I had spinal fusion June of 2014 as well as removal of SCS that was put in 2005 for my RSD/CRPS. The fusion was done due to spondylitis L4,L5,S1 and now I am having severe pain in my lower back where the battery was and in my hips and pelvis. Can you help me make sense of these results?
L4-L5 patient status post bilateral posterior spinal fusion at this level. There are moderate bilateral facet joint effusions. A small circumferential disc bulge is seen without significant central canal or right neural foraminal stenosis. Mild left neural foraminal narrowing results.
L5-S1 the patient status post laming crony and posterior spinal fusion at this level. There is uncovering of the disc in association with moderate-severe bilateral (left rib and right) neural foraminal stenosis with disc material possibly impinging upon both exiting L5 nerve roots. Mildly enhancing density within the posterior aspect aspect of the spinal canal likely reflects post surgical granulation tissue. No significant central canal stenosis is appreciated
Impression Status post interval laminectomy and posterior spinal fusion with bilateral pedicle screws at L4 and L5 and adjacent post surgical change. Moderate-severe left greater than right L5-S1 neural foraminal stenosis with disc material impinging upon both exiting L5 nerve roots.
Please help me understand what this means and why I'm in so much pain
Also I had a bilateral hips X-ray and the impression says a 9x9 mm rounded sclerotic focus overlying the right iliac wing is new since the 2/23/2005 pelvis radiographs. This may be related to a fecalith in the overlying colon versus a sclerotic bone lesion. A repeat AP pelvis radiograph can be obtained in a couple of days to differentiate between the two. If the lesion persists on the follow up radiograph, additional cross sectional imaging and or bone scan may be necessary.
I don't have an appointment with my neurosurgeon until November 3 and I don't see my pain mgt dr for two weeks. Can you please provide me with some answers any sooner? I'm a 45 year old woman on disability since my accident 3/18/2000 when I broke my right foot and developed RSD/CRPS and was diagnosed with spondylitis L4 L5 at age 16. I have a 15 year old daughter and 14 year old son and I'm in the process of getting a seperation/divorce from my husband of 15 years due to his verbal abuse. I appreciate any information you can provide 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