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Xray findings for hips & Lumbar spine

The following was found on my x-ray: Preserved Lordosis signs of major disc height in L5 with a irregular sclerotic end plate. Narrowed central and spina bifida of L5. Sclerotic changes of s.i. joints bilaterally more on left. Moderate narrowing of both hip joints with sclerotic changes of the acetabulum more on right. Preserved femoral heads.
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replied September 5th, 2011
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Have you seen a Chiropractor to see if they can do anything to help with any of that? Is this a regular Xray or have you had an MRI?
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replied September 5th, 2011
Regular xray, going for an MRI next month.... Looking to know in layman terms what the findings on the xray means....
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replied September 22nd, 2011
Especially eHealthy
Tiamaisy,

I can try to put the report is layman's terms:

"Preserved Lordosis" - The lumbar spine has its normal curve, called lordosis.

"signs of major disc height in L5 with a irregular sclerotic end plate." - Is there a word missing here? Did the report say "loss of height"? If so, loss of disc height means the disc is underdoing degenerative changes. It's is getting narrower. The endplate is the part of the vertebral body that is in contact with the disc. Being irregular, again is a sign of degenerative changes.

"Narrowed central and spina bifida of L5." - Spina bifida is a congenital condition (you were born with it). It can range from just the posterior aspect of the vertebra not completely fusing, without any other problems, all the way to the other side of the spectrum, where a baby is born with the lower spinal cord on the outside of the body (and paralyzed). Since this was just picked up on x-ray, it is what is usually called spina bifida occulta, and usually is of no significance, causing no problems. But, without actually seeing the x-ray, it is impossible to tell exactly from the report how significant it is.

"Sclerotic changes of s.i. joints bilaterally more on left." - Sclerosis of bone is where the bone becomes dense and compacted. It is one of the four signs of degenerative changes within a joint. So, the left sacroiliac joint is starting to show early degenerative changes.

"Moderate narrowing of both hip joints with sclerotic changes of the acetabulum more on right. Preserved femoral heads." - This is the part on the hip joints. Narrowing is again one of the signs of degenerative changes. The narrowing means the cartilage is wearing and becoming thinner. The socket (acetabulum) bone is becoming dense (sclerotic). The sclerosis is from years of the the joint undergoing stress of moving, basically compressing the bone under the cartilage. The ball part of the joint is okay.

If you are interested, the four signs of degenerative changes in a joint are: 1) joint space narrowing, 2) sclerosis of the subchondral bone (bone just under the cartilage), 3) cyst formation within the periarticular bone (bone right around the joint), and 4) osteophyte formation (bone spurs).


Good luck on your upcoming appointment.
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