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What Does This LS Spine X-ray Report Indicate?

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Posted on Sat, 3 Oct 2015
Question: Dear Dr.

Good day!

This is Dr. XXXXXXX I have a 22 years old male patient who presented with low back pain radiating to both lower limbs. No associated history of Trauma, duration of illness is 3 months only.

Clinical examination:

Muscle spasm
Decreased range of motion
Local tenderness.

Radiology:

LS spine X-Ray:

Scoliosis (positional or secondary to muscle spasm)
Decreased disc space with spondylolisthesis. (L5/S1)

MRI LS Spine:

L5-S1 disc prolapse.

Past Treatment:

Analgesics.

Recommended Treatment:

Microscopic Discectomy with fixation L5-S1.

It is requested to please give us your expert opinion if the above mentioned treatment plan is in the best of my patient, looking at his age and symptoms.
doctor
Answered by Dr. Neeraj Kumar (58 minutes later)
Brief Answer:
Surgical treatment can be done

Detailed Answer:
Hi dear, I have gone through your question and understand your concerns.If the pain of the patient is not relieved by the analgesics, muscle relaxants, physiotherapy; or if the patient is having some neurological deficit anywhere in the lower body, then the surgical treatment with Microscopic Discectomy with fixation L5-S1 is the appropriate treatment plan.He can undergo the procedure to get relieved of the symptoms.
Hope you found the answer helpful.Please do get back for further queries.
Wishing you good health.
Regards
Dr XXXXXXX XXXXXXX
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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What Does This LS Spine X-ray Report Indicate?

Brief Answer: Surgical treatment can be done Detailed Answer: Hi dear, I have gone through your question and understand your concerns.If the pain of the patient is not relieved by the analgesics, muscle relaxants, physiotherapy; or if the patient is having some neurological deficit anywhere in the lower body, then the surgical treatment with Microscopic Discectomy with fixation L5-S1 is the appropriate treatment plan.He can undergo the procedure to get relieved of the symptoms. Hope you found the answer helpful.Please do get back for further queries. Wishing you good health. Regards Dr XXXXXXX XXXXXXX