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pars defect in lumbar spine

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13

Comments

  • Hello I posted resently and I am new to this sight..in Feb 2011 I was diagnosed with spondylolisthesis (mri says grade 1 - xray says grade2) who do i believe?? It says on the report I have that three views of the lumbar spine sho a grade 2 (this is reading fom x-ray)spondylolisthesis of L5 on S1. Bilateral pars defects are present. Volume loss in the endplates at L5 are present. The upper lumbar interspaces and vertebral are inteact...can u explain this to me plz? the pain dr just told me yes it shows u have 2 pinched nerves and nothing else has been said...i have had 3 epidual steroid shots..and the last month 3 selectice nerve root blocks..the pain is worse than before I started all this...he told me yesterday he was referring me to a surgerion...should I be this scared?? thank for your help:)
  • Hello everybody,

    I fall from the stairs before 5 months and that s when my story started.First I was sent to do MRI of cervical,thoracic and lumbar spine.Cervical spine C4-5 bulging discs,thoracic spine normal and lumbar spine L4-5 degenerative disc disease.My symptoms neck pain,headaches,back pain,pain in legs numbness and cramps also,I was barelly walking.I couldn t walk too much or seat too much.My doctor sent me to pain managment where the doctor gave me epidural injection in lumbar spine what caused me greater pain and after 3 days I end up in emergency room almost paralyzed.After that pain managment doc.order me again for MRI which showed C5-6 hemangioma,with straightening of cervical spine reflecting muscle spasm,L4-5 showing dorsal annular tear and a broad mild disc protrusion.disc material extends in right neural foramen narrowing the anterior inferior aspect of the right neural foramen to a mild degree.After that pain managment doc.said he isn t giving me anymore the injections.I was reffered to Memorial Hospital what was my biggest mistake from neurologist since my emg was normal and Mri s not.I came to Memorial and they put me in the room with director of neurosurgery who said that he saw my cd s of mri s and he doesn t see nothing.After physical exam he said that something is wrong with me and he will reffer me to my doctor.I had to pay them copay and they charge my insurance for nothing but I m disputing that charge like my insurance.Beware of that,don t go there for help because they wan t help you.After all of that I read on the internet about the Bonati spine institute so I decided to go there because my condition was not getting better.In Bonati they done evaluation and orthopaedic surgeon talk with me explaining that I have the fracture and that he will try to do proccedure which is called ablation billateral pars fracture on L5-S1.I agree to go on the surgery because it s done with local anesthesia and with laser.After surgery I felt relief,no pain in legs I thought that s it,but one week later again my symptoms are here so my primary doc.send me to CT scan of lumbar spine.CT scan show L5-S1 billateral L5 pars defect and sacralization of L5 with no spondylolisthesis. :jawdrop: :OO I still have appt.with surgeon from Bonati spine institute for one month,he said if the first surgery doesn t help than we will proceed to 2nd.I m totally lost,don t know what to do anymore,I m not going anymore on surgery that s for sure.I have 3 different opinions none of them didn t help,I know this sounds like that show Mystery diagnosis but I m wondering where to find a specialist in the spine area who will diagnose me with right condition.I apprecciate any help,thank You :/
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  • im 30 years old and was hurt by a teacher when in high school for not doing something he asked. i said no, so he pushed me to the ground, my legs went one way, my body the other. i now have a pars defect, which i was put in a brace for 2 years to try and heal. i also have 3 ruptured discs, disc degeneration and ankylosing spondylitis. L2 L3 L4 L5
    i have not had, nor will i ever have surgery. i am treated with gabapentin, endep, naprosyn and morphine sulphate as well as morphine skin patches. this enables me to lead a good life. prior to being medicated i spent most of my teenage life in and out of hospital. my specialist finally got my drug combo and levels right, now i can live my life. i can only drive an auto car, cant walk long distances and cant stand for long. however, im happy with that as it beats being bed ridden like i was before. i have been told it would be too dangerous to have a child as my back would get so much worse and i would have to stop the meds due to birth defects. i desperatly want a baby but im not sure what to do. im leaning towards giving it a go but i am scared. has anyone else been in this position?? i also have barely any sensation in my lower legs, no reflexes and numb feet. also, my pars defect keeps on reopening. what do i do? any advice??? is it so wrong to want a child? i have a loving and supporting partner who is prepared to take a year off work to help with the baby if we have one, and also a very supportive family. is it worth the risk? and the pain?? im scared to go back to how i was before the meds but mostly im scared of what will happen to my spine during pregnancy.
  • I understand You because I m 30 years old more than anything I would like to have kids,but every doctor that I seen said NO because my back are to damaged,I had surgery,going on 2nd surgery.I am out of myself,I spoke with my husband and I am afraid that he is going to leave me because I will not be able to have children.I mention even adoption,he doesn t even want to hear about it,not to mention that we are sleeping in separate bedrooms,fighting all the time regarding that subject children.I am stress out about whole this situation,I love kids more than anything and this is such tragedy for me not to have my own child so I do understand what You going thru.Wish You well!
  • Hi,

