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Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...

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Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion
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Traumatic L4-L5 spondylolisthesis: case report.

Fatih Ersay Deniz1, Mehmet Zileli, Sedat Cağli

  • 1Department of Neurosurgery, Gaziosmanpasa University Faculty of Medicine, Tokat, 60100, Turkey. ersaymd@yahoo.com

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
|September 25, 2007
PubMed
Summary

This study details a case of traumatic L4-L5 anterolisthesis treated surgically. Surgical intervention included decompression, reduction, spinal fixation, and bone grafting for spinal stability.

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Area of Science:

  • Spinal surgery
  • Traumatology
  • Orthopedics

Background:

  • Traumatic anterolisthesis, particularly at the L4-L5 level, presents complex challenges in spinal injury management.
  • Early surgical intervention is often crucial for restoring stability and function.

Observation:

  • A patient presented with L4-L5 traumatic anterolisthesis, diagnosed 4 months post-injury.
  • Radiological and operative findings revealed an L4 inferior facet tip fracture, L4-L5 anterior displacement, and left L4-L5 foraminal disc protrusion.

Findings:

  • Surgical treatment involved decompression, reduction, and L3-L5 pedicular screw fixation.
  • L4-L5 disc excision with interbody cage insertion and autologous bone grafts achieved spinal fusion and stability.

Implications:

  • This case highlights the successful surgical management of complex traumatic L4-L5 anterolisthesis.
  • Understanding flexion-type injuries is important for preventing and treating such spinal trauma.