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What Does My MRI Report Indicate?
Question: DEAR SIR,
I am 22 years old.
KINDLY SUGGESTION ME BEST TREATMENT and please explain the problem completely. May be any side effects in future.
. My mri report says
Written in mri REPORT AS GIVEN BELOW
Findings.
Straightening of lumbar spine noted.
Grade I retrolisthesis of L4 over L 5 vertebra noted.
Bilateral spondylosis of L4 vertebra noted.
Schroml's node noted at superior and inferior end plate of L4 vertebra noted.
Mild disc dessication noted in L4-L5 AND L5-S1 LEVELS.
L1-L2 unremarkable
L2-L3 Posterior disc flattening noted.
L3-L4 and L5-S1
diffuse disc bulge indenting anterior thecal sac mildly with bilateral mild neural foraminal narrowing,
L4-L5 diffuse disc bulge more so on left side indenting anterior thecal sac mildly with bilateral mild neutral foraminal narrowing ( left> right)
Screening of dorsal spine reveals:unremarkable.
Screening of cervical spine reveals:
straightening of cervical spine.
Disc dessication noted from C2-C3 to C4-C5.
Posterior disc osteophyte complex from C3-C4 to C6-C7 indenting anterior thecal sac mildly with bilateral mild neural foraminal narrowing.
IMPRESSION: MRI findings are S/o
1.Grade-I retrolisthesis of L4 over L5 vertebra.
2. Bilateral spondylosis of L4 vertebra.
3. Schroml's node noted at superior and inferior endplate of L4 vertebra.
Inferior endplate of L5 vertebra and superior endplate of S1 vertebra.
4. L3-L4 and L5-S1
diffuse disc bulge indenting anterior thecal sac mildly with bilateral mild neural foraminal narrowing,
5. L4-L5 diffuse disc bulge more so on left side indenting anterior thecal sac mildly with bilateral mild neutral foraminal narrowing ( left> right).L4-L5 diffuse disc bulge more so on left side indenting anterior thecal sac mildly with bilateral mild neutral foraminal narrowing ( left> right)
Thanking you for your kind information.
I am 22 years old.
KINDLY SUGGESTION ME BEST TREATMENT and please explain the problem completely. May be any side effects in future.
. My mri report says
Written in mri REPORT AS GIVEN BELOW
Findings.
Straightening of lumbar spine noted.
Grade I retrolisthesis of L4 over L 5 vertebra noted.
Bilateral spondylosis of L4 vertebra noted.
Schroml's node noted at superior and inferior end plate of L4 vertebra noted.
Mild disc dessication noted in L4-L5 AND L5-S1 LEVELS.
L1-L2 unremarkable
L2-L3 Posterior disc flattening noted.
L3-L4 and L5-S1
diffuse disc bulge indenting anterior thecal sac mildly with bilateral mild neural foraminal narrowing,
L4-L5 diffuse disc bulge more so on left side indenting anterior thecal sac mildly with bilateral mild neutral foraminal narrowing ( left> right)
Screening of dorsal spine reveals:unremarkable.
Screening of cervical spine reveals:
straightening of cervical spine.
Disc dessication noted from C2-C3 to C4-C5.
Posterior disc osteophyte complex from C3-C4 to C6-C7 indenting anterior thecal sac mildly with bilateral mild neural foraminal narrowing.
IMPRESSION: MRI findings are S/o
1.Grade-I retrolisthesis of L4 over L5 vertebra.
2. Bilateral spondylosis of L4 vertebra.
3. Schroml's node noted at superior and inferior endplate of L4 vertebra.
Inferior endplate of L5 vertebra and superior endplate of S1 vertebra.
4. L3-L4 and L5-S1
diffuse disc bulge indenting anterior thecal sac mildly with bilateral mild neural foraminal narrowing,
5. L4-L5 diffuse disc bulge more so on left side indenting anterior thecal sac mildly with bilateral mild neutral foraminal narrowing ( left> right).L4-L5 diffuse disc bulge more so on left side indenting anterior thecal sac mildly with bilateral mild neutral foraminal narrowing ( left> right)
Thanking you for your kind information.
Brief Answer:
Defect of a vertebra-In situ Fusion.
Detailed Answer:
Hi,
Thanks for your query.
I'm Dr. Sudhir Kumar,
After going through your query I concluded that main finding of MRI are Spondylolysis of lumbar fourth vertebra (L4). Spondylolysis is a defect of a vertebra. More specifically it is defined as a defect in the pars interarticularis of the vertebral arch.Spondylolysis can progress until one or more vertebrae slip out of place which is then called spondylolisthesis and retrolisthesis depending on displacements. A retrolisthesis is a posterior displacement of one vertebral body with respect to the adjacent vertebrae to a degree less than a luxation (dislocation). Here lumbar fourth vertebra (L4) is displaced posteriorly in relation to lumbar fifth vertebra (L5). A posterior displacement of up to ¼ of the Inter Vertebral Foramina is graded as Grade 1.
