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Crush Fractures at sacrum, hip, multiple fractures at L5/S1 are marked above. Marrow changes & marked osteophytes at pars indicate recent injuryAbove:L2/3 disc bulge abutting thecal sac & bilateral L5 nerves; Disc tears; V/Body fracture, crush fractures bilaterally; misalignment of L3 spinous process. Marked osteophytes at Z-Joint bilaterally with fluid residue indicating recent compression injury. Ligamentum flavum thickening abutting and deforming the thecal sac.Above: L3/4 Broad based central disc bulge abutting thecal sac and bilateral L5 nerves; Disc tears; crush fractures bilaterally resulting in misalignment of L3 spinous process. Marked osteophytes at Z-Joint bilaterally with fluid residue indicating recent compression injury. Ligamentum flavum thickening abutting thecal sac. Contusions ant L4/5 : Both ends of L4/5 endplate shows bowing confirming compression fracture. Uneven shaped fracture cracks are seen at L4 pars articular process, lamina and spinous process resulting in loss of alignment of spinous process and posterior subluxation by 4mm – retrolisthesis. Broad based central disc protrusion measuring 2cm transversely at its base and extends posteriorly by up to 8mm abuts the L5 nerve root and disc tears. Mild ligamentum flavum thickening and moderate facet joint productive change add to mild restriction of left lateral recess. Fluid residue signifies recent fracture as well as central canal is capacious. Thick radio-opacities / scar tissues showing fluid residue signifying recent injury. Thick wrap around or compression of nerve cause burning sensation, flattering sensation, cold water type feeling, and stabbing or electic shock type pain occurring multiple positions and with shock type and jumpy legs when sleeping.Posterior protrusions together with vertebra endplate spurs are seen at L4/5, L3/4, L2/3, L1/2, T12/L1 causing posterior narrowing at all these levels. Given most veins/nerves are at posterior of spine, they too have potential to produce similar symptoms. The spurs tend to cause rubbing against muscles and nerves in its surrounding that triggers tendons and ligaments to swell up. These compressing against soft tissues tend to trigger inflammation, radiating pain, stiffness, weakness cramps and radiate pain, tingling and numbness.These crush fracture and misalignment adds to the mild lumbar curve causing instability and spasms. Above Images also show L5 vertebra body fracturesContusions and fatty lump at anterior of sacrum with fluid residue signifying recent injury. Bilateral facet joint productive changes at L2, L1, T12, T11; crush fracture of lamina and spinous process are seen at L2 , L3 and T12, T11 with also clear vertebra body fracture seen at T12 vertebra and mild retrolisthesis of T12 to L1. End plate irregularities are seen at T10/T11 and at T11/T12 with moderate posterior narrowing; T11/T12 shows wedge fractures, osteophytes in disc space, and Schmorl’s nodes; moderate VB spurs. Schmorl’s Node is seen at L1/L2 with mild disc desiccate with narrowing at posterior of L1/2, L2/3, L3/4 and moderate spurs seen at all VB levels. Fluid residue in L2 facet joint means recent injury. X-ray shows a flake of broken away bone chip in the disc space confirmed by orthopaedic surgeon. ................
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