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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Loss Of Lordotic Curvature?

Loss of normal lordotic curvature. No spondylolysis or listhesis.
At L4-5 disc level, there is advance disc desiccation associated with disc herniation which is diffuse extends to both sides more towards the Rt.and also extends inferiorly beyond the endplate, maintained by the posterior long. ligament, compress on the thecal sac and the transversing nerve roots including L5 nerve root.
At L5-S1 disc level, there is advance disc desiccation associated with disc protrusion which is again diffuse but mainly central effaces the epidural fat and minimally indenting on the thecal sac, associated posterior osteophytic spurring is noted. No displacement or significant compression on the nerve roots seen at this level, if anything slightly abutting the S1 nerve root without displacement.
The remainder of the disc spaces showed no disc herniation. No significant central canal stenosis apart from above described mild discogenic narrowing.
No destructive changes. No facetal hypertrophy or narrowing of the lateral recesses.
Normal conus medullaris and paraspinal soft tissue
Thu, 3 Aug 2017
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Neurologist 's  Response
Thanks for your question dear lumber lordosis is maintained by intervertibral joints that in your case are distrubed by herniation at l4 to S1 so these herniation cause loss of normal curve so what you should do have an consultation with neurosurgeon who is going to tell you whether it is operatable or not untill avoid excess weight lifghting thanks
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What Causes Loss Of Lordotic Curvature?

Thanks for your question dear lumber lordosis is maintained by intervertibral joints that in your case are distrubed by herniation at l4 to S1 so these herniation cause loss of normal curve so what you should do have an consultation with neurosurgeon who is going to tell you whether it is operatable or not untill avoid excess weight lifghting thanks