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What Does This MRI Report Indicate?
Question: Please guide whether below mentioned illness is due to fall or degenerative or chronic long standing ailment.
31 year/Male patient admitted in the hospital for L5-S1retrolisthesis with prolapse intervertebral disc with Impending cauda equina syndrome and has undergone L5-S1 TLIF.
Insured has h/o fall on Dec 12, 2015 and admitted for surgery in XXXXXXX 2016.
MRI lumbo sacral spine finding are :
* Degertive loss of water content in L5S1 IV disc
*Lumarisation of L5 VB
*Diffuse disc bulge L4L5 IV disc with impigment over existing nerve roots bilaterally at same level.
*Diffuse disc bulge with post-central and rt post-para central disc herniation (extrusion) at L5S1 disc causing narrowing of bilateral recess with neural foramina resulting in compression over traversing nerve root and exiting nerve roots bilaterally at same level more on rt side with sequestration of L5S1 IV disc at central spinal canal.
31 year/Male patient admitted in the hospital for L5-S1retrolisthesis with prolapse intervertebral disc with Impending cauda equina syndrome and has undergone L5-S1 TLIF.
Insured has h/o fall on Dec 12, 2015 and admitted for surgery in XXXXXXX 2016.
MRI lumbo sacral spine finding are :
* Degertive loss of water content in L5S1 IV disc
*Lumarisation of L5 VB
*Diffuse disc bulge L4L5 IV disc with impigment over existing nerve roots bilaterally at same level.
*Diffuse disc bulge with post-central and rt post-para central disc herniation (extrusion) at L5S1 disc causing narrowing of bilateral recess with neural foramina resulting in compression over traversing nerve root and exiting nerve roots bilaterally at same level more on rt side with sequestration of L5S1 IV disc at central spinal canal.
Brief Answer:
Possibility of degenerative disease, less likely to be traumatic
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Lumbosacral radiculopathy due to disc prolapse and degenerative changes at this age can be due to disc prolapse secondary to wrong posture, lifting heavy objects, may be trauma related.
Exact etiology can not be ascertained. Direct evidence of trauma is not there.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurology
Possibility of degenerative disease, less likely to be traumatic
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Lumbosacral radiculopathy due to disc prolapse and degenerative changes at this age can be due to disc prolapse secondary to wrong posture, lifting heavy objects, may be trauma related.
Exact etiology can not be ascertained. Direct evidence of trauma is not there.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurology
Above answer was peer-reviewed by :
Dr. Sonia Raina
Answered by
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