I am 10 months post-op from a one level fusion of the L4-5 with instrumentation. I have had continued pain and unable to return to work yet. I have had pain injection in the lower back and in the SI Joints. I do go to physical therapy
and have a bone stimulator at 6 months MRI and CT Scans showed there was a non-union and was told by pain management that this is a failed fusion. Since I have continued pain and drop foot with neropthy of both feet. I just had a CT Scan yesterday and it is saying: Any assistance would be most appreciated.
L2-3 annular bulging is seen. The exiting nerve roots still appear to be surrounded by fat. Mild thickening of ligamentum flavum is notes with very early facet degenerative change
L3-4 disc degeneration is seen with a vacuum disc phenomenon. Diffuse annular bulging is seen with flattening of the anterior aspect of the thecal sac. There is narrowing of the inferior aspect of the left neural foraman but existing nerve roots still appear to be surrounded by fat on the axial images. The sagittal remonstrations do demonstrate narrowing of the inferior aspect of the left neural foramen secondary to annular bulging plus a superimposed osteophyte.
L4-5 a disc insert is seen in good position. There is sclerosis of the adjacent endplate. Annular bulging and associated small endplate osteophytes are seen flattening the anterior aspect of the thecal sac. There does not appear to be spinal stenosis. Minimal narrowing of the right neural foramen is seen in the superior to inferior plane on the sagittal reconstructions. The axial images do demonstrate the neural foramen to be widened in the anterior to posterior direction. The pedical screws appear in good position.
L5-S1 the disc appear rudimentary. No disc herniation or spinal stenosis is seen and this does appear to represent a transitional level.
Impression Post--operative and degenerative changes are seen. The hardware appears in good position.