87-year-old female patient with low back pain, radiation to thighs, compression fracture of L1. Five lumbar type vertebral bodies are presumed to be present. There is a compression deformity of the L1 vertebral body with approximately 50% loss of height with corresponding low T1 signal and increased signal on STIR imaging compatible with edema. There is multilevel degenerative disc disease with disc desiccation and loss of the disc space most predominantly affecting L3/L4 and L4/L5. There is no significant spondylolisthesis. The conus medullaris is normal in position, terminating at the level of L1/L2.Multilevel degenerative changes are seen, as described below:T12-L1: There is 6 mm of retropulsion of bone into the spinal canal secondary to compression fracture without significant central canal stenosis or spinal cord or neural foraminal stenosis.L1-L2: No significant spinal canal or neuroforaminal stenosis.L2-L3: Bilateral ligamentum flavum hypertrophy without significant spinal canal or neuroforaminal stenosis. L3-L4: Bilateral ligamentum flavum hypertrophy and moderate disc bulge contribute to mild spinal canal stenosis and mild bilateral neural foraminal stenosis. L4-L5: Bilateral ligamentum flavum hypertrophy and moderate disc bulge contribute to mild spinal canal stenosis and mild bilateral neural foraminal stenosis.L5-S1: No spinal spinal canal or neural foraminal stenosis.
1. Subacute compression deformity of the L1 vertebral body with 6 mm of retropulsion, but no spinal conus medullaris compression.2. Multilevel spondylitic changes of the lumbar spine, particularly at L3/L4 and L4/L5 with mild spinal canal and neural foraminal stenosis. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.