L5/S1 disc protrusion

Case contributed by Dr Maxime St-Amant

Presentation

35-year-old with recent onset of sciatalgia

Patient Data

Gender: Male
MRI

L4-L5: Mild disc height loss with disc desiccation and mild facet joint hypertrophy. Central annular fissure in the inferior aspect of the disc. Mild disc bulge with focal central disc extrusion. No significant nerve root impingement

L5-S1: Mild disc height loss with disc desiccation. Central and right posterolateral disc protrusion with compression of the descending right S1 nerve root in the lateral recess.

Case Discussion

The patient's sciatalgia is explained by the compression of the descending S1 nerve root.

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Case information

rID: 54024
Published: 19th Jun 2017
Last edited: 10th Feb 2018
System: Spine
Inclusion in quiz mode: Included

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