Okay. I had a Lumbar fusion at L5-S1 on June 1st, 2009. I have been having alot of problems since the surgery and Im not getting very far at all. I have no bladder sensation, I have right leg numbness and tingling and leg giving out if Im standing up for extended amount of time. After alot of complaining, my orthosurgeon sent me for an MRI and nerve test. Well when I called for the results the only thing he would tell me is that I had some swelling and to continue therapy and see him back in 5 wks. Well I went and got the report myself cause I wanted to know for myself what it said. Well there is more on it the the doctor ever brought up and I just dont understand it. I did see a neurologist and he wasnt awhole lot of help as he said neurologist usually only work on the head up. But he did mention this seroma that I have and that it was of concern and that I needed to get to a neurosurgeon as soon as possible, and he was really upset that my surgeon hadnt brought it to my attention. Anyways, this is what my MRI says if anybody could help me to understand what it means and how serious I may be looking at things. The neurologist seems to think that if this seroma continues to get bigger it will cause more nerve damage and that where it is located at that the only way to drain it is to go back in and remove the hardware. Anyways heres what the report says.
FINDINGS At L5-S1, there is a wide laminectomy defect. I believe thee has also been prior anterior interbody fusion. There are posterolateral fusion rods which are transfixed with bilateral pedicle screws at the L5 and S1 levels. There is enhancing granulation/scar tissue surrounding the thecal sac. There is some enhancement of the posterior aspect of the L5-S1 disc space. I do not see destruction of the adjacent vertebral end plates and there is no appreciable marrow edema. There is some end plate spurring at the L5-S1 level. However, I do not see evidence of canal stenosis or nerve root impingement. At the laminectomy site there is a well defined oval shaped fluid collection along the posterior aspect of the thecal sac. This abuts the posterior surface of the thecal sac and measures up to 2.8 cm in diameter. Given the patient's clinical history this may represent a post surgical seroma. However, it should be noted that infection with abscess formation could give an identical appearance and this finding should be correlated clinically.
Elsewhere, there is minimal end plate spurring at L1-2 and L2-3
At L4-5, there is desiccation and bulging of the intervertebral disc. This indents the thecal sac anteriorly. There is mild bilateral facet oseoarthritis. This combination is causing mild circumferential narrowing of the spinal canal.
IMPRESSION At L5-S1, there are post operative and degenerative changes. I do not see evidence of canal stenosis or nerve root impingement. However, there is some enhancement of the posterior portion of the L5-S1 disc space. There is also a well defined oval shaped fluid collection along the posterior aspect of the thecal sac. This measures up to 2.8 cm in diameter. This may represent a post surgical seroma. Maybe helpful in further evaluating.
Degenerative spondylosis with bulging discs L4-5. This combination is causing mild circumferential narrowing of the spinal canal.
Sorry I know so long im just wondering whats going on. I was hoping to get better not get worse. Any help would be appreciated. Thanks