Tagged: pars defects lumbar spine
Corcoran12ParticipantJanuary 12, 2023 at 9:02 pmPost 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, DCModeratorJanuary 13, 2023 at 5:09 pmPost 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. CorenmanCorcoran12ParticipantJanuary 14, 2023 at 10:23 pmPost 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 sensationDonald Corenman, MD, DCModeratorJanuary 15, 2023 at 10:33 amPost 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. CorenmanCorcoran12ParticipantJanuary 15, 2023 at 5:51 pmPost 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 doctorDonald Corenman, MD, DCModeratorJanuary 15, 2023 at 5:58 pmPost 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.
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