    I too have degeneration (we probably don't have to worry too much about that one b/c everyone has it to some degree and will get worse as everyone ages, annoying that they always seem to point that one out. even though everyone has it), L-5 fracture with slippage that keeps getting worse, ruptured and herniated discs, along with siatica.

    I am currently on a seemingly never ending PT treatment plan, and meds. I always had a high pain tolerance, but once it got so bad I couldn't stand up in the mornings or sit for more than an hour, I had to get help.

    Problem was that all Dr.s wanted to do was inject, then tell me that was all they could do. No one even seemed to care to address the pars defect (I'd seen a top spinal surgeon in my state). Only after a visit to an ER (when I was in so much pain I couldn't work) did they notice on the X-ray my pars-defect and tell me to, once again see a spine specialist. He wanted to do surgery. The more I researched it, the worse surgery seemed though.

    Basically, after seeing two useless surgeons that would give me one bottle of Norco then treat me like a junkie afterwards if I still needed meds. I resigned myself to a life of constant pain and just decided I'd do my best to live life. I married and got pregnant right away. I didn't ever ask a doctor if I should, since I never managed to find one that seemed to care. My family was really concerned though. It was agonizing and painful. My OB realized how bad off I was and gave me two Rx for 20 norco during my 2nd trimester. After my first son was born, I finally on the recomendation of a friend saw a pain doc. He got me on pain meds norco and oxycodone and did a nerve oblation. I felt some relief, (I'm guessing from disc related pain), but the majority of my pain is still there. I've now been seeing my pain Dr. for about 5 years. I decided that I was willing to go through the pain again so my son could have a sibling. With the approval of my OB I continued on my pain meds (I chose to only use the lesser of the two Norco, but later found that it was a class C for pregnancy where as the oxy is only a B...go figure!). My Dr. said that the meds that I was on were not associated with birth defects. The only (known) issue was withdrawl symptons by the baby at birth if enough of the medication is taken later in the pregnancy. I was very conservative with my medication intake during pregnancy. My Dr. told me though that the risks to the baby would be higher if I was in unbarable pain though. Since I do have a high pain tolerance, (I was going running and hiking with a knee injury for weeks that my Dr. told me most people wouldn't even be walking on), I wanted to keep the levels of medication in my system low enough that the baby would suffer no ill effects. He was born totally healthy with no withdrawl symptoms what-so-ever.
    Being pregnant with these issues was really painful, at times (especailly towards the end) I though I was going to lose my mind. It was worth it though for me.
    If you are going to consider having kids, some things I would do are:
    Find an OB ahead of time and address all of your medical issues and make sure that they will partner with your pain Dr. to manage your pain. You don't want to wind up pregnant and find out that your OB refuses to agree to allow your pain Dr. to perscribe pain meds.
    Before you get pregnant, get on meds that you can take while pregnant. It very well may be a sacrafice as you already found a combo that works well for you. You do not want the stress of switching to dealing with a higher level of pain while you are newly pregnant and though I'm not familure with all of your meds, since you say they cause defects you'd want to not be taking them while you try to get pregnant. Even after switching keep in mind you will be in more pain as the pregnancy progresses.
    If you are not already doing physical therapy, start and let them know that you are planning on getting pregnant. You need to make sure that your body/back is in as good of shape as possible.

