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Discal Bulge and Annular tear

Hi All,

my sister is recently suffering with backache when we undergone

MRI, the Impression from the Radiologist is

1) Sacralized L5 Vertebra.
2) Discal bulge, broad based central/jright paracentral protrusion, annular tear at L4-L5 with compression of thecal
sac, right traversing root.
3) Narrowing of spinal canal, lateral recess at L4-L5, L5-S1.

When we consulted a doctor, he was suggesting operation. Please suggest if we have to undergo operation for her.
Her age is 25. So not sure if we have to opt operatoin at this age and we also not aware of complications once the operatoin
is done.

Please suggest what kind of treatment is required at this stage. Thank you.
Praveen Thota


  • BpainFree39BBpainFree39 Posts: 127
    edited 03/10/2013 - 7:36 AM

    We aren’t doctors here, but the findings are those that can surely need to be corrected by surgery.
    The protrusion and narrowing are both nerve pain causing conditions. I had 2 tears / with leaking disc material.
    I had to have a fusion to correct my problem.

    I recommend is that she needs to try all conservative treatments first; like
    Pt, medications, injections, etc, etc. Surgery should only be considered when all of these other things fail.

    Good luck,
    Left foramina stenosis of L3/L4 (retrolisthesis)
    L2-ilaic revision fusion ( loose screws) with a laminectomy at L3 (cage at L3-L4)
    (PLIF) -@ L4/ L/5 - S1 (cage at L4/L5)
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