Please read my MRI – 11mm

Please read my MRI – 11mm
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  • badback
    Participant
    Post count: 1

    How bad is the 11mm of anterolisthesis? (An xray was taken shortly before this MRI, and the xray report categorized this as Grade 1 to Grade 2.)

    I spoke with an orthopedic surgeon, and he recommended PT.
    I also spoke with a neurosurgeon, and he recommended ALIF & PLIF, as he felt the slippage was too great to address from just the posterior (e.g. TLIF).

    Thank you!

    Vertebrae: Vertebral body heights within normal limits. There is 11 mm of anterolisthesis of L4 on L5 in the setting of pars defects. At L4/L5 there is near complete disc loss with endplate irregularity and edema of the L4 and L5 vertebral bodies, all of which demonstrates postcontrast enhancement. No definite associated epidural abscess is seen.

    L4-5: There is 11 mm of anterolisthesis of L4 on L5 in the setting of pars defects. This results in severe bilateral neural foraminal stenosis.

    L5-S1: Mild disc osteophyte complex No significant spinal canal stenosis. Moderate to severe left and moderate right neural foraminal stenosis.

    Donald Corenman, MD, DC
    Moderator
    Post count: 6457

    11mm of slip (anterolisthesis or spondylolisthesis-same meaning) is significant when associated with pars defects. The disc is highly degenerative (“At L4/L5 there is near complete disc loss with endplate irregularity and edema of the L4 and L5 vertebral bodies”) which can actually be in your favor. If this slip is stable (there is little to no motion on flexion/extension X-rays) due to the highly degenerative disc which causes bone-on-bone contact and lots of friction and you have little in the way of symptoms, you could live with this.

    Whether you can or cannot live with this condition depends upon your current symptoms and activity level. If you are comfortable with your day-to-day activities, have no motor weakness and are not impaired, you should be OK.

    I would disagree with the neurosurgeon you consulted with regrind the type of surgery you would need if you had impairing symptoms. You do not need an ALIF and PLF but just a TILF.

    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.
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