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Back Problems Message Board


Back Problems Board Index


Back Pain
Jan 30, 2006
Is these problems enough to file for social security disability?
On going back problems for 15 years.
Am now in extreme pain.

Exam: MRI Spine LUMBAR W /O+W/ CONTRAST


L5-S1:
metallic artifact emanates from the disk
space, consistent with previous fusion. No disk displacement
is present. There is mild spondylosis involving the left and
right endplates extending into the neural foramina bilaterally
and causing biforaminal narrowing.

L4-5:
disk desiccation is present and a mild diffuse annular
disk bulge. The AP stacked diameter measures 10 mm. No spinal stenosis
is present, and the neural foramina are patent.

L3-4:
disk desiccation is present at disk narrowing. A vacuum
disk phenomenon is seen as a linear area of signal loss within the
nucleus pulposos. There is a mild diffuse annular disk bulge
indenting the epidural sac. There is no stenosis, and the
neural foramina are patent.

L2-3:
disk desiccation is present as well as a vacuum disk
phenomenon. A minimal annular disk bulge is noted, which
mildly indents the ventral subarachnoid space. No evidence of
neural impingement. There is narrowing of the left lateral recess
secondary to the disk bulge as well as associated left-sided
spondylosis. There is a small vaccum disk phenomenon present.

L1-2:
disk space narrowing is present and a vacuum disk
phenomenon as well as a disk desiccation. There is a diffuse disk
bulge indenting the CSF. There is no spinal stenosis or evidence
of neural impingement.

IMPRESSION: 1. Multilevel disk degeneration with disk space
narrowing and bulges at L1-2, L2-3, AND L3-4. No central spinal
stenosis at any level. There is stenosis of the left lateral recess at L2-3
due to asymmetric endplate spondylosis.
2. Diffuse annular disk bulge at L4-5, not producing spinal stenosis.
3. Status post interbody fusion at L5-S1. Mild bilateral foraminal
narrowing due to endplate spondylosis but no obvious neural impingement

X-ray report:

There is a mild curvature to the upper lumbar spine convex to the right at L2.
There is 2 mm retrolisthesis of L1 on L2 and of L2 on L3 in standing neutral position. These each reduce to 1 mm in flexion. At L1-L2 there is a increase in the retrolisthesis in extension, and there is no change at L2-L3.





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