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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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What Does Compression Of The L5 And Thecal Effacement Touching Ganglionic Nerve Mean?

54 yr. old woman had an MRI of Lumbar Spine. Signs of prior fraction L5 with small hemangioma. There is also broad based disc herniation with compression of the descending left L5 root and annular tear!. Other findings were listhesis and thecal effacement touching the ganglionic nerve. Also, Modic type 1 changes. Could you possibly break this info down into simpler terms for someone who doesn t quite understand?
Fri, 19 Jun 2015
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Radiologist,  's  Response
Hello

MRI findings indicate degenerative changes in lumbar spine.
Degenerative changes are age related findings.It is due to chronic stress on annulus fibrosis.

At L5 level,there is large disc herniation which is compressing L5 nerve roots.There is also tear in annulus fibrosis.Herniated disc is also touching thecal sac.
There is also listhesis(forward displacement of a vertebra over a lower segment)of lumbar vertebra.

There is a small vertebral hemangioma.It is a benign tumour made up of blood vessels.It generally doesn't require any specific treatment.

Majority of degenerative disc disease patients are benefited by conservative treatment in the form of physiotherapy,analgesics and muscle relaxants.
Surgery should be the last option.

Treatment can be planned after consultation with neurosurgeon.

Get well soon.
Take Care
Dr.Indu Bhushan
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What Does Compression Of The L5 And Thecal Effacement Touching Ganglionic Nerve Mean?

Hello MRI findings indicate degenerative changes in lumbar spine. Degenerative changes are age related findings.It is due to chronic stress on annulus fibrosis. At L5 level,there is large disc herniation which is compressing L5 nerve roots.There is also tear in annulus fibrosis.Herniated disc is also touching thecal sac. There is also listhesis(forward displacement of a vertebra over a lower segment)of lumbar vertebra. There is a small vertebral hemangioma.It is a benign tumour made up of blood vessels.It generally doesn t require any specific treatment. Majority of degenerative disc disease patients are benefited by conservative treatment in the form of physiotherapy,analgesics and muscle relaxants. Surgery should be the last option. Treatment can be planned after consultation with neurosurgeon. Get well soon. Take Care Dr.Indu Bhushan