Unusual Posterior Epidural Migration of Intervertebral Herniated Disc: A Report of Two Cases
Journal Title: Malaysian Orthopaedic Journal - Year 2018, Vol 12, Issue 3
Abstract
Disc herniation is one of most common causes of spine surgery. Because of the presence of posterior longitudinal ligaments, disc fragments often migrate into the ventral epidural space. A posterior epidural herniation of a disc fragment is a rare occurrence. We report two cases of posterior migrated disc fragments, with, radiological and clinical findings. Because of the rarity of a posterior migration of the intervertebral disc fragments, a differential diagnosis can be challenging. This painful syndrome associated with neurological lower limb deficits can be confused initially, with other posterior epidural space-occupying lesions such as tumours, abscess or hematomas. A gadolinium-enhanced MRI scan is the gold standard for a correct diagnosis. Early surgical decompression of the spine with a posterior approach remains the optimal technique in ensuring the best possible outcome for the patient.
Authors and Affiliations
Tamburrelli FC, Perna A, Oliva MS, Giannelli I, Genitiempo M
Keywords
Related Articles
- EP ID EP418524
- DOI 10.5704/MOJ.1811.012
- Views 119
- Downloads 0
Outcome of Islanded Gastrocnemius Musculocutaneous Flap in Orthopaedic Practice
Introduction: Large wounds in the leg require combination of local flaps or free flap for wound coverage. Gastrocnemius musculocutaneous flap (GMCF) allows a large wound to be covered by a single local flap. However, the...
Being Mortal: Illness, Medicine and What Matters in the End Atul Gawande 2014
This book describes what patients go through when they become ill and the options available when they can no longer care for themselves. The traditional nursing home where residents live a regimented life is in stark con...
Neglected Anterior Dislocation of the Elbow Joint: Case Report of a Rare Injury
We present an unusual case of five months old neglected anterior dislocation of the right elbow joint in a 19-year old man. The patient had been initially treated by a traditional bone setter, but the elbow remained unre...
Ultrasound-guided Percutaneous Trucut Needle Biopsy for Musculoskeletal Tumours
Purpose: To evaluate the usefulness of ultrasound guidance in percutaneous needle biopsy for musculoskeletal tumours. Methods: Forty-five consecutive patients underwent ultrasound-guided needle biopsy. An additional gro...
Pattern of Cortical Fracture following Corticotomy for Distraction Osteogenesis
Corticotomy is an essential procedure for deformity correction and there are many techniques described. However there is no proper classification of the fracture pattern resulting from corticotomies to enable any studies...