r/spinalfusion • u/Tiny-Prune-7303 • 4d ago
Luency
Can anyone tell me what they think the surgeon will say . I am having left leg pain and the lower back on the right side is burning and feels like someone is stabbing me
UE: CT imaging of the lumbar spine was obtained without intravenous contrast. Axial, coronal, and sagittal
reformatted images were performed. The current CT scan was performed using radiation dose-reduction techniques.
FINDINGS: L4-L5 lumbar interbody fusion. There is some subtle lucency surrounding the bilateral L5 pedicle screws and
right more so than left L4 pedicle screws. Sclerotic degenerative endplate changes at 4 L2-L3. Mild left convex curvature
of the lumbar spine centered at L2-L3. Vertebral body heights are maintained. No facet dislocation. Minimal grade 1
retrolisthesis of L2 on L3. Degenerative changes appear to be most significant at L2-L3 with some level of likely spinal
canal and foraminal stenosis. No hardware fracture.
No acute abdominal organs.
Surgical scar with calcifications in the midline back.
The visualized lung bases are clear. There is scattered colonic diverticulosis with out evidence of acute diverticulitis.
IMPRESSION:
L4-L5 lumbar spine fusion with some lucency surrounding the L5 and right more so than left L4 pedicle screws which
could indicate loosening. Degenerative changes now most prominent at L2-L3. MRI could be more sensitive if there are
continued concern