Hurting all the time and can not sleep
What is degeneratve sclerosis billaterally in the pars interarticularis and how do you get it
I had a MRI in 2006 and this is it There is a grade 1 anterolisthesis of L4-L5 with a hemanioma in the L2 vertebral body, The conus medullaris terminates at the level of L1-L2 and shows normal signal. This is suggesttion or a small synovial cyst posterior to the bilateral L4-L5 facet articulation.Mild bone marrow edema adjacent to the facet articulations at L4-L5 and L5-S1 are likely related to sever degenerative/ arthritic changes. Mild T2 hyperintensity in the paravertebral soft tissues adjacent to the left L4-L5 facet articulation likely represents represents reactive change as well. At L1-L2 level no central canal or foraminal compromise.
At L2-L3 level no central canal or foraminal compromise
At the L-3-L4 level there is minmal bulge asmmetrically prominent to the right side. Central canal shows no significant compromise, Neural foramina show minimal narrowing bilaterally. There may be a right posterolateral annular tear.
At the L4-L5 level there is a diffuse disc bulge associated with bilateral facet and ligamentum flavum hypertrophy. There is mild central canal stenosis at this level. There is mild left neural foraminal narowing. The right neural foramen remains patent.
At the L-5-S1 level there is a mild diffuse disc bulge associated with a posterior annular tear. the central canal is not stenotic. There is a mild neural forminal narrowing. The right neural foramen remains patent.
1. Atthe L4-L5 level there in mild central canal stenosis secondary to disc bulge, ligamentum flavum hypertrophy as well as severe facet hypertrophic degeneraive change bilaterally
2. Grade 1 anterolisthesis of the L4 and L5 that was the mri in 2006.
In Sept 2006 I was in a bad wreck and my seats broke in the van my back just got worse after that so they did a MRI this month
Here is what it shows Feb 3,2008 There is a grade 1 anterolisthesis of L4 on L5, less then 5mm. the rest of the lumbar spine is well aligned, Vertebral bodies are intact without destructive lesionsor compression fractures. Marrow signal is normal.
Conus medullaris termiunates at L1.
T12-L1, L1-L2, L2-L3, and L3-L4 have patent spinal canal and neural foramina
L4- L5 has a disc bulge. There are degenerative changes in the facet and ligamentum flavum. Spinal canal and neural foramina are patent. There is degeneratve sclerosis billaterally in the pars interarticularis without a clear spondylolysis.
l5-S1 has patent spinal canal and neural foramina. There are degenerative changes in thefacet and ligamentum flavum. Impression
1. No Spinal Canal or neural foraminal stenosis.
2. Multilevel degenerative changes, worse at L4-L5 with stable grade 1 spondylolisthesis