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MRI detected lumbar spondylosis, mildly indenting thecal sac, narrowing of bilateral lateral recess. Is it serious?

hi dr., one of my relatives age:75 years has been diagonesd as per MRI with lumbar spondylosis , minimal posterior disc bulge at L1-2 level mildly indenting thecal sac , diffuse disc bulge at L3-4 level causing indentation of thecal sac and narrowing of bilateral lateral recess . Diffuse disc bulge with annular tear aat L4-5 level causing indentation of thecal sac and narrowing of bilateral lateral recess L R, degenerative grade I anterolisthesiss of L4 over L5, Diffuse disc bulge with annular tar at L4-5 level cauing indentation of thecal sac and narrowing of bilateral lateral recess with compromise of bilateral neural foramina, diffuse disc bulge lateralisation towards left side and postercental protrusion at L5-S1 level effacing epidural fat and narrowing of left lateral recess. Kindly advise
Asked On : Sat, 2 Feb 2013
Answers:  1 Views:  196
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

I will try to explain you the MRI findings in simple words.
The spinal cord is divided into different areas depending on the site.
Lumbar spine is the term referred to the spine in the lower back region.
The vertebrae are separated from each other by a cartilage called intervertebral disc.
this inter vertebral disc provides lubrication during movement of the spine. These discs also act as shock absorbers.
From the spinal cord, a pair of nerves emanates at each level.
Spondylosis is a degenerative condition of the spine.
It is age related phenomenon.

Spondylosis of the spinal cord causes bulging of the inter vertebral disc. Bulging of the disc causes pressure on the nerves.
This compression on the nerves can lead to symptoms of weakness and altered sensations in the area supplied by that particular nerve.
Besides nerves, a space enclosed by the vertebral body called lateral recess is also being compromised by this bulge.

You need to visit an orthopedician for further management.
Initially, conservative management is done comprising of bed rest.
If the symptoms do not disappear by rest alone, surgery may be required.

I hope you are satisfied by my answer.
Kindly, leave a feed back if my answer is of help to you.

Thanks and take care
Dr Shailja P Wahal

Answered: Sat, 6 Apr 2013
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