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Anterolisthesis of L4 over L5 and L5 over S1 levels

baptudasbbaptudas Posts: 1
edited 12/27/2015 - 11:13 PM in Degenerative Disc Disease
As per MRI Report - suffering from Spinal Disorder. Please suggest if same can be treated without surgery.

DATE OF M.R.I : 12.12.2015

Sequences: Sagittal -T1, T2, STIR
Axial — TI, T2
Coronal- T2

Scoliosis of lumbar spine concavity to right.
End plate osteophytes at L3 to L5.
Grade I anterolisthesis of L4 over L5 and L5 over SI levels. No evidence of fracture.
L4-LS and LS-SI disc level - Grade I anterolisthesis of L4 over L5 and L5 over S1 levels along with diffuse disc bulge and bilateral ligamentum hypertrophy changes are causing severe circumferential central canal stenosis, severe right and mild to moderate left neural foraminal stenosis,. Impingement of intrathecal nerve roots and right L4 & L5 traversing nerve roots.
Rest of the vertebral bodies, pedicles, laminae and spinous processes show normal alignment and
MR morphology.
Rest of the intervertebral discs show normal signal intensity and no evidence of disc prolapse. The conus medullaris and nerve roots of cauda equina and CSF sub arachnoid spaces are normal. Thrre is no abnormality of the para vertebral soft tissues.
Dis levei L I /L2 L2/L3 L3/1.4 L4/LS LS/St
AP d imeastoiz of ceatcef 1.63 I.55 1.66 0.?S 0.76
cene cm)

Disc Level L1/L2 L2/L3 L3/L4 L4/L5 L5/S1
AP dimension of central canal (cm) 1.65 1.55 1.66 0.75 0.76

• Grade 1anterolisthesis of L4 over L5 and L5 over S I levels.
• Lumbar spondylosis with degenerative disc disease at L4/L5 & L5/SI levels showing Grade I anteiolisthesis of L4 over L5 and L5 over SI levels along with diffuse disc bulge and bilateral ligamentum hypertrophy changes are causing severe circumferential central canal stenosis, severe right and mild to moderate left neural foraminal stenosis, impingement of intrathecal nerve roots and right L4 & L5 traversing nerve roots.

CONSULTANT RADIOLOGIST _ This report is not for medico-legal purpose. In case of any discripancy in report due to machine or typing error kindly get it rectified immediately. _ _

Welcome to Spine-Health

It would be very helpful if you could provide us with more details. So many times we read about members who have different tests and they all come back negative. The more clues and information you provide, the better chances in finding out what is wrong,

Here are some questions that you should answer:

  • - When did this first start?
    - Was it the result of an accident or trauma?
    - What doctors have you seen? (Orthopedic, Neurosurgeon, Spine Specialist, etc)
    - What Conservative treatments have you had? Which ones?
    - What diagnostic tests have you had? And their results (MRI, CTScan, XRay, EMG, etc)
    - What medications are you currently using? (details, dosage, frequency, etc)
    - Has surgery been discussed as an option? (If so, what kind)
    - Is there any nerve pain/damage associated?
    - What is your doctor’s action plan for treating you?

Providing answers to questions like this will give the member community here a better understanding
of your situation and make it easier to respond.

Please take a look at our forum rules: Forum Rules

Please remember that no one at Spine-Health is a formally trained medical professional.
Everything that is posted here is based on personal experiences and perhaps additional research.
As such, no member is permitted to provide

  • - Analysis or interpretation of any diagnostic test (ie MRI, CTscan, Xray, etc)
    - Medical advice of any kind
    - Recommendations in terms of Medications, Treatments, Exercises, etc

What could be good for someone could spell disaster for another.
You should also consult your doctor to better understand your condition and the do’s and don’t’s.

It is very important that new members (or even seasoned members) provide others with details about their condition(s). It is virtually impossible to help another member when all the details we have are
I’ve had this for years, it hurts, I cant move my shoulder – what could this be, what treatment should I get?

Diagnosing spinal problems can be very difficult. In many ways its like a game of clue. Especially, when the diagnostic tests come back negative – no trouble found! Then its up to the patient and the doctor to start digging deeper. The doctor is like a detective. They need clues to help them move along. So, you as the patient need to provide the doctor with all sorts of clues. That is like it is here. Without having information about a condition, its impossible for anyone here to try to help.

Specific comments :

Personal Opinion, not medical advice :

No one on the Spine-Health patient forums is medically qualified to provide any advice 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
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