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Ventrolateral disc herniation causes psoas muscle compression: A case report
Tomislav Pavlović1,2, Krunoslav Štefančić1, Marjan Rožanković3
1Specialty Hospital St. Catherine, Zabok, Croatia.
Radiology Case Reports
|December 13, 2019
Summary
A 39-year-old male experienced chronic lower back pain due to a ventrolateral disc herniation impacting the psoas muscle. Advanced MRI and electromyoneurography guided conservative treatment, highlighting the utility of coronal planes in diagnosis.
Area of Science:
- Orthopedics
- Radiology
- Neurology
Background:
- Chronic lower back pain is a prevalent condition with diverse etiologies.
- Accurate diagnosis is crucial for effective patient management.
- Advanced imaging techniques enhance diagnostic capabilities for spinal disorders.
Observation:
- A 39-year-old male presented with several months of persistent lower back pain.
- Clinical assessment indicated a potential spinal etiology.
- Magnetic resonance imaging (MRI) was performed to investigate the cause.
Findings:
- Advanced MRI protocols revealed a ventrolateral disc herniation.
- The herniation was noted to be encroaching towards the psoas muscle.
- Electromyoneurography (EMG) results corroborated the MRI findings.
Implications:
- Conservative management was chosen based on integrated diagnostic findings.
- Coronal plane imaging is valuable for identifying abnormalities not apparent on sagittal or axial views.
- Advanced imaging protocols can improve diagnostic specificity and accuracy for complex spinal conditions.

