What do you guys think?
I stumbled into these forums (no pun intended) and wanted to share my situation and see if anyone has any thoughts about what's goin' on....
kay - so in 2005 - MRI:
FINDINGS: Desiccation of the L4-5 and L5-S1 discs indicate degeneration. Marrow signals are within normal limits without infiltration. Tip of the conus is noted at the lower T12 level. Grade 1-2 spondylolisthesis is noted. At L4-5, mild diffuse disc bulge without affecting the thecal sac or the neural formina on either side. At L5-S1 level, there is likely spondylosis in addtion to the spondylolisthesis producing severe bilateral neural foramen narrowing and significant impingement of the existing L5 nerve roots bilaterally without affecting the thecal sac.
IMPRESSION: Spondylolisthesis and spondylosis at L5-S1 level result in severe bilateral neural foramen narrowing as well as significant impingement of the corresponding existing L5 nerve roots. Mild disc bulge is noted at L4-5 level without compression.
Now - in 2011 - Xray
IMPRESSION: Instability at L5-S1. Multilevel degenerative disc disease as noted. There is 15mm of anterior spondylolisthesis of L5 on S1 in flexion, 12mm in neutral and approximately 15 mm in extension. There is degenerative disc disease L2-L3 and L4-L5. There are pars defects.
So - after all that reading - do you think the current instability dooms me to surgery? I've certainly been dealing with this along time and have done every conservative thing possible: PT, Epidurals, Massage, Exercise, Stretching, Ice/Heat, Bracing, etc...And although I don't think I have the caudua equina (sp) which causes incontinence, but do sometimes have difficulty peeing, but I'm not sure if that's from my meds (pain killers and muscle relaxants)...
I'd love to hear your thoughts and opinions! I've got appts with both an ortho and a neuro this upcoming week, but wanted to hear the communities feelings and/or similiar experiences. Also - is it generally better to go with a neuro, rather than an ortho, if I do have to go under the knife?
Thanks so much, guys! I totally look forward to hearing what ya think! :)