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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This X Ray Report Of Spine Indicate?

Here is the xray results of my lumbar spine. Findings: Loss of lordosis. Severe disc space narrowing L4-5 similar with reactive endplate changes and sclerosis. 1 mm retrolisthesis at this level similar. 1 mm anterolisthesis L3 on L4. No spondylolysis. Minor osteophyte formation elsewhere lumbar spine similar. Impression: Loss of lordosis with severe disc space narrowing at L4-5 similiar, subchondral sclerosis and osteophyte formation similiar. What does all this mean and what is the treatment for this ailment.
Mon, 13 Oct 2014
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Neurologist, Surgical,  's  Response
With such presentations of x ray reports in my clinic, I would say there is a degenerative vertebral and discal disease that needs further investigation with dynamic x ray ( flexion/extension) of lumbar column to measure correctly listhesis, and lumbar column MR imaging to evaluate correctly disc disease (probably disc herniation and degenerative disc disease). The treatment ( surgery or conservative), will depend on imaging studies and your symptoms ( i. e. if you have only back pain or pain that radiates in one leg or both, if you have urination problems or not). So I suggest you to discuss those possibilities with your local Neurologist or Neurosurgeon. 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 This X Ray Report Of Spine Indicate?

With such presentations of x ray reports in my clinic, I would say there is a degenerative vertebral and discal disease that needs further investigation with dynamic x ray ( flexion/extension) of lumbar column to measure correctly listhesis, and lumbar column MR imaging to evaluate correctly disc disease (probably disc herniation and degenerative disc disease). The treatment ( surgery or conservative), will depend on imaging studies and your symptoms ( i. e. if you have only back pain or pain that radiates in one leg or both, if you have urination problems or not). So I suggest you to discuss those possibilities with your local Neurologist or Neurosurgeon. 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.