High density disk fragment in central Canal

[FILIZB]

Hi, I am a 50 years old female with two previous back surgeries including laminactomy and spinal fusion at L4-L5 L5 -S1 level.
My most recent CT scan result contains the following evidences.

There are changes of previous lower lumbar  surgery,  with L4/L5   L5/S1 with disck prostheses, with preserved vertebral allignment and bony fusiion.

There is a moderately severe bilateral frominal stenosis at L4/L5 and L5/S1 due to facet joint encroachment and there may be a foraminal root  compramise associated with this.

There is a moderate facet joint hypertrophy  mainly on t he left side possibly related to additional bony fusion at the site.

In addition on the saggital reformats there is a quite prominent high density disk fragment

[filizmus]

Thank you very much for your comments Dr. Kaul.

[S. Kaul, MD]

Hi there!

Other that evidence of previous surgeries and degeneration the report should evidence of narrowing of spaces that carry the spinal nerves and possible compression of the nerves. Though a trial of conservative management can be given, the condition is unlikely to respond and surgical intervention may be required. I would suggest discussing the situation and the appropriate management plan with your treating orthopedician.
Hope this is helpful.

Take care!