ניתוח קיבוע

שלום
בשנת 1993 עברתי ניתוח קיבוע L3-L5,ב 1997 הוצא הקיבוע
וכעת עלי לעבור קיבוע של L2-L3
תוצאות צילום MRI מהחודש האחרון

MRI OF THE LUMBAR SPINE WITH\WITHOUT IV CONTRAST
NO PREVIOUS FILMS ARE AVAILABLE FOR COMPARISON.

TWO CAGES ARE SEEN WITHIN THE 3\4 DISC SPACE. LAMINECTOMY IS NOTED INVOOLVING THE 3\4, 4\5, 5\1 LEVELS.

DEGENERATIVE DECREASED T2 DISC SIGNAL IS SEEN INVOLVING THE 2\3 DISC. THIS IS ASSOCIATED WITH BULGING OF THE DISC, THICKENING OF THE LIGAMENTUM FLAVUM AND A SPINAL STENOSIS AT THIS REGION.

ENHANCEMENT IS SEEN IN THE SOFT TISSUES AROUND THE DEGENERATIVE FACETS AND ALONG THE ANNULUS AT THIS LEVEL.
THIS IS NOT ASSOCIATED WITH DESTRUCTION OF THE END PLATES AND NO FOCAL ABSCESS IS SEEN. THE ABOVE MAY REPESENTS INFLAMMATORY CHANGES , HOWEVER CLINICAL CORRELATION IS SUGGESTED TO RULE OUT AN EARLY INFECTIOUS PROCESS.

ENHANCEMENT IS SEEN SURROUNDING THE THECAL SAC ALONG THE SURGICAL BORDER BETWEEN THE L3 THROUGH S1 LEVELS. IN ADDITION A HETEROGENE OUSLY ENHANCING 23*12*11 MM FOCAL PROCESS IS NOTED IN THE POSTERIOR EPIDURAL SPACE AT THE 3\4 DISC LEVEL. THE ABOVE MAY REPRESENT POST OPERATIVE CHANGE, HOWEVER, AGAIN CLINICAK CORRELATION IS INDICATED.

A SUGGESTION OF BONY FUSION IS NOTED ALONG THE POSTERIOR ELEMENTS EXTENDING FROM THE L3 THROUGH L5 LEVEL. A CT WITH SAGITTAL AND CORONAL RECONSTRUCTIONS CAN BE PERFORMED FOR FURTHER BONY EVALUATION.

PROMINENT ATROPHY IS NOTES WITH THE POSTERIOR SPINAL MUSCULATURE EXTENDING FROM THE L3 THROUGH S1 LEVELS. DEGENERATIVE DECREASED T2 DISC SIGNAL AND MILD BULGING IS SEEN INVOLVING THE 4\5 DISC.

THE THECAL SAC IN THE OPERATIVE L3 THROUGH S1 LEVELS IS PATULENT WITH THE NERVE ROOTS MILDLY CLUMPED ALONG ITS LATERAL BORDER. A MILD ARACHNOIDITIS SHOULD BE CONSIDERED.


ד"ר שוורץ אברהם רשיון מספר 25555 רנטגנולוג
11\10\2009