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Have MRI report. Can any online doctor help me to read it?

My MRI report shows the following conclusion, please advice 1. Grade I anterolisthesis of L5 over S1 vertebra with bilateral spondylolysis of L5 vertebra. 2. Posterocentral protrusion of L1-2 and L2-3 discs compressing thecal sac (hard disck). 3. Diffuse posterior bulge of L3-4 disc indenting thecal sac. 4. Diffuse posterior bulge of L4-5 disc indenting thecal sac and encroaching neual foramina (Lt Rt). 5. Mild facetal arthropathy is seen at L4-5 and L5-S1. Sir, i will be greateful to you if u advice me a proper treatement for this. Thanks!.
Asked On : Tue, 26 Mar 2013
Answers:  1 Views:  365
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Orthopaedic Surgeon, Joint Replacement 's  Response
Jul 2013
Hi,thanks for writing to HCM. All the findings in your description suggest a degenerated lumbar spine. The only lesion that is a matter of concern is the Listhesis of L5 over S1. In obese patients this lesion progresses to Grade 2 & 3 very quickly and leads to significant neural elements compression. I suggest you the following measures
* Try to cut down your body weight if your are obese
* Never try to lean or bend forwards to pick up things from the floor
* use a lumbosacral corset to support your spine so as to prevent further listhesis
* physiotherapy to strengthen the back muscles.

Despite the above measures, If your listhesis is progressing (confirmed by serial xrays) or if you develop radiating pain with tingling & numbness down into the leg, you may need surgical intervention (posterior spinal fixation with fusion). Hope this helps
Answered: Thu, 16 May 2013
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