I just had a Discogram and CT that followed and the results found a Grade 5 tear at L3-4 and Grade 5 at L4-5. I had a fusion on L2-3 back in 2006.
My question is, Will this require another fusion or even a double fusion? Or no surgery necessary?
I am scheduled to see my doctor next week and of coarse would like to know what my options are and if anyone else has had this same result on these disc's and what treatment they had done.
The Imaging report reads as follows:
L1-L2: There is a right lateral annular penetration to a minimal degree in a curvilinear fashion which does not reach the outer surface. This would be consistent with a grade 2 leak.
L2-L3: Pedicle screws are seen above this level with an intervening disc spacer. No injection of L2-3 was made.
L3-L4: Pedicle screws are seen at L3. Injection of the disc demonstrates extension of contrast material anteriorly and spreads concentrically around the disc. There may be a small extension of contrast material beyond the disc suggesting this is a Grade 5 tear rather than a grade 4 tear.
L4-L5: There is extension of contrast material anterior to the L5 vertebral body inferior from the disc. This would be consistant with a Grade 5 tear.
L5-S1: There is a least partial sacralization of L5 as described.
Sagittal reformatted images demonstrate no evidence for spondylolisthesis or spondylolsis at any lumber lever
Grade 2 tear at L1-2
Grade 5 tear at L3-4
Grade 5 tear at L4-5