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What Does My MRI Scan Report Indicate?

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Posted on Wed, 28 Jan 2015
Question: I am an athletically very active 59 year old male. I have recently experienced sciatica in both legs. I have had no physical trauma to my back. The attached image is from a lumbar MRI performed on my back this month. What is your assessment of the appearance of the L4-L5 disc and the L5 vertibrae, and what is your recommendation for relieving the sciatica, which appears to be related to this?
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Answered by Dr. Dr. Erion Spaho (23 minutes later)
Brief Answer:
There is spondylolysthesis.

Detailed Answer:
Hi, I had gone through your question and understand your concerns.

From MRI images that you uploaded, there is spondylolysthesis ( slipped vertebrae) at L4/L5 level with moderate stenosis ( narrowing) of spinal canal at this level.

L5 vertebra is slipped toward regaining to L4.

In my opinion there's need for x-Ray films of your lumbar column in neutral, extending and flexing posture to evaluate correctly grade of spondylolysthesis.

Treatment is mainly surgical ( spinal fusion) and is guided by your symptoms in correlation with imaging findings.

Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
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. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4502 Questions

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What Does My MRI Scan Report Indicate?

Brief Answer: There is spondylolysthesis. Detailed Answer: Hi, I had gone through your question and understand your concerns. From MRI images that you uploaded, there is spondylolysthesis ( slipped vertebrae) at L4/L5 level with moderate stenosis ( narrowing) of spinal canal at this level. L5 vertebra is slipped toward regaining to L4. In my opinion there's need for x-Ray films of your lumbar column in neutral, extending and flexing posture to evaluate correctly grade of spondylolysthesis. Treatment is mainly surgical ( spinal fusion) and is guided by your symptoms in correlation with imaging findings. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.