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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Prognosis For Stable Scoliosis With The Convexity Pointing The Left And The Apex At Approximately L3?

Stable anterior spinal listhesis at L3-4 of 2 mm, Stable scoliosis with the convexity pointing the left and the apex at approximately L3. There is again lateral subluxation of L2 to the right, Diffuse discogenic degenerative changes. What is the prognosis here and is surgery the only remedy?
Sat, 2 Sep 2023
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General & Family Physician 's  Response
Hi,

You need to consider the following and discuss it with your treating physician.

Stable Anterior Spinal Listhesis at L3-4: This refers to a condition where one vertebra has slipped forward relative to the one below it in the lumbar (lower back) region. A 2 mm slip is relatively minor, and if it's stable and not causing significant symptoms, conservative treatments like physical therapy, pain management, and lifestyle modifications may be sufficient.

Stable Scoliosis with Convexity to the Left: Scoliosis is a curvature of the spine. There can be a variation in the direction and degree of the curve. Your may not require surgery, if scoliosis is stable without significant pain or other issues. Monitoring and conservative management (e.g., physical therapy, bracing) might be sufficient.

Lateral Subluxation of L2 to the Right: This refers to a vertebra in the spine slipping to the right. The need for treatment depends on the severity, symptoms, and stability. Conservative treatments may be tried first.

Diffuse Discogenic Degenerative Changes: This suggests age-related wear and tear on the intervertebral discs in your spine. It's a common finding as people age. Conservative treatments such as physical therapy, pain management, and lifestyle modifications are typically tried first.

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

Regards,
Dr. H. Kay, General & Family Physician
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What Is The Prognosis For Stable Scoliosis With The Convexity Pointing The Left And The Apex At Approximately L3?

Hi, You need to consider the following and discuss it with your treating physician. Stable Anterior Spinal Listhesis at L3-4: This refers to a condition where one vertebra has slipped forward relative to the one below it in the lumbar (lower back) region. A 2 mm slip is relatively minor, and if it s stable and not causing significant symptoms, conservative treatments like physical therapy, pain management, and lifestyle modifications may be sufficient. Stable Scoliosis with Convexity to the Left: Scoliosis is a curvature of the spine. There can be a variation in the direction and degree of the curve. Your may not require surgery, if scoliosis is stable without significant pain or other issues. Monitoring and conservative management (e.g., physical therapy, bracing) might be sufficient. Lateral Subluxation of L2 to the Right: This refers to a vertebra in the spine slipping to the right. The need for treatment depends on the severity, symptoms, and stability. Conservative treatments may be tried first. Diffuse Discogenic Degenerative Changes: This suggests age-related wear and tear on the intervertebral discs in your spine. It s a common finding as people age. Conservative treatments such as physical therapy, pain management, and lifestyle modifications are typically tried first. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. H. Kay, General & Family Physician