Whether a fusion is needed after a laminectomy at L4-L5 depends on various factors, including the extent of the surgery, the stability of the spine, and the specific condition being treated. In some cases, a laminectomy can lead to spinal instability, especially if significant bone or tissue is removed. Your surgeon will evaluate your individual situation and may recommend fusion if they believe it will provide better long-term stability and support for your spine. It's important to discuss your specific case with your healthcare provider for tailored advice.
Narrowing of the space that nerves of the spinal chord pass through, Usually caused by age, trauma or arthritis.
It means that even though there is compression of the material between the discs there is no interference or pressure being put on the nerves that pass between them to the body.
Information on L23 L45 L5 S1 In The Spine
This means that L5 (the bottom vertebra of the lumbar spine) has fractured and compressed (telescoped) into S1 (the top of the sacral bone), and that there is no compression of the spinal cord (That is a GOOD thing!!)... If you'll copy the following web address (Back.com) and paste it into your browser, you can see the pictures and description of what I'm talking about... http://www.back.com/anatomy-lumbar.html
Minimal scoliosis convex to the left suggests a slight curvature of the spine, bending towards the left side, which is centered around the L3 vertebra. The mention of desiccated L4-5 and L5-S1 discs indicates that these intervertebral discs are dehydrated or have lost some of their normal fluid content, which can be a sign of degenerative changes. This condition may be associated with back pain or discomfort, and further evaluation might be needed to assess its impact on spinal function and overall health.
Whether surgery is needed for an L5-S1 posterior disc extrusion depends on several factors, including the severity of symptoms, the duration of those symptoms, and the response to conservative treatments like physical therapy or medication. If the extrusion causes significant pain, neurological deficits, or if conservative treatments fail, surgical intervention may be recommended. A thorough evaluation by a healthcare professional is essential to determine the best course of action.