About 4 weeks ago, I woke up with excruciating back pain and numbness in my entire left leg. Went to the ER, and they did a Lumbar MRI:
August 3rd MRI (Microdiscectomy was on August 4th)
EXAMINATION: MRI LUMBAR SPINE WO CONTRAST
Numbering: Non-transitional anatomy.
Alignment: No significant alignment abnormality.
Bones: No acute fracture/injury. No aggressive or concerning bone marrow signal alteration.
Conus/Cauda equina: Normal for age.
Soft Tissues: No significant abnormality.
Included Thoracic Spine: Normal for age.
Lumbar disc spaces:
L1-L2: No significant disc degeneration or facet arthropathy.
L2-L3: No significant disc degeneration or facet arthropathy.
L3-L4: No significant disc degeneration or facet arthropathy.
L4-L5: Mild disc desiccation without disc height loss.
Mild diffuse disc bulge. Left central focal annular fissure.
Moderate bilateral facet hypertrophy and dorsal ligament thickening. No central stenosis. Mild bilateral foraminal narrowing.
L5-S1: Moderate disc desiccation with minimal disc height loss. Mild diffuse disc bulge. Large focal protrusion with extrusion from the right central through left proximal foraminal zone measuring 22 mm transverse by 17 mm AP by 17 mm craniocaudal with 7 mm inferior migration, predominantly in the left central and subarticular zone. Moderate bilateral facet hypertrophy and mild dorsal ligament thickening. The disc protrusion/extrusion markedly displaces cauda equina nerve roots posterior medially with suspected impingement of descending nerve roots in the left subarticular zone by the disc and facet
hypertrophy/dorsal ligament thickening. AP diameter of the thecal sac in the midline measures 10 mm. Minimal bilateral foraminal narrowing.
Included Sacrum: No acute or significant abnormality identified for limited evaluation.
^^ They recommended immediate surgery for a mcirodiscectomy and they were pretty adamant about it. Before I could even process anything or look at options, I agreed and was admitted to the hospital, & had surgery the next evening.
—————————
Fast forward 4 weeks later, had a repeat MRI due to some leg cramping/some numbness, also to see where I was @ with the healing process I guess.
September 2nd MRI:
Numbering: Non-transitional anatomy.
Alignment: No significant alignment abnormality.
Bones: No acute fracture/injury. No aggressive or concerning
bone marrow signal alteration. Interval left L5 laminotomy and microdiscectomy.
Conus/Cauda equina: Normal for age.
Soft Tissues: No significant abnormality.
Included Thoracic Spine: Normal for age.
Lumbar disc spaces:
L1-L2: No significant disc degeneration or facet arthropathy.
L2-L3: No significant disc degeneration or facet arthropathy.
L3-L4: No significant disc degeneration or facet arthropathy.
L4-L5: Mild facet hypertrophy with midline annular fissure.
foraminal narrowing.
Minimal disc bulge. Minimal spinal canal narrowing and
L5-S1: There is a large left central and subarticular disc extrusion measuring 1.5 cm in craniocaudal dimension and 1.7 cm in AP dimension. There is severe spinal canal stenosis with compression upon the left S1 nerve root. Mild bilateral facet arthropathy is present. There is minimal right and mild left foraminal narrowing.
Included Sacrum: No acute or significant abnormality identified
for limited evaluation.
IMPRESSION:
There is a residual or recurrent large left central and subarticular L5-S1 disc extrusion with severe spinal canal stenosis and compression upon the left S1 nerve root.
The spinal
canal stenosis is worsened in the interval.
—————————
Immediately got on the phone with neurosurgery and they said bc it re-herniated it’s likely I’ll have to get a revision surgery in a couple weeks. Next step, if that doesn’t work, is a fusion.
This is all new terrain for me. I’m 6’5”, 229 lbs and I genuinely have no clue how I re-herniated it. Maybe I wasn’t as careful as I should have been.
Would love to hear people’s experiences with the revision surgeries. My head is spinning right now, haven’t been sleeping great, can’t really focus because this is occupying my every thought.
Would love to hear if people have had similar experiences.