Posted 8/2/2018 10:22 PM (GMT -6)
Just wondering if anyone can help me with my CT Results. I’m soon to be going to a new Neurosurgeon after mine moved out of state. My first Neurosurgeon butchered my back in a series of 5 surgeries leaving me with permanent nerve damage and severe chronic pain that runs down my left leg. Well about 3 months ago I began having new pain that became pretty severe down my right side stopping behind my knee. We done steroid injections which I normally get some relief from and they didn’t help at all. I had weaned all the way down to 30 hydrocodone a month and stayed there for 5 months but now this new pain has gotten so severe I’m back on an extended release morphine tablet which I hate taking. I initiate every time I’m ready to start stepping down before my PM dr even has to bc I hate taking them so much. This new painat times makes me feel like my legs will fall out under me. All I can understand from the CT is I have Bone Spurs. I can’t get a MRI bc my internal neurostimulator isnt MRI safe so the only other option is a myelogram. What can the fatty atrophy do? Could it be the problem?
CT Lumbar Spine WO Contrast
CT LUMBAR SPINE WITHOUT IV CONTRAST Procedure Date/Time: 7/30/2018 12:25 PM. History: M54.17: Radiculopathy, lumbosacral region Comparison: Lumbar CT myelogram 12/01/2014. Technique: Multislice helical noncontrast images were acquired from the thoracolumbar junction to the sacrum. Multiplanar reconstructions were generated. Automated exposure control was utilized. Findings: Alignment: No listhesis. No significant scoliosis. Bones: Normal vertebral body heights without evidence of an acute fracture. There are findings of interval L4 and L5 laminectomy, left L4-5 facetectomy, and mature bone graft fusion of the right L4-5 and bilateral L5-S1 facet joints. There is no evidence of screw fracture or loosening. Minimal multilevel endplate marginal spurring is present. Intervertebral discs: A L4-5 disc spacer is present. L5-S1 disc height loss is moderate. Spinal canal: No evidence of an epidural hematoma or significant osseous stenosis. Soft tissues: There is partial fatty atrophy of the dorsal lumbosacral paraspinal musculature.
1. No acute fracture or subluxation. 2. Postsurgical changes described above.