Öz
Double crush root injury in the lumbar spine is a very rare condition. A 36-year-old female patient presented to our clinic with complaints of severe low back and right leg pain. Magnetic resonance imaging of the lumbar spine revealed a paramedian disc herniation at the L4-5 level and an extruded far-lateral disc herniation at the L5-S1 level. Both disc herniations were compressing right L5 root simultaneously. Microdiscectomies were performed at the L4-5 and L5-S1 levels. Postoperatively, she had complete resolution of her pain complaints.
Anahtar Kelimeler
Lomber disk hernisi far-lateral disk hernisi double-crush mikrodiskektomi
Kaynakça
- 1. Mixter WJ, Barr JS. Rupture of the intervertebral disc with the involvement of the spinal canal. N Engl J Med. 1934;211:210-4.
- 2. Macnab I. Negative disc exploration: an analysis of the causes of nerve-root involvement in sixty-eight patients. J Bone Joint Surg [Am]. 1971;53-A:891-903.
- 3. Andersson GB. Epidemiology of low back pain. Acta Orthop Scand Suppl. 1998;281:28-31.
- 4. Weber H. Lumbar disc herniation. A controlled prospective study with ten years of observation. Spine. 1983;8:131-40.
- 5. Epstein NE. Evaluation of varied surgical surgical approaches used in the management of 170 far-lateral lumbar disc herniations: indications and results. J Neurosurg. 1995;83:648-56.
- 6. Deville WL, van der Wint DA, Dzaferagic A, Bezemer PD, Bouter LM. The test of Lasègue: systematic review of the accuracy in diagnosing herniated discs. Spine. 2000;25:1140-7
Öz
Lomber bölgede double-crush kök yaralanması nadir görülen bir durumdur. 36 yaşında bayan hasta ciddi bel ve sağ bacak ağrısı şikayetleri ile kliniğimize başvurdu. Lomber omurganın magnetik rezonans görüntülemesi L4-5 sağ paramedian ve L5-S1 ekstrüde far-lateral disk herniasyonlarını gösterdi. Her iki disk herniasyonu da eş zamanlı sağ L5 köküne baskı yapıyorlardı. L4-5 ve L5-S1 mesafelerine mikrodiskektomiler uygulandı. Ameliyat sonrası dönemde hastanın şikayetleri tamamen düzeldi
Anahtar Kelimeler
Lumbar disc herniation far-lateral lumbar disc herniation double crush microdiscectomy
Kaynakça
- 1. Mixter WJ, Barr JS. Rupture of the intervertebral disc with the involvement of the spinal canal. N Engl J Med. 1934;211:210-4.
- 2. Macnab I. Negative disc exploration: an analysis of the causes of nerve-root involvement in sixty-eight patients. J Bone Joint Surg [Am]. 1971;53-A:891-903.
- 3. Andersson GB. Epidemiology of low back pain. Acta Orthop Scand Suppl. 1998;281:28-31.
- 4. Weber H. Lumbar disc herniation. A controlled prospective study with ten years of observation. Spine. 1983;8:131-40.
- 5. Epstein NE. Evaluation of varied surgical surgical approaches used in the management of 170 far-lateral lumbar disc herniations: indications and results. J Neurosurg. 1995;83:648-56.
- 6. Deville WL, van der Wint DA, Dzaferagic A, Bezemer PD, Bouter LM. The test of Lasègue: systematic review of the accuracy in diagnosing herniated discs. Spine. 2000;25:1140-7
Ayrıntılar
| Konular | Sağlık Kurumları Yönetimi |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Mart 2017 |
| Yayımlandığı Sayı | Yıl 2017 Cilt: 42 Sayı: 1 |
