Hi

My father is facing the back pain problem. Doctor advicesed for MRI
scan. Here I am attaching the details of the MRI Scan report. Please
advice is my father can go for surgery? What are the risks in the
surgery? In Which indian hospital is good for this kind of surgery?
Basically my father stays in remote indian village.If surgery is not
required what is method of curing this problem.Because he is suffering
a lot not just back pain and also urinary problem also.He is using the
tube for passing the urine. Is Ayurvedic medicine adviceable for this
problem?

MRI Report - Lumbosacral Spine

Technique:

Before IV Contrast
SE, TSE & 3D CISS Sequences
T1W, T2W sagittal and
T2W, 3D CISS Axial sections

Observations

The study shows lateral subluxation of L3 over L4 and L4 over L5
noticed with
hemi vertebra at L4 level leding to scoliosis and convexity towards
left side.
Antrior spondylotic changes seen from L2 to S1 levels. No obvious
destructive
or sclerotic pathology made out. The bony spinal canal narrowing is
noticed
below L3.

Disruption of opposing endplates of L2-L3 vertebra with intra endplate
nuclear
hernilation (Schmorl's node formation) seen. Broad based disc
protrusion (hard
disc) seen at L2-L3, L4-L5 and L5-S1 levels and bilateral facet
arthropathy
causing central and lateral canal stenosis and compressing the thecal
sac and
nerve roots.

The conus medullaris appears normal. No obvious demonstrable intra or
extramedullary SOL seen.

The pre and paraspinal regions do not show any demonstrable pathology.

Body spinal Canal Level			AP dia in mms.

L1					15.3
L2					14.6
L3					13.9
L4					12.4
L5					12.4	


IMPRESSION

MRI study shows

1.	Lateral subluxation of L3 over L4 and L4 over L5 with hemi-vertebra
at L4
level leading to Scoliosis and convexity towards left side.

2.	Anterior spondylotic changes from L2 to S1 levels with bony spinal
canal
narrowing below L3.

3.	Disruption of opposing endplates of L2-L3 vertebra with intra
endplate
nuclear herniation (Schmorl's node formation).

4.	BROAD BASED DISC PROTRUSION (HARD DISC) AT L2-L3, L4-L5 AND L5-S1
LEVELS AND
BILATERAL FACET ARTHROPATHY CAUSING CENTRAL AND LATERAL CANAL STENOSIS
AND
COMPRESSING THE  THECAL SAC AND NERVE ROOTS.