Surgery is set for December 2nd. In addition to the MRI results, X-Rays confirmed spondylolesthesis with 50% slippage. In 3 months I went from not having lower back problems really to needing spinal fusion surgery. I'm curious, in reading this report is this average of someone having issues, not too bad, or yeah surgery is definitely what is needed here. I'm just trying to get a gauge on how bad this all seems. I realize you all aren't doctors, but thought maybe some of you might be able to help put this in laymans terms for me. Thanks.
Findings: There is also the suggestion of approximately 8mm left lateral subluxation of L3 and L4. There is 5mm anterior subluxation of L3 on L4 on the sagital images that is degenerative in nature. Severe disc desication and disc space narrowing is noted on the L3-L4 level. The remaining discs are no rmal in appearance. There are extensive, acute endplate changes at the L3-L4 level that are eccentrically located along the left aspect of the disc. There is otherwise normal signal visualized in the osseaous structures. the conus termiates at the upper endplate of L1. The nerve roots are normal in appearance.
L3-L4: Unroofing of the disc with superimposed broad based disc buldge. Severe bilateral facet arthropathy and ligamentum flavum thickening. Moderate to severe bilateral neural foraminal narrowing. Severe spinal canal stenosis.
Impressions: Severe degenerative disc disease at the L3-L4 level resulting in a combination of anterior subluxation of L3 on L4, acute endplate changes, unroofing/bulging of the disc and facet arthropathy. All of these factors result in moderate to severe bilateral neural foraminal narrowing and severe spinal canal stenosis described above.