What does vertebrae collapse and effacement of thecal sac mean?
I had and MRI that showed arachnoiditis and grade 1 spondylolisthesis at L5-S1. L4-L5 mild diffuse annular bulge with facet arthrosis and ligamentum flavum redundancy creating bilateral neural forminal narrowing. L5-S1 Endplate irregularity. Effacement of thecal sac. There is left greater than right neural forminal narrowing with distortion of the thecal sac.I have had a laminectomy on 2004 for bulging disc on L5-S1 area. Is this why my feet are so cold and feel like fire sometimes. Also can I wait until Feb 2008 for surgery or should I do the surgery ASAP. I have no insurance and I however did get approved for disability but not eligible for medicare until FEB2008.
Effacement of thecal sac means something is rubbing (pressing) against your thecal sac (the sac around the nerves that hang off the bottom of your spinal cord). Vertebral collapse is breakdown of the bones of your spine.
When to get surgery?
It depends on how bad your neural foramen narrowing is and if it is the reason for your neurological symptoms.
Have you talked to your surgeon yet (go to a neurosurgeon or orthopedic surgeon that specializes in spine surgery)? They need to look at your MRI and talk to you and examine you to see if your nerves are affected by this and if it is getting worse. They will be better able to advise you on how long you can wait for surgery and what the best strategy is.
Go to http://www.chirogeek.com/index.htm
This site has some good explanations and pictures so you can be familiar with the terminology (still a little too technical but the best I could find). You should look at the degenerative disc disease, spondylolisthesis, disc herniation sections.
Hogg Mine 2007
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