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  • 5 mm anterolisthesis of L4 on 5 as detailed. Elsewhere, mild generalized

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    Old 05-13-2015, 01:05 PM   #1
    hillpl
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    Question 5 mm anterolisthesis of L4 on 5 as detailed. Elsewhere, mild generalized

    I have had 4 weeks of such pain that I have spent 9 days on strict bedrest which has not helped. Can barely walk. Much pain in right hip and down the right leg. Does anyone know what the report below means? Should I be worried? Dr. gave me gabapentin and it makes me feel horrible. not good taking drugs. Help, I need to work.


    EXAM DESCRIPTION: MRI - Lumbar Spine Wo Con
    CLINICAL HISTORY: Radiculopathy
    COMPARISON: None.
    FINDINGS: Vertebral body heights are within normal limits.
    No aggressive marrow pattern is observed. No fracture is suspected.
    The conus medullaris terminates at a normal level. No thickening of the cauda equina or
    clumping of nerve roots seen.
    L1-2 level: Minimal posterior disk bulge with mild facet hypertrophy.
    L2-3 level: Minimal posterior disk bulge with mild facet hypertrophy.
    L3-4 level: Mild posterior disk bulge with mild to moderate facet hypertrophy.
    L4-5 level: 5 mm anterolisthesis of L4 on 5 noted. Diffuse posterior bulge of disk
    material with mild to moderate facet hypertrophy.
    L5-S1 level: Mild posterior disk bulge asymmetric to the right paracentral region. Mild
    facet hypertrophy.
    IMPRESSION: 5 mm anterolisthesis of L4 on 5 as detailed. Elsewhere, mild generalized
    spondylosis throughout the lumbar spine. High-grade canal or foraminal stenosis at any
    level is not seen.

     
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    Old 05-13-2015, 06:58 PM   #2
    teteri66
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    Re: 5 mm anterolisthesis of L4 on 5 as detailed. Elsewhere, mild generalized

    Welcome to the board. Have you had this problem for four weeks or have there been episodes of previous back pain?

    An anterolisthesis is a spondylolisthesis that slips toward the front side of the spine. This is a situation where one vertebra slips over the top of the adjacent one...in your case, it is a small slippage, measured to be 5 mm. This is a condition that you could have been born with, or it could develop as you age. In later life, it can be caused by degeneration.

    The slip can be active or, it can be stable, meaning it is not slipping any more. In some cases, a spondylolisthesis does not generate pain, but if a spinal nerve gets caught up, it can be painful. Sometimes the pain will come and go.

    Other than these issues, the rest of the lumbar spine appears to be normal. You may want to see an orthopedic spine surgeon or neurosurgeon for a complete evaluation and plan of treatment. Your issues should be manageable with some conservative methods of treatment.

     
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