    I hope some of this helps,
    good luck!
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  • Hi,

    I too have degeneration (we probably don't have to worry too much about that one b/c everyone has it to some degree and will get worse as everyone ages, annoying that they always seem to point that one out. even though everyone has it), L-5 fracture with slippage that keeps getting worse, ruptured and herniated discs, along with siatica.

    I am currently on a seemingly never ending PT treatment plan, and meds. I always had a high pain tolerance, but once it got so bad I couldn't stand up in the mornings or sit for more than an hour, I had to get help.

    Problem was that all Dr.s wanted to do was inject, then tell me that was all they could do. No one even seemed to care to address the pars defect (I'd seen a top spinal surgeon in my state). Only after a visit to an ER (when I was in so much pain I couldn't work) did they notice on the X-ray my pars-defect and tell me to, once again see a spine specialist. He wanted to do surgery. The more I researched it, the worse surgery seemed though.

    Basically, after seeing two useless surgeons that would give me one bottle of Norco then treat me like a junkie afterwards if I still needed meds. I resigned myself to a life of constant pain and just decided I'd do my best to live life. I married and got pregnant right away. I didn't ever ask a doctor if I should, since I never managed to find one that seemed to care. My family was really concerned though. It was agonizing and painful. My OB realized how bad off I was and gave me two Rx for 20 norco during my 2nd trimester. After my first son was born, I finally on the recomendation of a friend saw a pain doc. He got me on pain meds norco and oxycodone and did a nerve oblation. I felt some relief, (I'm guessing from disc related pain), but the majority of my pain is still there. I've now been seeing my pain Dr. for about 5 years. I decided that I was willing to go through the pain again so my son could have a sibling. With the approval of my OB I continued on my pain meds (I chose to only use the lesser of the two Norco, but later found that it was a class C for pregnancy where as the oxy is only a B...go figure!). My Dr. said that the meds that I was on were not associated with birth defects. The only (known) issue was withdrawl symptons by the baby at birth if enough of the medication is taken later in the pregnancy. I was very conservative with my medication intake during pregnancy. My Dr. told me though that the risks to the baby would be higher if I was in unbarable pain though. Since I do have a high pain tolerance, (I was going running and hiking with a knee injury for weeks that my Dr. told me most people wouldn't even be walking on), I wanted to keep the levels of medication in my system low enough that the baby would suffer no ill effects. He was born totally healthy with no withdrawl symptoms what-so-ever.
    Being pregnant with these issues was really painful, at times (especailly towards the end) I though I was going to lose my mind. It was worth it though for me.
    If you are going to consider having kids, some things I would do are:
    Find an OB ahead of time and address all of your medical issues and make sure that they will partner with your pain Dr. to manage your pain. You don't want to wind up pregnant and find out that your OB refuses to agree to allow your pain Dr. to perscribe pain meds.
    Before you get pregnant, get on meds that you can take while pregnant. It very well may be a sacrafice as you already found a combo that works well for you. You do not want the stress of switching to dealing with a higher level of pain while you are newly pregnant and though I'm not familure with all of your meds, since you say they cause defects you'd want to not be taking them while you try to get pregnant. Even after switching keep in mind you will be in more pain as the pregnancy progresses.
    If you are not already doing physical therapy, start and let them know that you are planning on getting pregnant. You need to make sure that your body/back is in as good of shape as possible.

    I hope some of this helps,
    good luck!
  • Hi sorry to hear of your situation , I have had a spinal fusion L3-L4-L5 which has been a great success 9 years ago at age 45 . My condition was multiple Pars Defects & Spondylolisthesis grade 5 which became a major problem after a side on vehicle collision . I was very fortunate as I had an excellent surgeon who also had to deal with my faulty bone enzyme problem which meant that my own bone was not suitable for grafting . My advise for what it is worth is to make sure your surgeon has a lot of experience in spinal fusion & has the respect of his own colleagues and do exactly as you are told in the recovery phase & hopefully you'll have the success that I have had
    All the best & good luck
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