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  • Corcoran12
    Participant
    Post count: 4

    Hi doctor I’m 28 year old Irish boxer I injured myself 9 months ago …recent ct scan says terminal end stage pars defect both sided I have alot off back pain and radiating tingling too my legs …I got am injection back pain has improved but both legs particularly calves very tingly any way to help my mon stop leg tingling is this from the pars and can pars repair surgery help leg pain or mainly full fuzion?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    Pars repair surgery can be quite effective for the “right” fracture defect. If there is a significant slip, disc degeneration or atrophic (very thinned) pars ends, the repair surgery will not work and a fusion should be considered. Either fusion or repair can eliminate the tingling.

    Dr. Corenman

    Corcoran12
    Participant
    Post count: 4

    I have no slip on cat scan and disc is fine so can pars repair surgery elimate tingling in legs without a decompression can I send you on my scans ? And can a emg test help too prove billateral tingle sensation

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    You need a CT scan to determine the anatomy of the defect. An EMG will not be helpful as it should be normal (negative). To review your films would require a long distance consultation.

    Dr. Corenman

    Corcoran12
    Participant
    Post count: 4

    OK I could do that
    Im just wondering if bilateral pars defect can cos both legs too tingle is it possible to do a pars repair and decompression similar to fuzion or is that even possible
    I’ve been offered a pars repair in Ireland but worry it will only help back pain not leg pain or could it elimate both
    Thanks for your relys
    Your a great doctor

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    Generally, but not always, the pars defect irritates the L5 nerve roots which causes the tingling. Occasionally, the pars defects grow spurs which can be compressive. As long as the MRI demonstrates no compression of the roots, surgery generally relieves the tingling.

    Dr. Corenman

Viewing 6 posts - 1 through 6 (of 7 total)
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