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Lumbar l4-5 spine fusion not fusing

i had my last flu at fusion on 8/2016 - fast forward to today i am still not well.  I just had a ct Myelogram done last Wednesday and my results are below.  Doe this most likely mean they have to redo this surgery ? Any insite on people who have had to do a surgery again is greatly appreciated. 


EXAMINATION: CT L SPINE W CONT

pain to right LE along L5 distribution

Myelogram (N-67) Contiguous axial sections were obtained through the lumbar spine. Intrathecal contrast had previously been placed under fluoroscopy. Sagittal and coronal reformatted images were performed. Patient age specific scan parameters were used for radiation exposure. COMPARISON: Radiographs most recent 1/31/2018. CT most recent 8/28/2017. MR most recent 12/30/2016. FINDINGS: Prior PSIF/TLIF L4-5. Hardware is intact without evidence of loosening. Bony bridging anteriorly at L4-5 with incomplete incorporation of interbody graft. Thecal sac is adequately decompressed at the operative level. ALIGNMENT: Normal alignment. No subluxations. VERTEBRAE: Small Schmorl's nodes. CORD: Visualized throracic cord and conus medularis are normal size. Conus terminates at L1. AXIAL DISCS, DURAL COMPRESSION AND FORAMINA: L1-2: No central or foraminal stenosis. Facets are normal. Nerve roots are normal. L2-3: No central or foraminal stenosis. Facets are normal. Nerve roots are normal. L3-4: Minimal disc bulge. Facet hypertrophy. No significant thecal sac or neural foraminal stenosis. L4-5:

Postoperative level. Mild bilateral neural foraminal stenosis. L5-S1: Broad-based disc bulge. Facet hypertrophy. Mild bilateral neural foraminal stenosis. Neural stimulator device enters the epidural space at T12-L1 and courses superiorly beyond the field-of- view. Other: Prior cholecystectomy. Partial gastrectomy. Nonobstructive renal calculi. IUD.

ATTENDING RADIOLOGIST AND PAGER NUMBER 511901 Lal Anjali MD

Impression

IMPRESSION: 1. Prior PSIF/TLIF L4-5. Bony bridging with incomplete incorporation of the graft. 2. Developing transfer lesion at L3-4 with worsening disc bulge and facet disease. No significant thecal sac or neural foraminal stenosis.



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Comments

  • memerainboltmemerainbolt IndianaPosts: 6,084

    Soniajstar

    There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
    This includes any analysis, interpretation, or advice based on any diagnostic test 

    The main site has all the formal medical articles and videos for you to research on.


    Sandra
    Spine-Health Moderator
    ---------------------------------------------------------------
    Please read my  Medical History
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