63 year old female with history of compression fracture and kyphoplasty. Recent fall. Evaluate for compression fracture. Additional history per EMR: Bilateral lower extremity weakness. Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.There has been interval kyphoplasty at T12, L1, and L3. There is new L2 superior endplate depression as well as compression deformity seen at L4 with approximately 40% loss of height. No associated retropulsed fragments are identified.At L1-2 there is no significant compromise to spinal canal or neural foramina, unchanged.At L2-3 there is no significant compromise to spinal canal or neural foramina, unchanged.At L3-4 there is mild facet hypertrophy, ligamentum flavum hypertrophy and minimal disk bulge with minimal central canal stenosis and no significant neuroforaminal narrowing, unchanged.At L4-5 there is moderate facet hypertrophy, ligamentum flavum hypertrophy and mild disk bulge with mild central canal stenosis and mild bilateral neuroforaminal narrowing, unchanged.At L5-S1 there is eccentric, left greater than right disk bulge, mild facet hypertrophy and ligamentum flavum hypertrophy. These findings result in mild central canal stenosis, as well as mild right and moderate left neuroforaminal narrowing, unchanged.
1.New L2 and L4 compression deformities.2.Interval kyphoplasty of T12, L1, and L3 vertebrae.3.Degenerative changes of the lumbar spine, with mild central canal stenosis at L4-5 and moderate left L5-S1 neuroforaminal narrowing, not significantly changed.