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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The X-ray Regarding Back Pain Indicate?

I have a 17yr old daughter with persistent lower backpain. Her recent xrays say - There is loss of normal cervical lordosis, loss of normal thoracic kyphosis, lumbar scoliosis concave to the right, loss of normal lumbar lordosis. There is a Grade 1 anterolisthesis of L5 on S1 with associated L5 pars defects & disc space narrowing at L5/S1. The last statement is a condition that was diagnosed when she was 9yrs. However the other comments were not on her previous xrays. What are our treatment options?
Sat, 17 Jan 2015
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Orthopaedic Surgeon,  's  Response
Dear caring parents
Loss of cervical lordosis means straightening of cervical spine and loss of lumbar lordosis means straightening of lumbar spine. Normally spine is curved in all regions with cervical (neck ) and lumbar (lower)back curved anteriorly. This curvature is lost due to muscle spasm.thoracic spine is curved posterity. Listhesis is forward displacement of one vertebra on other, here L5 on s1. Pars defect means defect in posterior arch of vertebra. Scoliosis is lateral bending of spine. Since she is 17 years old this can be treated with brace. U should take visit ti spine surgeon and get examined.
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What Does The X-ray Regarding Back Pain Indicate?

Dear caring parents Loss of cervical lordosis means straightening of cervical spine and loss of lumbar lordosis means straightening of lumbar spine. Normally spine is curved in all regions with cervical (neck ) and lumbar (lower)back curved anteriorly. This curvature is lost due to muscle spasm.thoracic spine is curved posterity. Listhesis is forward displacement of one vertebra on other, here L5 on s1. Pars defect means defect in posterior arch of vertebra. Scoliosis is lateral bending of spine. Since she is 17 years old this can be treated with brace. U should take visit ti spine surgeon and get examined.