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  • pec5002
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    Post count: 33

    I transcribed the whole MRI for you from earlier this june (well after i started feeling worsening pain) this was ordered becuase I was in more pain

    MRI Lumbar Spine with and without contrast

    6/4/2019

    History: 33 year old male, 2 prior lumbar spine surgeries, pain radiating down both legs

    Comparison: 6/19/18 – MRI with and without IV Contrast

    Findings:

    There is a straightening of the normal lumbar lordosis. There is no compression fracture or acute marrow edema

    There is a subtle grade 1, 3mm retrolisthesis of L2 L5 on S1
    The conatus terminates at the l1-2 disc space level

    There is a desiccation of the L5-S1 disc with mild to moderate narrowing of the disc space

    Contrast enhanced images demonstrate no abnormal enhancement of the conus or nerve roots within thecal sac

    Visualized portions of the kidneys are symmetrical. The psoas and pasaspinal muscle are also symmetrical

    T2-L1: Normal disc, no focal disc herniation normal facet joints
    L1-L2: Normal disc, no focal disc herniation normal facet joints
    L2-L3: Normal disc, no focal disc herniation normal facet joints
    L3-L4: Normal disc, no focal disc herniation normal facet joints
    L4-L5: Normal disc, no focal disc herniation normal facet joints
    L5-S1: Left L5 hemilanitomy defect. Nonenhancing residual and or recurrent central/left lateral recess disc herniation resulting in stable mild to moderate central and left lateral recess stenosis when compares with postoperating MRI from 6/19/18. Stable appearance of enhancing granulation tissue with the epidural space. Mild stable facet arthrosis

    Impression:

    1) As compared to prior 6/19/2018 MRI lumbar spine with and without IV contrast no significant interval change
    2) Stable appearance of nonenhancing residual or recurrent central left lateral recess L5-S1 disc herniation resulting in stable mild to moderate stenosis
    3) No new disc herniation or worsening stenosis
    4) Subtle grade 1, 3mm rerolisthesis of L5 on S1

    pec5002
    Participant
    Post count: 33

    So the MRI results I put there was from 3 weeks ago, ive had this pain for about a year now on and off when I try PT. I thought there was something new going on but the MRI basically said there were no changes. That’s what is confusing, I am trying to avoid a fusion.

    As a second part of the question, one Dr I spoke to told me he would do an artificial disk at L5/S1 but a different doctor told me that if anyone ever recommends an artificial disc I should run away from the office.

    pec5002
    Participant
    Post count: 33

    I agree, pain is mostly on buttocks and down the legs, I actually have no back pain at all. When stretching and shortly thereafter the pain actually goes away, but a few hours later it comes back from worse and stays there. It is tricky because I need to work my muscles but everything bothers it. I also am 33 and dont want a fusion

    pec5002
    Participant
    Post count: 33

    Thanks Dr I appreciate your help here I can’t even put into words how helpful you are and I will be calling your line.

    So at the age of 31- would you recommend s fusion now over waiting as I am in some pain which is limiting my life due to the fact that the other discs will have trouble regardless? Or is it better to wait until I get older and see what happens and possibly this will fix itself?

    pec5002
    Participant
    Post count: 33

    Thanks Dr. If this is severely limiting my life and I have very healthy discs above, if I do the fusion how much greater strain will I put on the rest of the back. One surgeon said there a 10% chance I will re herniate another disc and the other said there is a 25% chance I will not only not herniate but do it in the first 5 years.

    I am thinking about coming out to you all as well.

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