Here's my MRI result. Will I be needing back surgery?


Im 27 years old and i had back problem since 2015. Ended up getting 3 injections and i felt good but recently reherniated in August 2018.

Had my MRI last week and wanting to know if i will be needing a surgery...


No compression fractures. Loss of normal lordotic curvature
attributed to pain or muscle spasm. First degree retrolisthesis of
L4 on L5, and L5 on S1. Bone marrow is normal in signal without
evidence of fracture or marrow replacing lesion.
The conus is normal in appearance.

L4-5: 5 mm central disc bulge, which in conjunction with facet and
ligamentous hypertrophy results in mild narrowing of the neural
foramens. No canal stenosis..
L5-S1: Diffuse central disc bulge measuring 0.8 x 1.5 cm in the
greatest AP and transverse dimensions. There is mass effect on
bilateral S1 nerve roots, greater on the right side, while they are
within the spinal canal. There is no canal stenosis. There is mild
narrowing of both neural foramens. The L5 nerve roots exit normally..

Degenerative changes in the lower lumbar spine, most prominently at
L5-S1, as described above.

No compression fractures.



  • LizLiz Posts: 2,319
    edited 07/30/2019 - 1:18 PM

    Hello 2Young4This8

    Welcome to Veritas Health Forum 

    No one on the Spine-Health patient forums is medically qualified or permitted to provide any advice or recommendations on any diagnostic test.

  • memerainboltmemerainbolt IndianaPosts: 3,495

    Have you discussed these findings with your doctor? He is the only one that can provide you with an answer on surgery and you are the one to accept or decline. It is also a good idea to get a second opinion.
    Keep us posted on what you find out.

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  • Hey 2young. As they said, we can’t give advice. But I can share my experience. A few years ago (at 42), I had pain that was attributed to my first degree retrolisthesis (also called spondylolisthesis) at l5-s1. But I also had severe neuroforaminal narrowing, where yours is mild. I had a single level fusion to stabilize it and decompress the nerves in 2015, and it really was traumatic, and made things worse. I am getting ready to have a revision surgery. Of course those with positive outcomes are not hanging around this forum, so take this with a grain of salt. 

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