Sequestered disc

Case contributed by Dr Utkarsh Kabra

Presentation

Severe back pain with bilateral lower limb radiculopathy.

Patient Data

Age: 50 years
Gender: Male
MRI

Lumbar spine

An epidural lesion extends from L4 to L5 level causing moderate to severe spinal canal stenosis. 

Broad-based bulge of the L4-5 disc with ligamentum flavum thickening and facet arthropathy. This along with the epidural lesion is causing severe compression of the spinal canal, bilateral lateral recesses and mild compression of bilateral neural foramina.  

Grade I anterolisthesis of L4 on L5 vertebral body.

Case Discussion

Epidural lesion extending from L4 to L5 level causing moderate to severe spinal canal stenosis, consistent with an extruded, sequestered disc with cranial and caudal migration.

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Case information

rID: 71550
Published: 15th Oct 2019
Last edited: 16th Oct 2019
System: Spine
Inclusion in quiz mode: Included

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