First time newbie to the site, I have a Dr appt monday to discuss the results of the MRI I had Friday 19th Dec.
L3-L4: Generalized disc bulge. Mild facet hypertrophy. The central canal and bilateral neural foramina are mildly narrowed.
L4-L5: Shallow central disc protrusion. Facet arthropathy. The central canal and bilateral neural foramina are mildly narrowed.
L5-S1: Central disc protrusion. Facet arthropathy. The central canal and bilateral neural foramina are mildly narrowed.
S1-S2: Facet hypertrophy. Mild retrolisthesis. Central canal and bilateral neural foramina are mildly narrowed. Sacrum: The terminal thecal sac and visualized sacrum are within normal limits.
Soft tissues: The paraspinous soft tissues and visualized portions of the retroperitoneum are unremarkable.
1. Lumbar edema in the spinous process of S1 is new compared to previous MRI of 05/09/2011. This may be the
result of previous surgical intervention.
2. Multilevel mild spondylosis as described above resulting in mild spinal stenosis.
3. Mild degenerative retrolisthesis at S1-S2.
I had a car accident Feb 2011 where I was rear ended, not a major impact but damage to my car and theirs, Instantly I had pain in my lower back and neck.
Initial diagnostic methods over the course of 2 years determined no root cause for the significant pain, I had multiple MRI's CT's X-Rays, nothing. I had been diagnosed with DDD and was simply told I had to live with it, I went finally to spine specialist in Austin and during an x-ray guided injection he correctly identified Bertolotti's syndrome, L5-S1 left side transverse process had fused to my hip and had in the accident cracked and never healed properly.
After PT, drugs and steroidal injections I became a candidate for surgery, I had a partial laminectomy of the L5 transverse process, leaving the bone bridge, partial fusion intact (Nov '12)
Recovery from the surgery went incredibly well and I was pain free for about 6 months at which time the pain came back incrementally until it was rare to have a day without pain, PT again, anti-inflammatory pills, steroidal injection. No help.
Discogram eliminated the discs as a cause for pain and no disc protrusion was seen in any of the previous MRI's.
Second surgery, April 2014, Went in more aggressively and removed the bone bridge between the hip and L5, Bone showed regrowth and was spongy. Dr stated he didnt want to get too close to the hip due to bleeding risk.
(Option was given for either fusion on more aggressive laminectomy, I went with the quicker recovery time)
Surgery went well, again quick recovery, back at the gym for light walking 2 weeks post surgery, however there was no relief from the pain.
X-rays and Steroidal injection showed no sign of bone growth, was advised no further surgical options, I continued to have pain and disagreed with pain management stating the pain was singular, what I class as bone pain, deep and you can press on the spot at the hip, lower back and can isolate. Pain management had led me down 2 years of non diagnosis and I did not want to go that route again, I pressed for a follow up MRI and the results are above.
My take on the results are that my lower back has destabilized post surgery, the freeing of the segment and removal of the ligament between the transverse process and the hip has had negative effects.
I would like to be prepared with questions as I have taken as much information in as possible over the past couple of years, I have copies of all my MRI's / scans and try to read up on treatment options so I can better prepare for them.
I am unable to exercise due to the pain, have gained about 20lbs since the surgery, physical therapy has not helped, neither have the meds or other treatments.
Am I right in thinking that fusion is looking more like the correct option here? Any other suggestions or questions I should ask?
Thanks in advance.