compression fx. f/u on fractures/stenosis hx lumbar fusion History: Thoracic back Thoracic spine MRIThere is about 10% of compression fracture with bone marrow edema of T7 vertebrae indicating acute/subacute compression fracture. There is no retropulsion of fractured fragment at this level.There are multifocal compression fractures without evidence of bone marrow edema at the level of T10 and T12.Thoracic spine alignment is normal with normal kyphosis.Spinal cord signal intensity is normal.No evidence of spinal canal stenosis.L spine MRIThere is scoliosis of the lumbar spine.Multifocal degenerative changes of lumbar spine and intervertebral discs are seen. In addition, there are evidence of intra-discal interbody spacers at the level of L23, L34, and L45.There is no evidence of bone marrow edema.Spinal cord signal intensity is normal and the conus is terminated at the level of T12-L1 level.Degenerative changes are seen as follows;T12-L1: disc dessication, mild left neuroforaminal stenosis.L1-L2: disc dessication, diffuse bulge with left side eccentric disc bulge toward left neural foramen.No spinal canal stenosis. L2-L3: disc dessication. Moderate bilateral neuroforaminal stenosis. No spinal canal stenosis. L3-L4: disc dessication, no neuroforaminal narrowing or spinal stenosis. L4-L5: disc dessication, diffuse bulging of disc with bilateral ligamentum flavum hypertrophy results mild to moderate bilateral neuroforaminal stenosis. Minimal spinal canal stenosis.L5-S1: mild disc dessication, bilateral ligamentum flavum minimal thickening, no neuroforaminal or spinal canal stenosis.
1. New acute/subacute compression fracture of T7 vertebral body.2. Multifocal chronic compression fractures T10 and 12.3. Degenerative spondylosis of lumbar spine with multilevel various degree neuroforaminal and spinal canal stenosis as described above.4. Inter body spacers at the level of L23, L34 and L45.5. Scoliosis of thoracolumbar spine.