Posterior epidural migration of lumbar disc: Will the real “disc” please stand up?

BACKGROUND: Posterior epidural lumbar disc fragment migration is rare and most commonly occurs at the L3-L4 level where it may contribute to cauda equina compression. CASE DESCRIPTION: Here, we report three cases of epidural migration of a lumbar disc, two of which led to bladder dysfunction/cauda e...

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Autores principales: Deora, Harsh, Prabhuraj, A. R., Pruthi, Nupur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Spine: Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5742913/
https://www.ncbi.nlm.nih.gov/pubmed/29296288
http://dx.doi.org/10.4103/sni.sni_395_17
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author Deora, Harsh
Prabhuraj, A. R.
Pruthi, Nupur
author_facet Deora, Harsh
Prabhuraj, A. R.
Pruthi, Nupur
author_sort Deora, Harsh
collection PubMed
description BACKGROUND: Posterior epidural lumbar disc fragment migration is rare and most commonly occurs at the L3-L4 level where it may contribute to cauda equina compression. CASE DESCRIPTION: Here, we report three cases of epidural migration of a lumbar disc, two of which led to bladder dysfunction/cauda equina compression. Early decompression (e.g., laminectomy) and aggressive postoperative physiotherapy led to significant postoperative improvement in all three patients. CONCLUSION: Migration of large sequestrated lumbar disc herniations leading to cauda equina compression should be recognized early and promptly treated with decompressive laminectomies to achieve the best postoperative outcomes.
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spelling pubmed-57429132018-01-02 Posterior epidural migration of lumbar disc: Will the real “disc” please stand up? Deora, Harsh Prabhuraj, A. R. Pruthi, Nupur Surg Neurol Int Spine: Case Report BACKGROUND: Posterior epidural lumbar disc fragment migration is rare and most commonly occurs at the L3-L4 level where it may contribute to cauda equina compression. CASE DESCRIPTION: Here, we report three cases of epidural migration of a lumbar disc, two of which led to bladder dysfunction/cauda equina compression. Early decompression (e.g., laminectomy) and aggressive postoperative physiotherapy led to significant postoperative improvement in all three patients. CONCLUSION: Migration of large sequestrated lumbar disc herniations leading to cauda equina compression should be recognized early and promptly treated with decompressive laminectomies to achieve the best postoperative outcomes. Medknow Publications & Media Pvt Ltd 2017-12-18 /pmc/articles/PMC5742913/ /pubmed/29296288 http://dx.doi.org/10.4103/sni.sni_395_17 Text en Copyright: © 2017 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Spine: Case Report
Deora, Harsh
Prabhuraj, A. R.
Pruthi, Nupur
Posterior epidural migration of lumbar disc: Will the real “disc” please stand up?
title Posterior epidural migration of lumbar disc: Will the real “disc” please stand up?
title_full Posterior epidural migration of lumbar disc: Will the real “disc” please stand up?
title_fullStr Posterior epidural migration of lumbar disc: Will the real “disc” please stand up?
title_full_unstemmed Posterior epidural migration of lumbar disc: Will the real “disc” please stand up?
title_short Posterior epidural migration of lumbar disc: Will the real “disc” please stand up?
title_sort posterior epidural migration of lumbar disc: will the real “disc” please stand up?
topic Spine: Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5742913/
https://www.ncbi.nlm.nih.gov/pubmed/29296288
http://dx.doi.org/10.4103/sni.sni_395_17
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