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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This MRI Scan Finding Indicate?

I am reading my MRI and it states I have grade 1 retrolisthesis with a 3 mm diffuse disc protrusion contouring the ventral thecal sac. Just would like to know your opinion on whether this is something that will require surgery or can be treated in a different manner?
Thu, 27 Oct 2022
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Anesthesiologist 's  Response
Hello,

Retrolisthesis is a posterior or backward slippage of vertebral body. The spine’s vertebra, discs, ligaments, tendons (fascia), muscles, and nerves are what may be involved in a retrolisthesis.

Symptoms of Retrolisthesis are pain in the region of the vertebral displacement—intensity, frequency and description are varied (eg, dull, sharp). The displacement may be palpable (felt by hand). Range of motion (movement) reduced Neurological symptoms—such as weakness, numbness, or tingling sensations at the site of displacement and/or radiate into other parts of the body (eg, shoulders, arms, buttocks, hips, legs)

Causes of Retrolisthesis include degenerative spinal disorders (eg, degenerative disc disease), arthritis (eg, spondylosis, osteoarthritis), osteoporosis, spinal injury (eg, spinal cord injury, fracture), muscle weakness in the abdomen and/or spine, infections of the blood, osteomyelitis (bone infection), birth defects, or nutritional deficiencies.

The treatment includes non surgical and surgical therapy. Non surgical management is pain medication, such as non-steroidal anti-inflammatory drugs (NSAIDs), to reduce inflammation, ease pain, muscle relaxant medication, spinal injections, ice, heat, modification of physical activities that exacerbate pain and symptoms, massage, physical therapy; passive (eg, massage, ultrasound) and active (exercise) treatments, walking, swimming, and yoga.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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What Does This MRI Scan Finding Indicate?

Hello, Retrolisthesis is a posterior or backward slippage of vertebral body. The spine’s vertebra, discs, ligaments, tendons (fascia), muscles, and nerves are what may be involved in a retrolisthesis. Symptoms of Retrolisthesis are pain in the region of the vertebral displacement—intensity, frequency and description are varied (eg, dull, sharp). The displacement may be palpable (felt by hand). Range of motion (movement) reduced Neurological symptoms—such as weakness, numbness, or tingling sensations at the site of displacement and/or radiate into other parts of the body (eg, shoulders, arms, buttocks, hips, legs) Causes of Retrolisthesis include degenerative spinal disorders (eg, degenerative disc disease), arthritis (eg, spondylosis, osteoarthritis), osteoporosis, spinal injury (eg, spinal cord injury, fracture), muscle weakness in the abdomen and/or spine, infections of the blood, osteomyelitis (bone infection), birth defects, or nutritional deficiencies. The treatment includes non surgical and surgical therapy. Non surgical management is pain medication, such as non-steroidal anti-inflammatory drugs (NSAIDs), to reduce inflammation, ease pain, muscle relaxant medication, spinal injections, ice, heat, modification of physical activities that exacerbate pain and symptoms, massage, physical therapy; passive (eg, massage, ultrasound) and active (exercise) treatments, walking, swimming, and yoga. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist