Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 857
Clinical Information 198 CI

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time.

“Posterolesthesis”

“Having smart friends makes you better”  Mark Studin 2017


From: William J Owens Jr DC DAAMLP

The patient below has a 10 mm anterolisthesis of L4 in relation to L5, with spondylolysis bilaterally at this level. A 3.5 mm Posterolesthesis of L5 in relation to S1 is identified. There is significant loss of height and signal at L4-L5 and to a lesser degree at L5-S1. There is mild desiccation at L3-L4. Straightening of the normal lumbar lordosis. Type II degenerative changes [MODIC] are present throughout the L4-L5 and superior endplate of L1 vertebrae. The conus terminates at the T12 level. 

At T12-L1 through L3-L4 levels, there is a minimal bulge at L2-L3. The neural canal and neural foramina at all levels appear widely patent, with some facet arthropathy on the left at L2-L3.

At L4-L5, there is spondylolysis bilaterally, with anterolisthesis. The neural canal, however, is widely patent. There is severe narrowing of both neural foramina at this level, however. 

L5-S1: There are spondylitic changes at the endplates with shelving, spondylitic ridging and a diffuse degenerative disc bulge. There is moderate narrowing of the left neural foramen, moderate to severe narrowing of the right neural foramen, with facet arthropathy, somewhat greater on the right. 



LATERAL RADIOGRAPH





T2 MID-SAGITTAL MRI





Respectfully,
 



Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic
Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College
Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

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