Disc herniation

Disc herniation refers to the displacement of intervertebral disc material beyond the normal confines of the disc but involving less than 25% of the circumference (to distinguish it from a disc bulge. A herniation may contain nucleus pulposus, vertebral endplate cartilage, apophyseal bone/osteophyte and annulus fibrosus

Disc herniations can be divided into groups in a variety of ways. Commonly they are divided into protrusion vs extrusion: 

  • protrusion
    • base wider than herniation
    • confined to disc level
    • outer annular fibres intact
  • extrusion
    • base (a.k.a. neck) narrower than herniation 'dome'
    • may extend above or bellow endplates or adjacent vertebrae
    • complete annular tear with passage of nuclear material beyond disc annulus
    • disc material can then migrate away from annulus or become sequestered

Herniations can further be classified as:

  • contained
    • with intact outer fibers of annulus fibrosus and posterior longitudinal ligament, or
    • with intact posterior longitudinal ligament alone 
  • not contained
    • tear of outer fibers of annulus fibrosus and posterior longitudinal ligament

See also

Spine
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Article information

rID: 6191
Sections: Anatomy, Signs
Synonyms or Alternate Spellings:
  • Disc herniations

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Cases and figures

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    Normal
    Figure 1: normal
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    A focal disc prot...
    Figure 2: disc extrusion
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    Figure 3: disc protrusion
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    Figure 4: disc extrusion
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    Figure 5: disc sequestration
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