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Back Problems Message Board


Back Problems Board Index


Hypoplastic means that the 12th ribs are incomplete or underdeveloped...not sure of the significance of it though in your case. You obviously had a previous fusion at L4-5, which is what the pedicle screws and rods are discussed in the report. You have most probably a cage in between those two vertebre, which is the "disc prosthesis" . You have what is also called a spondylolysthesis of 3 mm at L3-4, which is a slight slippage of one vertebra over another- in your case, it slips slightly to the back, rather than to the front of the body...You have slight disc dessication ( drying out of the discs is normal and quite common in anyone over the age of 21 or so) in the lower thoracic spine and some bony overgrowth (osteophytes) in the same area. You also have a thickening of the facet joints from L2-3 to L5-S1...this is also called facet joint syndrome. You don't have any fractures, or osteophytes in the lumbar area , at least from this particular xray...You also have a slight bend to your lumbar spine- the scoliosis.
[QUOTE=backhurtz;5059001]Hypoplastic means that the 12th ribs are incomplete or underdeveloped...not sure of the significance of it though in your case. You obviously had a previous fusion at L4-5, which is what the pedicle screws and rods are discussed in the report. You have most probably a cage in between those two vertebre, which is the "disc prosthesis" . You have what is also called a spondylolysthesis of 3 mm at L3-4, which is a slight slippage of one vertebra over another- in your case, it slips slightly to the back, rather than to the front of the body...You have slight disc dessication ( drying out of the discs is normal and quite common in anyone over the age of 21 or so) in the lower thoracic spine and some bony overgrowth (osteophytes) in the same area. You also have a thickening of the facet joints from L2-3 to L5-S1...this is also called facet joint syndrome. You don't have any fractures, or osteophytes in the lumbar area , at least from this particular xray...You also have a slight bend to your lumbar spine- the scoliosis.[/QUOTE]
Kristen,
You're welcome. Honestly, as far as to whether or not, surgery is in your future, there is no way for me or even your surgeon to tell you that from just an xray. You may at some point, depending on your symptoms be sent for a new MRI or CT scan and then be sent for a surgical consult.
I am of the opinion that physical therapy is always worth a try. No matter what, strengthening your back and stomach muscles helps you in the long run, whether it is prior to or after surgery and that benefits you. If you can avoid having another surgery, and there is no danger of nerve or spinal cord damage, then I would try to avoid it.
I have found, that the pain that I believed was so severe prior to my first surgery was nothing compared to what I have dealt with since then and in the ensuing 6 years....so I am recommending avoiding surgery unless there are mechanical issues that are compromising your nerves or spinal cord....or the retrolisthesis ( spondylolysthesis) worsens and it must be corrected. A 3mm slip is not bad, but you do need to strengthen those muscles to help it not get worse....and of course , watch what you are lifting or picking up..
As far as pain management goes, there are injections and therapies they can offer you or refer you for, that may go along way with helping you to feel better, and of course, they can treat the pain if it is that difficult to handle with the anti inflammatories. With the arthritis that the report indicates, the anti inflammatories should go a long way in helping to deal with that pain.....
Anyway, best wishes to you, I hope it helps.
Back:)





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