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TLIF L4-5 Post Surgery foot drop and possible anarchnoiditis??


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Old 06-16-2018, 08:13 AM   #31
teteri66
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Re: TLIF L4-5 Post Surgery foot drop and possible anarchnoiditis??

I will respond this evening. I am just heading out for the day. I agree regarding injection and would definitely not do the SCS if I were in your shoes. The fact that you feel best upon waking is a good sign in my book.

 
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Old 11-05-2018, 09:18 PM   #32
gabrialo
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Re: Need help on MRI Report at TLIF L4-5 1 year Post Op

Hello Everyone,

I've been posting here for a while and need help on my new MRI report taken 10 days ago.

Iím 12 months post-op with minimum invasive TLIF on L4-L5 due to unstable Grade 1+ spondy.
I woke up with numbness from left knee down to toes and nerve pain from left thigh down to toes. It has not improved since surgery and I just had CT and MRI done last week for my 12 months post op with neurosurgeon.
The below is the MRI report and I need help to understand the issues sites under the IMPRESSION section as it mentioned severe stenosis, nerve compression and grade 2 or higher spondy but did not indicate which level(s) in the detail section above!?
Any help or insights would be greatly appreciated
thanks so much!

FINDINGS:
Osseous and Disc Structures: Anterior posterior spinal fusion L4-5.
Stable grade 1 anterolisthesis L4-5. Vertebral body height well-maintained. Mild disc space narrowing L5-S1.
Spinal Canal: Visualized conus medullaris is normal in signal and position.
Paraspinal Soft Tissues: Unremarkable.
Findings at individual levels are as follows:
L1-2: No significant canal or foraminal stenosis.
L2-3: No significant canal or foraminal stenosis.
L3-4: Mild facet arthropathy. Mild right foraminal disc bulge with annular tear with mild inferior right foraminal narrowing.
L4-5: Circumferential disc bulge and moderate facet arthropathy without significant canal narrowing. Left foraminotomy changes. There does appear to be at least moderate left foraminal narrowing. Mild right foraminal narrowing.
L5-S1: Mild circumferential disc bulge and mild facet arthropathy without canal narrowing. Mild bilateral foraminal narrowing.
IMPRESSION:
Anterior posterior spinal fusion and left foraminotomy L4-5. No significant canal narrowing.
There does appear to be at least moderate left foraminal narrowing at L4-5. Mild foraminal narrowing elsewhere as detailed above. Lumbar spine MR epidemiology
The following findings are more likely to be clinically significant:
* Moderate or severe stenosis
* Disc extrusion
* Nerve root displacement or compression
* Grade 2 or higher listhesis
The following findings are less likely to be clinically significant:
* Annular Fissure
* Disc height loss
* Mild stenosis
* Nerve root contact without displacement/compression
* Grade 1 listhesis
* Disc dessication
* Disc bulge
* Disc protrusion
* Facet degeneration (any severity)

 
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