Question about Slipped diskI am 30 year male. I have a really bad back pain and got a CT Scan and MRI done which shows: large central disc protrusion L4/5 causing severe central canal stenosis markedly compressing the traversing nerve roots. No neuroforaminal stenosis at this level. What do you recommend me to do? Thanks.
Without seeing you or the MRI/CT scan I will assume you meet the criteria for surgery. I would probably decompress and fuse the level. Decompression alone with a large central disc with stenosis often does badly due to the large amount of the disc material that we have to remove. So the q is how to approach this. An anterior ( through the tummy) decompression and fusion or disc replacement are great procedures but have a risk, albeit small, of sexual dysfunction in males. In you I would do a minimally invasive TLIF with posterior instrumentation. But again it would depend on a lot of other factors that your treating surgeon will discuss with you in their office. Rest assured there are good treatment options for you.
Good luck. Greg.
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