72-year-old female with degenerative disc disease. There is moderate dextroscoliosis. There is compression deformity of L1 with approximately 80% loss of height, left side greater than right. There is no associated hyperintense STIR signal abnormality to suggest acute compression fracture. There is a Schmorl node in the superior L5 endplate. There appear to be remote postoperative findings in the lower lumbar spine. There is extensive multilevel degenerative spondylosis with disc space narrowing and dessication, as well as endplate signal alterations at multiple levels. In particular, there is compression of multiple nerve roots. At T12-L1, there is mild diffuse disc bulge and moderate facet hypertrophy with mild effacement of the ventral thecal sac, as well as mild right and moderate left neural foramen narrowing. At L1-2, there is a disc bulge and facet hypertrophy with mild central canal stenosis, as well as mild right and moderate to severe left neural foramen compromise. At L2-3, there is a disc bulge, moderate facet hypertrophy, and ligamentum flavum hypertrophy with moderate to severe spinal canal stenosis and moderate bilateral neural foramen compromise. At L3-4, there is minimal anterolisthesis of L3 on L4, and a disc bulge and facet hypertrophy with moderate central canal stenosis and at least moderate bilateral neural foramen compromise. Indeed, there is associated flattening of the exiting left L4 nerve root. At L4-5, there is grade 1 anterolisthesis and a diffuse disc bulge and facet hypertrophy with mild to moderate spinal canal stenosis and bilateral moderate to severe neural foramen narrowing. At L5-S1, there is a disc bulge with moderate to severe canal stenosis and moderate neural foramen compromise. The paraspinal muscles demonstrate fatty atrophy.
1.Severe compression deformity of L1 vertebral body without evidence of associated edema.2.Extensive multilevel degenerative spondylosis of the lumbar spine with compression of multiple nerve roots, as described in the findings sections.3.Moderate dextroscoliosis of the lumbar spine. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.