I'm looking for a second opinion really quick. I have suffered from back / neck problems for years, had a triple disc fusion in my neck and a disectomy (sp?) in my lower back. I understand chronic pain and the personal challenges that come with it. My concern is that my 26 year old daughter, mother of a 2 year old, who has the following results from a recent MRI, has a doctor that has scheduled her for a lumbar laminectomy surgery this monday, 7/13/15. She feels this is what is needed to get her life back. After reading her MRI results, I don't agree, however I am not a doctor, and would love some advise!
- The visual perivertebral soft tissue are unremarkable.
- The conus medullary is demonstrates normal signal characteristics and contour
- Vertebral body heights are normal. Vertebral marrow signal is homogeneous and normal
- There is mild degenerative endplate signal noted posteriorty at L4 inferiority.
- L3-L4: Minimal facet anthropathy
- L4-L5: Moderate broad -based posterior disc protrusion, mild facet and ligaments flavor degenerative changes resulting in mild narrowing of the inferior left rural foramen without compression of existing nerve root. Protrusion indents the ventral theca sac without significant central canal stenosis.
-L5-S1: A mild cental posterior disc protrusion. T2 hyper intensity within the posterior margin of the disc indicative of annular issue. Mild bilateral facet arthropathy No central canal or foramina stenosis.
Impression: Degenerative changes in the mid to lower lumbar spine as detailed above, most significant at L4-L5.
There is nobody on the forum medically qualified or permitted to interpret or advise on an MRI finding this is something you need to discuss with the doctor