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Should I Go For Surgery In Case Of Mild Diffuse Posterolateral Disc Bulge At L4- L5 Along With Mild Facetal Hypetrophy?

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Posted on Sun, 28 Oct 2012
Question: Should we go for surgery in case of mild diffuse posterolateral disc bulge at l4- l5 along with mild facetal hypetrophy,mildly compresing the thecal sac,with small annular tear at this level.
doctor
Answered by Dr. S K Mishra (7 hours later)
Hi,

Thanks for the query.

You may need to consider surgery only if
1. If the pain is radicular (radiating to leg)
2. If the disc bulge is on same side as radiating pain in leg
3. If the that particular root in question is seen significantly compressed (thecal sac may be mildly compressed, what matters more in posterolateral bulge is nerve root compression) - as seen on MRI scans
4. If the diabetes and hypothyroid are not the cause of your pain (Get nerve conduction velocities done in lower limbs).

Discuss with your treating doctor / spine surgeon about these factors and you can have your answer.

Hope this answers your query. Let me know if you have other concerns.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. S K Mishra (33 hours later)
Thank you for your unforgettable and most valuable advice.
doctor
Answered by Dr. S K Mishra (1 hour later)
You are welcome.

Hope you become fit and active soon.
If you have no more queries, please close this discussion.

Regards
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. S K Mishra

Spine Surgeon

Practicing since :1998

Answered : 116 Questions

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Should I Go For Surgery In Case Of Mild Diffuse Posterolateral Disc Bulge At L4- L5 Along With Mild Facetal Hypetrophy?

Hi,

Thanks for the query.

You may need to consider surgery only if
1. If the pain is radicular (radiating to leg)
2. If the disc bulge is on same side as radiating pain in leg
3. If the that particular root in question is seen significantly compressed (thecal sac may be mildly compressed, what matters more in posterolateral bulge is nerve root compression) - as seen on MRI scans
4. If the diabetes and hypothyroid are not the cause of your pain (Get nerve conduction velocities done in lower limbs).

Discuss with your treating doctor / spine surgeon about these factors and you can have your answer.

Hope this answers your query. Let me know if you have other concerns.

Regards