[rodneyber]

#26319

I’ll try send you a, copy of retort soon. says allot more than what I was told

[rodneyber]

#26320

Here goes my report. What is your opinion based on report of MRI?

EXAM: MRI Lumbar Spine W/WO (72158)

History: Saglttal, coronal, and transexial images of the lumbar spine are provided utilizing various techniques to include sequences post intravenous ministration of 15cc Dolarem.

Comparision: 7/28/2016

Finding:
He patient is satus interval left L4-5 laminectomy and discectomy as compared to the previous study. Importantly, a large left epidural soft tissue collection in the spinal canal prolapsing/migrating inferiorly compatible with a large extruded disc herniation and/or sequestered free disk fragment is noted posterior to the mid to upper aspect of L4 with marked spinal canal stenosis. His also causes stenosis of the left lateral recess. He thecal sac is extrinsically compressed and displaced to the right. he exiting neural foraman are relatively spared. Asymmetric l4-5 facet arthropathy on the left is greater than the right is noted with mild left face joint effusion. Mild disc desiccation in the L4-5 disc is seen.

He remaining discs are more normally hydrated. No interval significant degeneration spondylosis is appreciated. No disc herniation or spinal canal narrowing is seen elsewhere. No spinal or paraspinal mass lesion is evident. Lumbar alignment is normal in the supine position. He conus medullaris terminates normally behind L1. No interval significant facet disease is seen elsewhere.

Impression:
Status post interval left L4-5 laminectomy/discectomy.

Importantly, large L4-5 inferior prolapsed/migrated extruded disc herniation plus/minus sequestered/free disk fragment marked spinal canal stenosis left lateral recess stenosis as well, the remainder of the spine exam is unmarkable

[rodneyber]

#26326

My wife told me I should have had or insisted surgeon remove bulge at surgury even if he said it did not require a disectonmy.

But then my mri report says i had one.

[Donald Corenman, MD, DC]

#26329

You either have a new (recurrent) fragment or a missed fragment in your canal causing substantial (“marked spinal canal stenosis”) narrowing of the left spinal canal. Based upon the description of this mass, you will need another surgery to remove this and free the nerve roots. You can’t look back (“My wife told me I should have had or insisted surgeon remove bulge at surgery”) but go ahead and consider another microdisc surgery.

Dr. Corenman

PLEASE 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.

[rodneyber]

#26337

Thank you for yourinput. What about the herinated disk? Is that a factor that needs a disectonmy?

Also
Is a epidural injection an option?

[rodneyber]

#26338

Are you saying the grapg or membrane that was put in place of bone removed for laminectomy was location where surgeon placed at surgury?

Also,. My surgeon dais my options are live with it, injection, meds, physical theropy, or a disectonmy or fusion to remove the disk.

I told my physical therapist and they will have me see there pain management Dr on 36th to compare old MRI from 2016 and this nce mri.

If it is helpful for your analysis I can send you a, copy of the CD with images. Just let me know and thank you for all of your help.

At the moment no horrible pain.

[Author]

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