Hi all. I had l4/l5 PLIF in September of 09 and had revision surgery in October, 2010. I had a non-union and the hardware was coming out. I just had a CT scan of my lumbar spine to confirm that I am fused from the 2nd surgery, which I believe I am, and to determine why I have new nerve pain at S1 going down my butt and back of the left leg and in my 2 outside toes. I just received the report from the hospital and am waiting for my visit with the dr on the 27th. The report says that I have a bulging disc at L4/L5 and am confused because the disc should have been removed completely from the fusion surgery. Anyone have any ideas?
This is what the radiologist put as his impression on the report: no destructive change is seen but there does appear to be some soft tissue thickening and loss of fat planes on the left and disc bulge into the lateral recess and perhaps even involving the nerve before the neural foramen is suggested. Although there is metal artifact present, MRI may be helpful in confirming this or study after myelography could be performed.