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Conditions and Diseases > Back Pain Forum > Post Op Mri Report (laminectomy & Discectomy L5-s1)
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Q: Post Op Mri Report (laminectomy & Discectomy L5-s1)
asked by: blakemurray on July 11th, 2007
New User
Surgery was in Nov 06 , I'm 22 years of age

MRI Report

Findings
There is minimal retrolisthesis of L5-S1 .Lumbar alignment otherwise un remarkable.Moderate degenrative dics disease at L5-S1.The remaining disc space heights are matintained.Marrow signal is unremarable .There has been a left side laminectomy at L5-S1.Posterior elements otherwise intact .Conus medullaris tapers normally and termintates at the L1-L2 Level

The L1-L2,L2-L3 AND L3-L4 LEVELS are unremarkable

At L4-5 There is mild diffuse disc bulging posterorly with slight focality centrally.This does not imping neural elements . Centreal canal is well maintained at this level

At L5-S1 ,Left sided Laminectomy.There is a Large amount of scar in the left side of the epidural space and laminectomy site.In a Left paracentral and psoterolateral location there is large mass like area of scar that enhances and hence does not represent residual or recurrent disc protrusion but scar .This scar has mass-effect and is modertely displaceing the left sdie traversing s1 nerve root Postertirly.This foal area of anterior epidural and psterolatieral disc space scar measures app..07 mm In AP x1.3cm in transverse dimesion.In the midline of the epidural space to the right og the scar and contiguous with it there is a central disc progtustion of small to moderate size but this does not impinge neural elements.Central canal and neural foramina are maintained

Impression; Laminectomy on the left at L5-S1 with an extensive amount of scar involving the left laminectomy site and left lateral epidural space. Additionally, there is ''mass like'' enhancing scar at the posterolateral and paracentral asapect of the disc space on the left that is causing a mild to moderat amount of mess -effect upon the elft traversing S1 Nerve root.
As it enhances it reprents granulation tissue or scare and does not reprensent residual or recrueent disc protrsion. There is small to moderate amount of central disc protrusion at this level, but this does not impinge neural elements

Mild Central disc bulding at L4-5 That does not impinge neural elements

Moderate degenerative disc disease at L5-S1 .Other unremarkable Study
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blakemurray
replied on July 16th, 2007
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Can anyone tell me what this means? Please
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sillyakchick
replied on July 17th, 2007
Extremely eHealthy
It would seem that you have scar tissue which is putting pressure on your spinal cord as well as your left nerve root. This would give you back pain and left leg pain. Surgery is an option, but scars usually grow back, and get larger every time the site is operated on. You could do a series of epidural injections to see if it will decrease some of the swelling and give your spinal cord and nerve root more room.
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blakemurray
replied on July 17th, 2007
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Is that my best option?
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sillyakchick
replied on July 18th, 2007
Extremely eHealthy
As I am not a physician, I really could not say for sure. You would need an opinion from a surgeon.
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