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What can you tell me about my mri picture

Spine Health | Last Active: Sep 13 11:29am | Replies (15)

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S1 segment is partially lumbarized with 5 additional nonrib-bearing lumbar type vertebral segments. Last rib-bearing segment labeled as T12. Conus medullaris terminates at L1 with no abnormal intramedullary signal alteration. Moderate endplate degenerative marrow space findings at L5-S1. No discitis osteomyelitis lumbar spine. Common bile duct measures approximately 0.7 cm. This desiccation at L3-L4 through L5-S1.
At T12-L1, no disc bulge, spinal canal stenosis, or neural foraminal stenosis.
At L1-L2, no disc bulge, spinal canal stenosis, or neural foraminal stenosis.
At L2-L3, no disc bulge, spinal canal stenosis, or neural foraminal stenosis.
At L3-L4, no neural foraminal stenosis or spinal canal stenosis. Posterior disc bulge (2 mm AP).
At L4-L5, mild disc height loss. No neural foraminal stenosis. No spinal canal stenosis. Posterior disc bulge (3 mm AP). Mild bilateral facet arthropathy.
At L5-S1, moderate disc height loss. Mild left neural foraminal stenosis. Moderate right neural foraminal stenosis. No significant spinal canal stenosis. Mild/moderate bilateral facet arthropathy. Broad-based posterior disc osteophyte complex (4 mm AP) with finding extending into the bilateral neural foramen.

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Replies to "S1 segment is partially lumbarized with 5 additional nonrib-bearing lumbar type vertebral segments. Last rib-bearing segment..."

@justbec2004 I saw this after my post and replied above. There are a variety of issues at L5-S1. It could be a very minor surgery or outpatient proceedure or it could be a fusion surgery. You will definitely get some pain relief. I'd consult another ortho spine surgeon if you weren't in love with your first and also a pain mgt doctor. See if you can get it to come together for your "straight answer." But honestly - no one KNOWS what exactly is causing the nerve pain until they open you up. They can guess because there are a variety of things at play. They would just fix them all at L5-S1 and you will feel better. Right now, no one knows if the problem is caused by the disc out of position, the compression, the osteophytes, etc. That is expecting too much. So I suggest continuing on with the recommended diagnostics until you and your dr. is satisfied you are ready for surgery.