L4/5 spondylolisthesis: Everything you need to know
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- เผยแพร่เมื่อ 31 ก.ค. 2024
- L4/5 spondylolisthesis is a common cause of low-back pain and sciatica. I will show you how to fix this problem.
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2 weeks post-op and I'm doing really well! 😊
Very grateful!
Great to hear that, good luck 👍
I was just diagnosed with this and my MRI looks almost identical to the one shown. This was really helpful in understanding the process. Thanks so much!
Glad it was helpful! Thank you for watching. Good luck to you 👍
Excellent video, Thank-you!😊
Thank you, appreciate it 👍
Excellent explanation!
Thank you for the compliment!
Glad to be of help 👍
Thank you Doctor Khan you are a very good and compassionate doctor.
Thank you for watching and for your kind words 🙏
Thank you very much Dr Khan. Your explanation is very clear and excellent. I learn a lot from you . Thank you again.👍👍
Thank you for your kind words, I appreciate them very much 🙏
I'm 67. Had leg pain come on over a period of 6-8 months. Very debilitating. Had spondylolisthesis. Had surgery, disc fine so doctor aligned the L4/L5 with a titanium clamp on the L4/L5 spinous process. Took off a facet joint cyst and I feel like I'm 45. All through a 1" incision.
Great to hear you did so well after surgery, best of luck to you in the future 👍
Thank you for making this video, it explained what I need to know.
Glad it was helpful!
I appreciate it Dr. Thanks!
Good Timely information as i have a meeting on monday with the Surgeon to discuss, "What now" for my Scoliosis and Stenosis, which has become quite debilitating.
Thank you for watching, and wishing you the best of luck 👍
I have been struggling with spondylolisthesis since 2011-12 and I’ve taken lot conservative management but now things are getting worse day by day and I’m 25 years old and two surgeons told me to go for surgery. Ive been taking meds physio all the measures and now being honest i have days where i cant take it anymore feels like quitting and im so confused and dont know what next step should be taken as of now dealing with both cervical and back pain is being painful. These were my findings in my MRI
Disc osteophyte complex is seen at C 3-C4, C4-C5 and C5-C6 levels.
There is indentation of thecal sac as well as cord at C4-C5 level however no obvious altered signal is seen in the cord.
Disc desiccation at L 4-L5 and L5-S1 levels.
Mild diffuse disc bulge at L3-L4 level indenting the thecal sac causing mild narrowing of bilateral neural recesses.
Diffuse disc bulge with focal central protrusion at L4-L5 level indenting the thecal sac causing narrowing of bilateral neural recesses.
Mild anterolisthesis of L5-S1 vertebra with diffuse disc bulge at L5-S1 level indenting the thecal sac causing narrowing of bilateral neural recesses and abutting bilateral exiting nerve roots. Asmall posterior annular tear is seen at this level
Please advise sir. What should i be doing im resinding in canada right now as a permanent resident and would like to get this problem fixed asap.
Is MRI sufficient of diagnose L4/5 spondylolisthesis or special RTG is required? Can symptoms of L4/5 spondylolisthesis be dynamic and change from for ex. one leg to another leg or to central pain (days period)?
The best way to diagnose spondylolisthesis is with standing flexion-extension X-rays.
The MRI will show how much stenosis (i.e. compression of the nerves) is present.
Symptoms can (and do) fluctuate in severity and laterality.
@@SpineSurgeonSpeaks are there ways to heal L4/5 spondylolisthesis in non-surgical approach and to fix the position of these back bones in line? Is spondylolisthesis a primary cause or secondary and disc problems start first?
Patient inferior slipping of vertebrae region L5 and s2,s3 compression.sciatica symptoms, L2,L3 spinal foramen comprehension suggestion of treatment
Thank you for reaching out.
Here is a video which may be of interest to you:
th-cam.com/video/X9JMMaeBUJc/w-d-xo.html
Good luck 👍
Iam 37 years old..I have 1st grade L4/5 lumbar spondylolisthesis due to L4 pars fracture with mild disc changes and dr recomended surgery
Sympthoms are not much yet
Do u recommend surgery now
Unfortunately since I have not examined you it is not possible for me to make treatment recommendations. I would suggest getting a second opinion from another surgeon if the you are not sure about the first surgeon's recommendation. Good luck!
Had twice spinal surgery in 2018 and 2019 but still suffering from numbness, neck pain, tingling migraine headache feel giddiness walking problems and now CSF leaking frm spinal..my. Doctors say im sorry cant help you.....
Sorry to hear about your difficulties. CSF leak can be a difficult problem.
Wishing you all the best 👍
Patient is a 34-year-old female who presents with L5 distribution radiculopathy as found to have severe canal stenosis and disc height loss at L5-S1 presents for evaluation. She was previously treated with epidural steroid injection and had very good response. Last time she had injection was in 2019. She presents with recurrent symptoms mostly radiating down the right L5 distribution. She has full strength on exam but does have numbness in the right L5 dermatome. She denies any incontinence. MRI of the lumbar spine demonstrates complete height loss at L5-S1 with severe foraminal stenosis and canal stenosis.
Neuro
Spinal stenosis of lumbar region with neurogenic claudication - Primary
Current Assessment & Plan
Patient is a 34-year-old female who presents for follow-up today. Patient is still having back pain and symptoms of neurogenic claudication. WILL A STEROID INJECTION WORK WITH CAUDA EQUINA SYNDROME? Please advise Thank you.
Neurogenic-claudication and cauda-equina syndrome are two different conditions: The former is very common, and the latter is a rare surgical emergency. Based on the limited information that you have provided, I am not sure that I can diagnose your condition (since you are not my patient and I have not examined you). Therefore, I suggest that you discuss this particular matter with your surgeon to get the answers that are right for you.
@@SpineSurgeonSpeaks L5-S1: Grade 1anterior listhesis of L4 on L5. Fatty degenerative endplate
signal changes and degenerative endplate irregularity at L5-S1. Chronic appearing anterior wedging and S1. Disc space narrowing at L5-S1. There is unroofing of the disc with diffuse disc bulge, central disc protrusion, and
bilateral facet hypertrophy. There is resulting severe canal stenosis with compression of the cauda equina, and moderate-severe bilateral neural foraminal stenosis.
IMPRESSION:
Listhesis at L5-S1 with chronic degenerative changes resulting in severe canal stenosis with cauda equina compression and moderate severe bilateral neural
@@SpineSurgeonSpeaks How Can I schedule a second opinion with you?. I live in North Carolina
Please call my office (414) 276-6000 to schedule a consultation.
I had this condition and I did the surgery was very painful 😢did the surgery very hard
Hope the surgery worked out for you!