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Nerve damage after spine fusion

Spine Health | Last Active: Jun 14, 2024 | Replies (13)
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@sbtheplumber1

My last MRI: FINDINGS:
Soft tissue: Normal surrounding soft tissue/paraspinal muscles.
Bones: No fracture; no vertebral height loss. Transitional S1 vertebral body (Castellvi IIIb). Stable remote postsurgical changes with solid fusion at L3-L4. More recent L5 laminectomy, interbody graft placement L5-S1 with bilateral posterior rod and screw fixation L5-S1-S2, also unchanged. Surgical hardware is intact. No lucencies are appreciated around the fixation screws. Gas is present within the intervertebral disc space at L5-S1 reflecting micromotion. Solid fusion of L5 and S1 is not identified.
Alignment: Anatomic.
Discs, Spinal canal, Foramen:
T10-T11 through L2-L3: The spinal canal is not narrowed. The foramina are not narrowed.
L3-L4: Mild disc bulge. Bilateral facet degeneration. Mild spinal canal narrowing. Moderate bilateral foraminal narrowing L4-L5: Remote postsurgical changes with solid fusion. The spinal canal is not narrowed. Mild bilateral foraminal narrowing. L5-S1: More recent postsurgical changes with findings of pseudoarthrosis. The spinal canal is not narrowed. Moderate left
and mild right foraminal narrowing.
S1-S2: Transitional S1 (Castellvi IIIb). Rudimentary disc. Hypoplastic facets. The spinal canal is not iscs, Spinal canal, Foramen:

Report
foramina are not narrowed.
Sacrum: No acute abnormality of included sacrum.
Additional comments: None.
IMPRESSION:
1. Transitional S1 vertebral body (Castellvi IIIb).
2. Postsurgical changes at L5-S1 with findings of pseudoarthrosis. 3. Remote postsurgical changes at L4-L5 with solid fusion.

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sbtheplumber1 | @sbtheplumber1 | Jun 14, 2024

(MRI Spine Lumbar w/ + w/o Contrast) Lumbar radiculopathy
Report
Exam Date/Time 10/25/2023 17:44 EDT
Procedure
MRI Spine Lumbar w/ + w/o contrast
EXAMINATION: MRI LUMBAR SPINE W/ AND W/O CONTRAST
Date: 10/25/2023 5:00 PM
History: Male, 51 years old. Lumbar radiculopathy Technologist Notes: c/o lbp that radiates into testicles, anus, bilateral groin
COMPARISON: Lumbar radiographs dated 10/16/2023, MRI lumbar spine contrast dated 6/13/2023, CT abdomen pelvis dated 6/15/2022
Technique: Non-contrast images were obtained of the lumbar spine. Intravenous contrast was injected, and post imaging of the lumbar spine was obtained. Pre and post contrast images were obtained with multiplanar multisequence MR imaging of the lumbar spine. Technologist Notes: c/o lbp that radiates into testicles, anus, bilateral groin
FINDINGS:
Soft tissues: No abnormality demonstrated of the surrounding soft tissues or paraspinal muscles.
Bones: No suspicious lesion or compression fracture. Transitional S1 vertebral body (Castellvi IIIb) again noted. Stable remote interbody graft placement L4-L5 with solid fusion with more recent interbody graft placement L5-S1 with posterior rod and screw fixation L5-S1-S2 on the left at L5-S2 on the right. Mild chronic degenerative endplate changes accompany mild to moderate disc degeneration at L2-L3 and L3-L4, unchanged. No abnormal marrow enhancement. No abnormal disc enhancement.
Alignment: No significant listhesis or scoliosis.
Cord: Unremarkable and terminates at a normal level. A filum terminale unchanged. No abnormal dural, pial or intramedullary enhancement.
T12-L1: No significant spinal canal or foraminal narrowing.
L1-L2: No significant spinal canal or foraminal narrowing.
L2-L3: Mild disc height loss. Minimal disc bulge. Mild facet degeneration. The spinal canal is Page 1 of 2 Print Date/Time: 6/14/2024 09:25 EDT

L3-L4: Mild disc height loss. Minimal disc bulge. Bilateral facet degeneration. The spinal canal is not narrowed. Moderate bilateral foraminal narrowing with displacement of the exiting L3 nerve roots greater on the left.
L4-L5: Remote postsurgical changes with solid fusion. The spinal canal is not narrowed. Mild bilateral foraminal narrowing.
L5-S1: Recent postsurgical changes. The spinal canal is not narrowed. Enhancing single soft tissues demonstrated involving the traversing right S1 nerve root. Limited evaluation hardware artifact demonstrates mild to moderate bilateral foraminal narrowing.
S1-S2: Transitional S1 vertebral body (Castellvi IIIb). Recent postsurgical changes. Rudimentary disc.. Hypoplastic facets. The spinal canal is not narrowed. The foramina are not narrowed.
Sacrum (visible): No acute abnormality of the visualized sacrum.
IMPRESSION:
1. No new abnormalities are identified.
2. Stable recent postsurgical changes L5-S2, as described above. Suspected epidural granulation tissue involving the traversing right S1 nerve root at L5-S1..
3. Stable remote interbody graft placement L4-L5 with solid fusion.
4. Stable degenerative changes.

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