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Back Problems Message Board

Back Problems Board Index

Will attempt to give you some info, but realize I am not a medical professional - just someone who has gone through 8 spine surgeries and have many things wrong with my back. However, I can say that you don't have as many or as severe deterioration notes as on my tests, so hopefully once you find the right spine specialist and they explain things more fully, maybe you will be able to get great relief. Do inform yourself on the ADR's, on fusions with BMP as well as the newest Dynesys flexible fusion and consider discussing these with the spine specialists as to why one or the other would be better for you. Don't forget that they now have approval to do ADR's on patients with fusions, so if 5 -6 levels are discussed, perhaps a combination so that you would retain more flexibility. If I can get such wonderful relief and live an active life in so few months with a 10 level fusion, with the right doc maybe you can do even better.

t-11-t12 through l2-l3 no compressive discopathy. (Pain caused by compressed nerves due to bulging or herniated discs)

no central canal stenosis (Spinal stenosis is the narrowing of the spinal canal which can place pressure on the spinal cord. More people over 50 have the problem as it is just general wear and tear. Apparently you don’t have it, but I do.),

no forminal stenosis or nerve root compression. (narrowing of the area where the nerve root exits the canal - you again do not have and mine was repaired surgically)

l3-l4 disc desiccation (age lets our disc deteriorate to the point of loosing mechanical intergrity and spacing and this causes a lot of our back pain and is a major reason for having artifical disc replacements)

anterior spondylosis (arthritis on the front part of the spine facing the body cavity).

sterile active bony endplate changes (arthritic changes again).

broad based protrusion with annular rent (a tear between the 3 and 6 o’clock postion of the disc which is often spotted shortly after surgery but can occur without surgery - painful protrusion)

mild facet arthropathy (vertebrae are connected to one another via facet joints which are covered with smooth cartilage, encased by a capsule of ligaments but like all joints they can become arthritic. The report is saying that yours has not caused enough narrowing of the foraminal coating to compress the nerve root) results in mild foraminal narrowing without evidence of nerve root compression.

l4-l5 mild disc desiccation with anterior spondylosis. right paracentral protrusion with annular ren and mild facet arthropathy results in gentle abutment of the descending right l5 nerve root (Here they do see nerve root compression).

l5-s1 status post posterior spine fusion with transpedicular instrumentation and probable femoral ring allograft with right iliac crest bone graft. no compressive discopathy. no central canal stenosis,foraminal stenosis or nerve root compression noted. (They see no compression due to changes from your prior fusion)

s1-s2 incidental note made of sacral nerve root sheath cyst (sounds like a cyst shows on the sheath covering the nerve root where it exits the spine at the sacral area)

without vertebral body scalloping or insifficiency fracture (term is used with osteoporsis, so sounds like your do not have it but evidently your fusion was not with your own bone. If you need another fusion you might want to ask why bone from the laminectomy that would be done could not be used with the BMP, to lessen the risk of non-fusion.).

Hope this helps and best wishes on finding a great doc.

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