What Does Moderate Spondylytic Changes With No Radicular Compression Mean?
The alignment of the lumbar vertebrae is slightly distorted with grade 1 retrolisthesis of L3 on L4. There are endplate degenerative changes at L2 and L3. The conus medullaris is at L1. The disc heights are relatively preserved with decrease in disc signal throughout. On axial imaging: At L1-2, a normal appearance is noted. At L2-3, mild degenerative changes are present with wide patency of the canal and foramina. At L3-4, again mild degeneration is present with no significant affect on the canal or foramina. At L4-5, a global disc bulge is present with bilateral extension and associated facet and ligamenta flava hypertrophy. There are possibly inflammatory changes in the facet joints at this level. The spinal canal is moderately reduced and there is some moderate reduction of both foramina. At L5-S1, there is a global disc bulge with associated facet hypertrophy resulting in mild spinal canal and bilateral foraminal narrowing. IMPRESSION: Overall moderate spondylitic changes. No frank evidence of radicular compression. YYYY@YYYY
Hi, I had gone through your question and understand your concerns. Moderate spondylotic changes mean there is a degenerative disc and vertebral column disease from aging spine, inflammatory processes, or posture and weight. I think listhesis on L3-L4 needs further examination with plain radiographs of your lumbar column in neutral, flexed and extended position to evaluate the real listhesis grade. You need proper treatment to stop advancing of spinal canal narrowing. For this I suggest to consult a Neurologist and discus treatment modalities. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
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What Does Moderate Spondylytic Changes With No Radicular Compression Mean?
Hi, I had gone through your question and understand your concerns. Moderate spondylotic changes mean there is a degenerative disc and vertebral column disease from aging spine, inflammatory processes, or posture and weight. I think listhesis on L3-L4 needs further examination with plain radiographs of your lumbar column in neutral, flexed and extended position to evaluate the real listhesis grade. You need proper treatment to stop advancing of spinal canal narrowing. For this I suggest to consult a Neurologist and discus treatment modalities. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.