ward4948MemberOctober 2, 2012 at 6:52 amPost count: 1
I’ve just received my MRI (without a lab results listing) to provide to my care-giver that is technically a chiropractor.
I’ve had several X Rays done – and have had varying prognosis from those.
Grade 1 spondylolisthesis and a pars defect fracture on L5.
Would require frontal entry and caging (4 screws and prothetic disc) of vertebrae.
Bulging of disc L5 S1 was the other. He requested the MRI to see tissue to know for certain.
What my MRI shows (to me) is what is in your YouTube video for L5 S1 Lumbar Microdiscectomy – side view. L5S1 looks to be herniated and hitting nerve root.
I have a friend getting his L5 S1 caged in a few weeks and his surgery is nothing like the one you demonstrate. It is more like the one described above. I have also read of water HyrdoCision procedure.
How do I know:
A. If anyone can agree on my issue(s) (symptom is a seizure-like sharp pain that contracts back muscles for 8-10 seconds. Usually happens when shoulders and hips turn at differing angles – like getting out of car, raising from bed in am, wiping after bathroom, golf swing)
B. What best – least invasive, most efficient surgical treatment would be.
I’m a little worried at number of differing viewpoints when working around MY spinal cord is concerned.
Your video and site are one of the only ones I found credible in my search.
Any suggestions for next steps are beyond appreciated.Donald Corenman, MD, DCModeratorOctober 2, 2012 at 9:17 amPost count: 8614
I am confused by your thread. You note that you have an isthmic spondylolisthesis at L5-S1 with a slip (grade I). You then note a suggested surgery of anterior fusion; “Would require frontal entry and caging (4 screws and prothetic disc) of vertebrae”. You then note you might have a disc herniation at that same level; “L5S1 looks to be herniated and hitting nerve root”.
Let’s address some of your concerns. You do not have to worry about your spinal cord at L5-S1. The cord ends at the top of the lumbar spine (L1). You do not have a complete diagnosis at this point as you have not correlated your symptoms to your pathology. You have not really discussed your symptoms (see section on how to describe symptoms).
Let’s assume that you need a fusion surgery. There are many different types of fusion (see website). I prefer a specific type of fusion for isthmic spondylolisthesis (TLIF) for multiple reasons but there are others that prefer different surgeries.
You need to be more specific regarding your symptoms and your disorder for me to be helpful.
Dr. CorenmanPLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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