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Spinal X-ray: spine lat View Minimal anterolisthesis of L4 over L5, Spine Lat View Minimal anterolisthesis of L4 over L5, anterolateral osteophytic

this is my mother X ray report titled as X-Ray L-S.Spine with Both hips AP & L-S.Spine Lat View Minimal anterolisthesis of L4 over L5 is seen. c is seen in the lumber region. Vertebral bodies show mild anterolateral osteophytic changes at L2-L3, L3-L4,L4-L5 & L5-S1 level. Bilateral SI and hip joints appear normal. What is this can any one enplane please
Asked On : Sat, 5 May 2012
Answers:  2 Views:  562
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Orthopaedic Surgeon 's  Response

1. It seems your mother is suffering from age-related osteo-arthritis of the spine,

2. Forward slipping of L4 over L5 vertebra is called anterolisthesis. Sideways curving of spine is called as scoliosis. Since both are minimal, they can be age-related changes / osteo-porosis.

3. SI = sacro-iliac joints. These are the joints connecting the spine / sacrum with the pelvic bone.

4. If your mom is suffering from pain in low back more on lifting objects / on prolonged forward leaning posture = indicates instability at L4 and L5 segment ---> then you might need CT-scan to find there is any defect in the spine and MRI to rule-out any nerve compression / canal stenosis / associated disc disease.

5. If she is otherwise able to tolerate pain, then few analgesics along with calcium supplements will suffice.
Answered: Sat, 5 May 2012
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Orthopaedic Surgeon, Joint Replacement Dr. Abdullah Shafir. M's  Response
Your mother is having old age problems, ie spondylytic changes of the Lumbar spine. There is a slight slip of L4 vertebra over L5 and this can cause low back pain. If there is severe low back pain , please tale a MRI Lumbo sacral spine and screening of whole spine to know if there is intervertebral disc prolapse and nerve root compression.
Take care
Answered: Sat, 5 May 2012
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