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Related Experiment Videos

L5 root compression resulting from an L2-L3 disc herniation.

Angel M Hidalgo-Ovejero1, Serafín García-Mata, Juan José Sánchez-Villares

  • 1Spine Service, Orthopaedic Surgery Department, Ubarmin and Virgen del Camino Hospital, Pamplona, Navarre, Spain. ahidalgo@cfnavarra.es

American Journal of Orthopedics (Belle Mead, N.J.)
|August 29, 2003
PubMed
Summary

This rare case study highlights a patient with low back pain and sciatica caused by a high lumbar disc herniation. Surgical decompression successfully resolved symptoms, offering a potential treatment for this uncommon condition.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Disorders

Background:

  • Lumbar disc herniations typically occur at lower levels (L4-L5, L5-S1).
  • High lumbar disc herniations (e.g., L2-L3) causing significant radiculopathy are exceptionally rare.
  • Monoradicular L5 compression from high lumbar disc herniation has been reported in only two previous cases.

Observation:

  • A patient presented with low back pain and bilateral L5 sciatica.
  • Initial computed tomography (CT) scans of L4-L5 and L5-S1 showed no abnormalities.
  • Magnetic resonance imaging (MRI) revealed a herniated disc at the L2-L3 level.

Findings:

  • Electrophysiological studies confirmed L5 nerve root involvement, consistent with clinical presentation.
  • Surgical intervention involved bilateral laminotomy and discectomy at the L2-L3 level.

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  • Postoperatively, the patient experienced complete resolution of pain.
  • Implications:

    • This case expands the understanding of rare lumbar disc herniation presentations.
    • Surgical decompression is an effective treatment for high lumbar disc herniations causing sciatica.
    • Highlights the importance of advanced imaging (MRI) and electrodiagnostic studies in diagnosing uncommon spinal pathologies.