Other finding are near normal or insignificant.
Treatment depends on your symptoms. As per MRI report I think in situ fusion will be better. It means fusion of spine at whichever place it is now with rod and screw so that further instability can be prevented.
You can discuss with your treating Doctor about it.
Hope I have answered your query.
If you have any further questions I will be happy to help.
Wishing you good health.
Take care.
Defect of a vertebra-In situ Fusion.
Detailed Answer:
Hi,
Thanks for your query.
I'm Dr. Sudhir Kumar,
After going through your query I concluded that main finding of MRI are Spondylolysis of lumbar fourth vertebra (L4). Spondylolysis is a defect of a vertebra. More specifically it is defined as a defect in the pars interarticularis of the vertebral arch.Spondylolysis can progress until one or more vertebrae slip out of place which is then called spondylolisthesis and retrolisthesis depending on displacements. A retrolisthesis is a posterior displacement of one vertebral body with respect to the adjacent vertebrae to a degree less than a luxation (dislocation). Here lumbar fourth vertebra (L4) is displaced posteriorly in relation to lumbar fifth vertebra (L5). A posterior displacement of up to ¼ of the Inter Vertebral Foramina is graded as Grade 1.
Other finding are near normal or insignificant.
Treatment depends on your symptoms. As per MRI report I think in situ fusion will be better. It means fusion of spine at whichever place it is now with rod and screw so that further instability can be prevented.
You can discuss with your treating Doctor about it.
Hope I have answered your query.
If you have any further questions I will be happy to help.
Wishing you good health.
Take care.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Dear Sir ,
For permanent cure kindly suggestion and in future any problems come. Please tell me
Sorry SIR, I Am Not Understood, YOU Are Suggested Me FOR Spine Surgery. Please explain detaily
The diseases curable permanently
For permanent cure kindly suggestion and in future any problems come. Please tell me
Sorry SIR, I Am Not Understood, YOU Are Suggested Me FOR Spine Surgery. Please explain detaily
The diseases curable permanently
Brief Answer:
If no symptoms (backache etc) then nothing is needed.
Detailed Answer:
Hi
Welcome back
After going through your query and follow up query I want to say that these are due to structural defect (weakness). These are generally since birth however may occur due to repetitive or severe trauma . These manifests later in life. The diseases is not curable permanently.
As already said treatment depends upon symptoms and not on MRI report.You have not mentioned about any symptoms.If you have no symptoms(backache, numbness , tingling in legs) , then no treatment is required except avoid strenuous works and participation in strenuous games. You should take balanced diet rich in vitamins and calcium.
Regular back exercises strengthen back muscles and prevent its progression. Whenever you have to go on long journey or on strenuous work then lumbosacral belt should be worn to prevent it from progressing.I have mentioned about surgery so that its progression can be prevented, but if you have no symptoms then it is not needed.It can later cause backacke .If it further progresses it can cause nerve compression symptoms such as tingling and numbness in legs. You can discuss with your treating Doctor about it.
Hope I have answered your query.
If you have any clarification then I will be happy to help you.
If you have no clarification then you can close the query and rate the answer.
Wishing you good health.
Take care.
If no symptoms (backache etc) then nothing is needed.
Detailed Answer:
Hi
Welcome back
After going through your query and follow up query I want to say that these are due to structural defect (weakness). These are generally since birth however may occur due to repetitive or severe trauma . These manifests later in life. The diseases is not curable permanently.
As already said treatment depends upon symptoms and not on MRI report.You have not mentioned about any symptoms.If you have no symptoms(backache, numbness , tingling in legs) , then no treatment is required except avoid strenuous works and participation in strenuous games. You should take balanced diet rich in vitamins and calcium.
Regular back exercises strengthen back muscles and prevent its progression. Whenever you have to go on long journey or on strenuous work then lumbosacral belt should be worn to prevent it from progressing.I have mentioned about surgery so that its progression can be prevented, but if you have no symptoms then it is not needed.It can later cause backacke .If it further progresses it can cause nerve compression symptoms such as tingling and numbness in legs. You can discuss with your treating Doctor about it.
Hope I have answered your query.
If you have any clarification then I will be happy to help you.
If you have no clarification then you can close the query and rate the answer.
Wishing you good health.
Take care.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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