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Conditions and Diseases > Back Pain Forum > failed fusion & large annular tear
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Q: failed fusion & large annular tear
asked by: summer39 on June 23rd, 2008
New User
Hi,
I had an L5-S1 fusion last yr when I was 18 yrs old after suffering from back pain for 4 yrs for spondylolisthesis w/ pinched nerves. I have been told now that it did not fuse.

Now I am in just as severe, if not more pain that is radiating down my right side. I had a discogram last week at L4-L5 & am trying to understand the results. It reproduced my pain.

If anyone can help me, or enlighten me about treatment options, it would be greatly appreciated.

...L5-S1: the interbody cage is partially incorporated with a small amount of intact interbody fusion bone at the posterior aspect of the disc space. On the current examination, there is no definite solid fusion noted posterolaterally.

L4-L5: There is a large annular tear at the six o'clock position with contrast extending into a central to right disc protrusion which contacts the anterior aspect of the thecal sac as well as the proximal right L5 nerve root and may minimally contact the proximal left S1 nerve root. The facet joints remain patent & no lucency is noted along the pedicle screws.

Thank you!! Just trying to feel better so I can continue college without pain!
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RichT
replied on June 24th, 2008
Active User, very eHealthy
Hello Summery,

Welcome to this forum!!!!

May I highly recommend that you seek the advice of the very best spinal surgeons that you can find in your area. It is always wise to seek out 2nd and 3rd opinions.

I wish you the very best. I commend you for wanting to continue your education.

RichT
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Dr. Nikola
replied on June 24th, 2008
Doctor
According to the report from the CT Discography, fusion between L5 and S1 didn't succeed completely. Discogram also revealed that there are degenerative changes of the intervertebral disk between L4 and L5 which makes pressure on some spinal nerve roots. Your pains are probably due to this pressure on the spinal nerve roots.
There are few treating options: IDET (Intra-Discal Electrothermal Therapy), nucleoplasty (percutaneous discectomy) and removal of the damaged disc via fusion.
You should consult some neurosurgeon or orthopedist about the best treatment for you.
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