What type of surgery should I seek?
L2-L3:: Diskectomy, Laminectomy and posterior fusion appear stable. Decompression of the thecal sac to an AP diameter of 18 mm. No significant foraminal narrowing suspected.
L3-L4: Disk desiccation, height loss and broad disk bulge with osteophyte complex. Minimal retrolisthesis. Mild to moderate facet arthrosis. Central thecal sac measures 12-13 mm in AP diameter. Mild to moderate right and mild left foraminal narrowing.
L4-L5: Disk desiccation and small broad disk bulge. There is a right pericentral/foraminal disk extrusion which extends 8 mm posterolaterally and migrates 9 mm superiorly into the entrance of the right foramen seen best on sagittal images 2- 5. At least moderate facet arthosis and ligamentum flavum thickening. Right ventrolateral thecal sac flattening and probable L5 nerve root contact on axial T2 sequence 5 image 25. Central thecal sac measures 8-9 mm in AP diameter. There is Severe right foraminal narrowing with superior displacement and flattening of the L4 nerve root on sagittal image 3. Mild to moderate left foraminal narrowing is unchanged.
L5-S1:Diskectomy, Laminectomy and posterior fusion appear stable. Decompression of the thecal sac to an AP diameter of 18 mm. No significant foraminal narrowing suspected.