Degenerative changes of the facets bilaterally at L5-S1 refer to the wear and tear of the facet joints located between the fifth lumbar vertebra (L5) and the sacrum (S1). This condition often involves the deterioration of cartilage, bone spurs, and inflammation, which can lead to pain, stiffness, and reduced mobility in the lower back. It is commonly associated with aging, repetitive stress, or injury, and may contribute to conditions such as spinal osteoarthritis or facet joint syndrome. Treatment options typically include physical therapy, pain management, and, in some cases, surgical intervention.
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.
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
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.