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Dr. David
Dr. David, Board Certified MD
Category: Neurology
Satisfied Customers: 45945
Experience:  Experienced physician in Neurology
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Dr Amir. MRI results: 1. Small left paracentral protrusion

Customer Question

Dr Amir. MRI results: 1. Small left paracentral protrusion at L5-S1 impinging the left S1 nerve root. 2. Severe facetal osteoarthritis at L4-5 where there is resultant Grade 1 spondylolisthesis that combined with a background of disc bulging results in moderate central canal stenosis. 3. Borderline central canal stenosis at L2-3 and L3-4 secondary to mild degenerative disc bulging and mild facetal osteoarthritis 4. Incidental lesions within the hilium of both kydneys presumably representing parapelvic cysts. Neurosurgeon wants to remove L4 disc and place two bars and fuse L3 to L5. My question is does the clinic do fusion surgery or disc replacement.
Submitted: 1 year ago.
Category: Neurology
Expert:  Dr. Phil, MD replied 1 year ago.

Any other medical issues?

Expert:  Dr. David replied 1 year ago.

This is Dr. David

it sounds like the neurosurgeon wants to do a diskectomy to cut out part of the disk at L4 which could be pressing on nerves exiting the spinal cord there and causing pain.

the whole disk is not cut out and so the disk is not replaced.

it sounds like your surgeon wants to do a bone fusion with bars to fuse L3-L5 as well to maintain stability of the spine at that level.

let me know if you have other questions.

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