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Here's my MRI result. Will I be needing back surgery?


Im 27 years old and i had back problem since 2015. Ended up getting 3 injections and i felt good but recently reherniated in August 2018.

Had my MRI last week and wanting to know if i will be needing a surgery...


No compression fractures. Loss of normal lordotic curvature
attributed to pain or muscle spasm. First degree retrolisthesis of
L4 on L5, and L5 on S1. Bone marrow is normal in signal without
evidence of fracture or marrow replacing lesion.
The conus is normal in appearance.

L4-5: 5 mm central disc bulge, which in conjunction with facet and
ligamentous hypertrophy results in mild narrowing of the neural
foramens. No canal stenosis..
L5-S1: Diffuse central disc bulge measuring 0.8 x 1.5 cm in the
greatest AP and transverse dimensions. There is mass effect on
bilateral S1 nerve roots, greater on the right side, while they are
within the spinal canal. There is no canal stenosis. There is mild
narrowing of both neural foramens. The L5 nerve roots exit normally..

Degenerative changes in the lower lumbar spine, most prominently at
L5-S1, as described above.

No compression fractures.



  • LizLiz Posts: 9,760

    Hello 2Young4This8

    Welcome to Spine-Health 

    No one on the Spine-Health patient forums is medically qualified or permitted 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  



    Veritas-Health Forum Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • memerainboltmemerainbolt IndianaPosts: 6,476

    Have you discussed these findings with your doctor? He is the only one that can provide you with an answer on surgery and you are the one to accept or decline. It is also a good idea to get a second opinion.
    Keep us posted on what you find out.

    Veritas-Health Forum Moderator
    Please read my  Medical History
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  • Hey 2young. As they said, we can’t give advice. But I can share my experience. A few years ago (at 42), I had pain that was attributed to my first degree retrolisthesis (also called spondylolisthesis) at l5-s1. But I also had severe neuroforaminal narrowing, where yours is mild. I had a single level fusion to stabilize it and decompress the nerves in 2015, and it really was traumatic, and made things worse. I am getting ready to have a revision surgery. Of course those with positive outcomes are not hanging around this forum, so take this with a grain of salt. 

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