Hi this my first post . I was in a car accident in 2000 and 2012. I am 34 years old and female. I live in southern California. These are a cliffs notes version of my CT scan, Mri and x Ray findings. I have had no sugicial proceedures done to date. I am on very low doses of medication 1 mg of Tianazadine, 2.5 of IR oxy and 800 ibuprofen. I have generic lidocine patches also that I use sometimes also. I can't do injections due to the spinal canal being compromised to the extreme per PM. I now have a new PM that said he would do them. I can not take a lot of pain medicine and work, that is why my does remain so low. Truth be told I don't think any amount of medication would help the the daily pain I have. My bones pop and crack with every move I make. The pain is so deep at this point I don't know what a normal day feels like any longer . I am watching physically my body curve and twist from the now scolosis I have. Surgery was offered to me after the 2nd car accident which I declined since the 1 St fracture I had healed so well. I thought the pain would just go away like it did the first time. It took 2 years but finally the pain was nothing but a dull ache occansionly . This 2 nd one is so much worse. I am scared of surgery since they will fuse all of my lumbar and I will lose my ability to bend . I have down for years on and off since 2000 from MVA s .
6-8-2000 CT Scan of Lumbar Spine from MVA 4-26-00
Fracture through the L1 Vertebral body with mild retropulsion into the canal but no significant stenosis of the central canal.
2-8-2012 CT Scan of Lumbar Spine from collision into a retaining wall off the freeway.
Old compression deformity of L1. There is a burst fracture of L2 now. The fracture extends into the left pedicle, the left facet joint and the left lamina. There is a large retroplused bony fragment into the spinal canal. There is a compression and displacment and the cal sac and cord posteriorly . The AP diameter of the canal measures 4.5mm. There is an edema and a retroperitoneal hematoma along the right psosas muscle .
3-30-2012 CT of Lumbar Spine
There is a burst fracture of L2. The vertebrae body is collapsed. Bone projects into the spinal canal 8 m m clearly causing spinal senosis and reducing the canal diameter at the midline to about 5 m m . There is a loss of 50 % vertebrae height . There is an old decompression. Of L1 that is mostly situated to the right of the midline, causing an eccentric wedging to the right and loss of approximately 50 %. It appears that some of the disk protuded I o or through the superior end plate of L1. There is prominent marginal end plate spondylophyte formation anteriorly and latterly at L1 - L2. Also indicating the chronicity of this process. The remaining vertebal body is intact . T11-T12. Spinal canal are normal . there is mild narrowing of the facet joints.
L1-L2 There is vacuum disk phenomenon at this level . as stated above there is a burst fracture of L2 into the spinal canal . causing moderate to severe central spinal stenosis . there is mild widening of the facet joints at this level.
L2-L3.Bone protrudes into the left neural foramen from the posterior inferior end plate . This is causing moderate foraminal narrowing . There is moderate right narrowing less to the left . spinal canal diameter in the midline at this level measuring 9.0 -10.0
L4-L5 2.0 -3.0 m m disk bulge
L5- S1 2.0 -3.0 mm disk bulge with end plate spondyophyte. On that side of L5.
Degererative changes through the lumbar spine. There is an old fracture of the transverse process of L2.
5-12-2014 XRay of Lumbar Spine
There is scoliosis of the lumbar spine to the left. Degernative facet disease is seen. Fracture of L2, L1 again noted.
7-12-2014 The superior aspect of L2 is prosterior in position in the spinal canal is compromised. Is the sagittal dimension measures 11 m m on this study. This is comparable to the prior study . at the inferior portion of the L2 the narrowest part 7 m m . This L2 - L3 neural foramina are narrowed bilarerally. L5 S1 and has degernative disk disease w 3 m m broad based bulging .
7-1-2015 X Ray lumbar spine
We notice significant compression deformity of Body of L2 vertebrae with extension posteriorly in the spinal canal . There is calcification of anterior spinal ligament . Moderate anterior osterophytes are seen at this level. Once again we see narrowing of the disk space at L5 - S1. Facet arthritic changes are seen at this level . Levoscoliosis is present . There is a posterior extension of L1 L2.
I have an CT neXT WEEK AGAIN. Has anyone had lumbar all fused w surgery ?