Advise needed for this MRI report

[copperhouse]

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This MRI report is of one of my friends. Can anybody suggest whether the patient need to undergo surgery or can the management be done medically.... and if NO...which are the good places to get the surgery done (preferably around Houston). Thanks !!

MRI report of the Lumber Spine:

At L5-S1, there is a broad- based central/right paracentral protrusion protruding from annuals by approximately 6mm deforming the right greater than left S1

Nerve root sleeve and compromise of the canal with a small degree of central stenosis and right greater than left lateral recess narrowing.

Impression:

Central/right paracentral protrusion of 5-6mm at L5-S1 deforming the right greater than left S1 nerve root sleeve with central stenosis

of small degree and right greater than left lateral recess narrowing.

 

[P Diddy]

This MRI report is of one of my friends. Can anybody suggest whether the patient need to undergo surgery or can the management be done medically.... and if NO...which are the good places to get the surgery done (preferably around Houston). Thanks !!

MRI report of the Lumber Spine:

At L5-S1, there is a broad- based central/right paracentral protrusion protruding from annuals by approximately 6mm deforming the right greater than left S1

Nerve root sleeve and compromise of the canal with a small degree of central stenosis and right greater than left lateral recess narrowing.

Impression:

Central/right paracentral protrusion of 5-6mm at L5-S1 deforming the right greater than left S1 nerve root sleeve with central stenosis

of small degree and right greater than left lateral recess narrowing.

assessment: herniated disc with nerve impingement

recs: AKA

p diddy

 

[Tenesma]

i would do a percutaneous discectomy.... if patient has symptoms... if asymptomatic who cares?

 

[hans19]

Definitely go with the open spine surgery.

Spine surgeons have ex-wives, boat payments, summer homes to pay for!