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Back ache. MRI showed Discal bulge, broad based paracentral protrusion, annular tear. Meaning?

Hi Doctor, Hi All, my sister is recently suffering with backache when we undergone MRI , the Impression from the Radiologist is 1) Sacralized L5 Vertebra. 2) Discal bulge, broad based central/jright paracentral protrusion, annular tear at L4-L5 with compression of thecal sac, right traversing root. 3) Narrowing of spinal canal , lateral recess at L4-L5, L5-S1. When we consulted a doctor, he was suggesting operation. Please suggest if we have to undergo operation for her. Her age is 25. So not sure if we have to opt operatoin at this age and we also not aware of complications once the operatoin is done. Please suggest if we have to undergo surgery. Thank you.
Asked On : Wed, 13 Mar 2013
Answers:  1 Views:  66
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Orthopaedic Surgeon 's  Response
surgery for disc prolapse in the absence of progressive neurological deficit is advised only when the pain is not responding to all the conservative means tried for more than 6 weeks. i.e. complete bed rest physiotherapy and local steroid injection, etc.
And if you have tried all this and not relieved with pain then you can opt for surgery.
Recently there are many advances in surgical management of disc prolapse like minimally invasive microlumbar discectomy , endoscopic disectomy etc.
please discuss all this option with your surgeon before undergoing surgery
Answered: Sat, 16 Mar 2013
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