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Back Problems Message Board


Back Problems Board Index


Hi.....
I come to the "experts" for some help, please. I recently posted researching the new MILD procedure....minimally invasive lumbar decompression and wondered, based on the following results, whether it is something that may work for me. I think Teteri wrote back saying that it's most effective if the stenosis involves the ligamentum flavum?

Does it look like I'm too far gone to even dream of some sort of minimally invasive procedure (without fusion)....x-stop, perhaps)? I do get relief leaning forward and have significant radiculopathy.

I've had it with OR's and surgery! 2 hip replacements and a colon re-section...all within the past 8 years! arrrrgggghhhh....

Thanks for reading and your thoughts!
Linda

MRI summary: diminished vertical height and signal intensity of L1-2 thru L-5-S1, intervertebral disc more so at L1-2 more so since last exam. Diminished signal intensity and vertical height from L2-3 thru L5-S1 unchanged from last exam. Conus is seen to terminate normally at L1-2.

At L1-2 there is mild posterior disc bulge not extending laterally. Mild facet hypertrophy is seen without significant lateral recess narrowing or nerve root impingement. At L2-3 there is posterocentral lateral bulge of the annulus fibrosus. Bilateral facet hypertrophy is seen without significant lateral recess narrowing. There may be effacement of bilateral L3 nerve roots unchanged from before. Mild degree of canal stenosis is seen. At L3-4 there is posterocentral and lateral bulge of the annulus fibrosus. Facet Hypertrophy is seen with lateral recess narrowing. There is a moderate degree of canal stenosis to ligamentous laxity and laminar hypertrophy. As a result there may be effacement of bilateral L4 nerve roots. At L4-5 there is posterocentral lateral bulge of the annulus fibrosis. Mild degree of canal stenosis secondary to liamentous laxity. As a result there may be effacement of bilateral L5 nerve roots. at L5-S1 there is posterocentral and lateral bulge, etc., etc. Bilateral facet hypertrophy is seen of a mild degree with mild degree of recess narrowing. this is unchanged since last exam and there may be effacement of bilateral S1 nerve roots!
Whew!!

In English, please?





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