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Hi Everyone, My name is Bruce I am a 49 year old male from New Zealand. I have been suffering with lower back pain, but no nerve or leg pain for the last 4 years. I have had xrays and a MRI which indicate the following:
Diagnosis: Lumbosacral spondylolysis with late unilateral lysthesis causing lumbar scoliosis.
Xrays: A spondylolysis at L5-S1 that is probably bilateral associated with low grade spondylolysis. There is eccentric lysthesis more pronounced on the right side which is causing the Lumbosacral scoliosis and corrective curvature of the lumbar spine to compensate for it.
MRI: Dysplastic L5 vertebral body with bilateral L5 pars defects and dysplastic pars more marked on the right side. Minimal L5/S1 anterior spondylolisthesis with annular disc bulge and right foaminal disc protrusion resulting in moderate narrowing of the the right L5/S1 neural foramen. Minimal L4/5 retrolisthesis. L4/5 disc bulg and left paracentral annulus tear without neural compromise.
I have low to average pain most of the time and cannot stand for long as this makes it worse, when sitting and lying I manage quite well, I have not found medication such as codeine or morphine help that much, although they do take the edge off when Im having a real bad day which is about once every 3 weeks.
I have seen a surgeon who suggests a spinal fusion of L5/S1 may help, he did not guarantee it would stop my pain and given I don't have nerve pain he is reluctant to do it.
I am not sure what to do? if anyone else has a similar condition to mine and has had a fusion I would be interested in hearing from you as I'm finding it impossible to make a decision.
many thanks for your consideration