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Q: Surgery in Spinal Cord ( No Answer,   0 Comments )
Question  
Subject: Surgery in Spinal Cord
Category: Health > Medicine
Asked by: naryanan_suresh-ga
List Price: $20.00
Posted: 04 Nov 2003 08:23 PST
Expires: 12 Nov 2003 21:45 PST
Question ID: 272505
Hi
My father is facing the problem in the Spinal Cord.Just 5 days back he
had undergone surgery in India. Here I am attaching the my fathers MRI
Scan report.

*** MRI Scan Report Before Operation ***
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.
*** MRI Scan Report Before Operation ***

*** MRI Scan Report After Operation ***
MRI Report Thoraco Lumbar Spine

Technique:

Without IV Contrast
SE, TSE & 3D CISS Sequences
T1W, T2W, sagittal and
T2W 3D CISS axial sections

Status: A case of lumbar scoliosis with degenrative disc disease, for
which 
decompression done. For follow up scan to assess the present status

Conclusion: MRI Study shows:-

1. Enlargement of lower thoracic cord and conus medullaris with T2W
intramedullary bright signals and T1W isointense signals representing
the
possibility of "ischemia / myelitis".

2. Post operative changes at L4 - L5 level in the form of laminectomy
with
minimal pseudo meningocele formation.

3. No obvious hematoma, excpet for thin rim of anterior epidural fluid
collection at L3 - L4 level.

4. Degenerative borad based disc at L2 - L3 and L4-L5 levels causing
minimal indention over thecal sac.

5. Rest of findings are same like previous study.
*** MRI Scan Report After Operation ***

After operation first two days, there is a movement in the legs. After
that there is no urine flow. Doctor placed the tube for urine flow.Now
he has sense in the legs but there is no movement. The neuro and orhto
doctors are saying there 80% of cure.There is an improvment when
phyisotherapist giving exercies. Just I want to know that based on MRI
Scan report is there any complication in fathers health.How long he
has to be there in hospital?What kind of treatment has to be taken?
Your advice will be useful when I am talking to the doctors.
Answer  
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