Hi! My name is Bob,
I have had 4 back surgeries with the most recent one being 3/26/13. My last 2 have both been fusions. I am fused from S1-L3. After my last surgery I felt good until about November of 2013. I started developing back pain and leg pain again. So I now see a pain management since that time. I ended up having a scs implanted. It does help,but still need pain meds. I recently asked them if they would do an MRI,because my scs is MRI compatible.
I had the MRI done on July 24. I see my pain doctor on September 3rd.
I have the results on our hospitals My Chart system. I was wondering if anyone can tell me if I should be concerned. I don't want to have more surgery,but if it is needed I will have it done. I am concerned about the L2-L3 level ,because of the Cauda equina being pinched. I am also concerned about the fluid collection by the L5-S1 area that is causing more nerve pinching.
Here are the findings from my MRI. If anyone can help with my concerns. I would greatly appreciate it!
Patient Name: VESELIK, ROBERT ALLEN
Patient DOB: 08/24/1961
Date of Exam: 07/24/2015 Occurrence #: 025137472 DocID: 569357
Report: MRI L-SPINE WO CONTRAST
Dictation location code 22
MRI L-SPINE WO CONTRAST
Postlaminectomy syndrome, bilateral leg pain, low back pain
Multiplanar multisequence MRI of the lumbar spine was performed without contrast.
Comparison: CT abdomen pelvis 01/13/2015, CT lumbar spine 04/23/2014
The conus terminates at the T12-L1 level. Postoperative changes are noted with bilateral pedicle screws and vertical interconnecting rod constructs at the L3-L4-L5-S1 levels. Interbody bone grafts are noted at the fused segments.
Bone marrow signal intensity in the lumbar spine is within normal limits.
Lumbar spine levels: Artifact from the spinal stimulator electrodes limits evaluation.
T12-L1: Mild facet degeneration.
L1-2: Mild facet degeneration without canal stenosis. Neural foramina are normal.
L2-3: Diffuse disk bulge and bilateral facet degeneration with ligamentum flavum hypertrophy. There is moderate canal narrowing with cauda equina impingement. This disk level represents cranial limit of the fusion. There is also bilateral moderate
L3-4: Postoperative changes noted. There is a laminectomy that effectively decompresses the central canal. The neural foramina are patent.
L4-5: Midline laminectomy noted. Postoperative changes are present at this level. Neuroforamina are within normal limits.
L5-S1: Midline laminectomy. There is mild right foraminal narrowing noted. Central canal is mildly narrowed secondary to posterior T2 hyperintense fluid collection in the paraspinal soft tissues at the laminectomy site.
Prevertebral soft tissues are otherwise without significant abnormality. A small cyst like lesion identified the left kidney was seen on previous CT from January 2015 and remains stable.
1. Postoperative changes in the lumbar spine with a well decompressed central canal between L3 and S1. There is transitional level degenerative change at the L2-3 level with a diffuse disk bulge that causes moderate canal narrowing. There is mild
impingement upon the cauda equina. There is also bilateral moderate foraminal narrowing at this level.
There is no component information for this result.
07/24/2015 1:34 PM
07/24/2015 1:59 PM
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Again thank you if anyone can help me!
No on one the Spine-Health patient forums is medically qualified to provide any advice or
or recommendations on any diagnostic test. However, the following key words can always be applied.
MILD Treated with conservative measures such as Physical Therapy and mild medications. Many times these situations can be cleared up and the condition can be resolved.
MODERATE Some more treatments may be needed, ie Spinal Injections, Ultra sound and stronger medications. Always a possibility of more aggressive treatment if the conservative measures don't help
SEVERE Need for stronger medications. The requirement for surgery may be necessary
Liz -spine-health moderator