Gas-containing lumbar disc herniations

Case contributed by Roberto Schubert
Diagnosis certain

Presentation

Chronic back pain. History of disc surgery.

Patient Data

Age: 70 years
Gender: Male

Diffuse spondylosis, seen as marginal osteophytes and subenplate sclerosis.

Decreased height of intervertebral discs at L2-3, L3-4, L4-5 and L5-S1 levels with vacuum phenomenon. Multiple degenerative disc herniation is noted at these levels with intradiscal air, more on L2-3 and L3-4 levels.

Facet joint arthropathy, especially on lower lumbar levels.

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