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What Does My Lab Test Report Indicate?

Posted on Fri, 25 Sep 2015

Question: Hi,

Below are observations after lumbosacral spine:

1. Diffuse disc bulge at the L4-5 with annular tear at the left posterolateral aspect with extrusion of necleus pulposus into the left neural for am in a causing compression of left existing nerve root.
2. Diffuse non compressive disc bulge at L1-2, L2-3 and L3-4 levels.

Please advise if operation is required in this case? if yes then which method is best suitable for the operation?

Thanks.

Answered by Dr. Deepti Verma (7 minutes later)

Brief Answer:
Neurosurgeon opinion is final

Detailed Answer:
Hi dear, I have gone through your question and understand your concerns.
With the above findings in MRI, surgery is required if the patient is having:
1. severe pain, not controlled by medicines
2. Sensory loss over the lower limbs
3.Any motor weakness in the limbs
4. Reflex loss in the lower limbs
The decision of surgery depends on the assessment of a neurosurgeon after proper evaluation of the patient.
Surgery can be done by endoscopic method or open method like laminectomy.
The type of surgery to be done depends upon the neurosurgeon evaluating and operating the case.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (11 minutes later)

Thanks. Patient have severe pain. its not getting controlled by medicines. Neurosurgeon advised laminectomy. Which one is good for operation success and speedy recovery?

Answered by Dr. Deepti Verma (9 minutes later)

Brief Answer:
Laminectomy is appropriate

Detailed Answer:
Hi dear, thanks for responding. If the patient has severe pain which is not getting controlled by the medicines, then surgery should be done. Laminectomy is one of the standard surgery for disc prolapse and patient recovers in short time.
Hope you found the answer helpful. Please do get back for further queries.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (12 minutes later)

thanks mam. just a last question on this. What should be the experience of the neurosurgeon who will do this surgery? I think practical experience is more important than where he studied. so want to know.

Answered by Dr. Deepti Verma (12 minutes later)

Brief Answer:
Surgery at corporate hospital or medical college

Detailed Answer:
Hi dear, a neurosurgeon with 2-3 years experience in performing such surgeries is well enough trained to do laminectomy. You can get this surgery done at any corporate hospital or medical college where experienced neurosurgeons are available.
Hope you found the answer helpful. Please do get back for further queries.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (1 hour later)

what is German XXXXXXX Therapy? is it advisable for this case?

Answered by Dr. Deepti Verma (2 hours later)

Brief Answer:
not advised German XXXXXXX Therapy

Detailed Answer:
Hello,
I will not advise for German XXXXXXX Therapy.
You need to get definite operative advice from a good neurosurgeon as delay may lead to irreversible damage to nerves.
Hope you found the answer helpful.
Regards
Dr Deepti XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar