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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Spurs At Anterosuperior Corners Of L3 And L4 With Disc Space Narrowing At L4-L5 S1 Mean?

Q: My husband has had pain in left leg 6 days now taking pain med and had 2 shots for pain nothing is working.... can not walk more then 4 steps pain is bad.. had x rays done spurs at the anterosuperior corners of L3 AND L4 with mild posterior disc space narrowing at L4 L5-S1 AT L2-L3 ... There is deformity to the anterior corners of L1 AND L2.. what does all this mean?
Tue, 28 Oct 2014
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Radiologist,  's  Response
Hello

Report suggests degenerative disc disease of lumbar spine.
Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis.

1.Spurs in vertebral bodies are called as osteophytes and these are formed due to chronic stress on annulus fibrosis.

2. There is posterior disc space narrowing at L4-L5,L5-S1 and L2-L3 level.

So,your husband minor findings according to X-rays.It is important to know about nerve roots compression,which can be only evaluated by MRI.
So,MRI L/S Spine should be done for proper management.

Majority of the cases of degenerative spine disease are benefited by physiotherapy,so physiotherapy should be tried first.
Surgery should be the last option.

Treatment can be planned after consultation with neurologist.

Get well soon.
Take Care
Dr.Indu Bhushan
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What Does Spurs At Anterosuperior Corners Of L3 And L4 With Disc Space Narrowing At L4-L5 S1 Mean?

Hello Report suggests degenerative disc disease of lumbar spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis. 1.Spurs in vertebral bodies are called as osteophytes and these are formed due to chronic stress on annulus fibrosis. 2. There is posterior disc space narrowing at L4-L5,L5-S1 and L2-L3 level. So,your husband minor findings according to X-rays.It is important to know about nerve roots compression,which can be only evaluated by MRI. So,MRI L/S Spine should be done for proper management. Majority of the cases of degenerative spine disease are benefited by physiotherapy,so physiotherapy should be tried first. Surgery should be the last option. Treatment can be planned after consultation with neurologist. Get well soon. Take Care Dr.Indu Bhushan