at that level. Requires posterior decompression L3L4 L4L5 posterior stabilisation and fusion with cages L3L4 L4L5.

The question is guys: Any advise

 
Old 12-29-2012, 09:30 PM   #2
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Re: MRI results on back pain

Welcome to the board. I gather you are writing about your mom and these are her MRI results?

How bad is her leg pain? What other symptoms does she have? What conservative treatments have been tried (such as physical therapy, epidural spinal injections, oral medications, etc.)? How is her general health and how active is her lifestyle?

The recommendation for the fusion makes sense if her pain is keeping her from living her life. But it is important to figure out the pros and cons as fusion is a big surgery and there are no guarantees that it will turn out with the desired results of being free of pain.

I would also strongly recommend getting a second opinion from another spine surgeon. If you decide surgery is the way to go, the most important decision you will make is the selection of the surgeon. You want to be sure you have the best trained, most experienced spine surgeon that is available to you. Do not make this decision without considerable thought, research, etc. Plus there are neurosurgeons and fellowship-trained orthopedic spine surgeons who both work on spines. Sometimes they look at a problem slightly differently...and there are a number of ways to perform a fusion, so it is worth exploring all these options. You want to find a surgeon you are comfortable with and whom you trust.

 
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Old 01-01-2013, 03:29 PM   #3
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Re: MRI results on back pain

Many thanks for the feedback, well a lot physio carried out but her mobility is deteriorating and pain is increasing as time goes on.

 
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