Opinion

2 Comments / Cases / By

I would like a group opinion.
People have different development of the intervertebral discs and there is
a wide range of normality.
How you write in the report, these intervertebral discs in a male, 12 year
old.

Disc dysplasia?
Normal?
Other?

[image: image.png]

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2 thoughts on “Opinion”

  1. OCAD
    avneesh.chhabra

    Due to CLSS- premature degenerate changes

    The discs herniate everywhere- anterior, in endplates, as schmorls nodes, shallow disc bulges (butt shaped) osterolateral annular tears and herniations, spondylolisthesis, etc.

    Ps this article we published long ago

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4266837/

    Best!
    AC

    Avneesh Chhabra, M.D. M.B.A.
    Associate Professor, Radiology & Orthopedic Surgery
    Chief, Musculoskeletal Radiology
    Department of Radiology
    5323 Harry Hines Blvd., Dallas, Texas 75390-9316
    Office: 214-648-2122
    http://www.utsouthwestern.edu/radiology<http://www.utsouthwestern.edu/education/medical-school/departments/radiology/>

    
    EXTERNAL MAIL

    I would like a group opinion.
    People have different development of the intervertebral discs and there is a wide range of normality.
    How you write in the report, these intervertebral discs in a male, 12 year old.

    Disc dysplasia?
    Normal?
    Other?

    [https://ipmcdn.avast.com/images/icons/icon-envelope-tick-round-orange-animated-no-repeat-v1.gif]<http://www.avast.com/sig-email?utm_medium=email&utm_source=link&utm_campaign=sig-email&utm_content=webmail> Livre de vírus. http://www.avast.com<http://www.avast.com/sig-email?utm_medium=email&utm_source=link&utm_campaign=sig-email&utm_content=webmail>.

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  2. avneesh.chhabra

    Criteria for CLSS

    Intracanalicular width less than 14mm
    Funneled canal – canal dimension decreasing towards L5- it should get larger craniocaudally from L1 – L5
    Pedicle dimension AP-less than 9-10 mm

    All of them are positive here

    Desk has nowhere to go then except anteriorly, in the body and posterolat due to csf pressure- more shallow bulges and Posterolateral bulges with annular tears

    Most Scheurmann’s disease cases are also due to CLSS- incorrectly labeled on x-rays as end-plate weakness

    Any degeneration before middle ages is premature

    The term is used commonly in Msk or Bone world!

    Best!
    AC

    Avneesh Chhabra, M.D. M.B.A.
    Associate Professor, Radiology & Orthopedic Surgery
    Chief, Musculoskeletal Radiology
    Department of Radiology
    5323 Harry Hines Blvd., Dallas, Texas 75390-9316
    Office: 214-648-2122
    http://www.utsouthwestern.edu/radiology<http://www.utsouthwestern.edu/education/medical-school/departments/radiology/>

    
    I don’t see any canal stenosis – is that the best term for the premature degen?

    Blake A. Johnson, MD, FACR
    Medical Director, MSCPA
    5775 Wayzata Blvd. Suite 190
    St. Louis Park, MN 55416
    P: 952.738.4623

    Sent: Saturday, July 3, 2021 12:19 PM
    Cc: OCAD <ocad-msk@googlegroups.com>; Neuro-OCAD <n-ocad@googlegroups.com>

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    Due to CLSS- premature degenerate changes

    The discs herniate everywhere- anterior, in endplates, as schmorls nodes, shallow disc bulges (butt shaped) osterolateral annular tears and herniations, spondylolisthesis, etc.

    Ps this article we published long ago

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4266837/
    Best!
    AC

    Avneesh Chhabra, M.D. M.B.A.
    Associate Professor, Radiology & Orthopedic Surgery
    Chief, Musculoskeletal Radiology
    Department of Radiology
    5323 Harry Hines Blvd., Dallas, Texas 75390-9316
    Office: 214-648-2122
    http://www.utsouthwestern.edu/radiology<http://www.utsouthwestern.edu/education/medical-school/departments/radiology/>

    
    EXTERNAL MAIL
    I would like a group opinion.
    People have different development of the intervertebral discs and there is a wide range of normality.
    How you write in the report, these intervertebral discs in a male, 12 year old.

    Disc dysplasia?
    Normal?
    Other?

    [https://ipmcdn.avast.com/images/icons/icon-envelope-tick-round-orange-animated-no-repeat-v1.gif]<http://www.avast.com/sig-email?utm_medium=email&utm_source=link&utm_campaign=sig-email&utm_content=webmail>
    Livre de vírus. http://www.avast.com<http://www.avast.com/sig-email?utm_medium=email&utm_source=link&utm_campaign=sig-email&utm_content=webmail>.

    [gallery]

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