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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Scan Shows Spondylosis, Annular Disc Bulge. Is Surgery Necessary?

my impression were Sppondylosis an annular disc buldging at L5-S1 is asymmetrically worse on the right side. A right dorsolateral/foraminal disc- osteophyte complex causes mildly severe right lateral recess and neural foraminal encroachment with Mild impingement on the exiting right L5 and traversing right S1 nerve roots. No significant central canal stenosis at L5-S1 is shown. Mild L5-S1 degenerative retrolisthesis and mild Bilateral facet arthrosis are lso noted. The lateral recesses and neural foramina at L4-5 show mild to moderate encroachments secondary to spondylosis , annular disc buldging, bilateral ligamenta flava hypertrophy and bilateral facet arthrosis. The central canal at L4-5 is low normal. The neural foramina at L4-5 show mild to moderate encroachment without compressing the exiting l4 nerve root sheaths..... They want to do surgery ASAP is this ness? Thank you
Tue, 6 Aug 2013
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Orthopaedic Surgeon 's  Response
Hello.
Thanks for writing to us.
The necessity of surgery in such degenerative changes depends on the severity of the symptoms. If there is evidence of nerve compression symptoms which is progressively increasing then surgery is needed.
I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Praveen-Tayal
Regards,
Dr. Praveen Tayal
drtayal72@gmail.com
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Scan Shows Spondylosis, Annular Disc Bulge. Is Surgery Necessary?

Hello. Thanks for writing to us. The necessity of surgery in such degenerative changes depends on the severity of the symptoms. If there is evidence of nerve compression symptoms which is progressively increasing then surgery is needed. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Praveen-Tayal Regards, Dr. Praveen Tayal drtayal72@gmail.com