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Related Experiment Video

Updated: May 30, 2025

Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation
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Lumbar intervertebral disc calcification with massive herniation: a case report.

Junxin Chen1, Kangmao Huang1, Song Dai2

  • 1Department of Orthopaedics, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine; Key Laboratory of Musculoskeletal System Degeneration and Regeneration Translational Research of Zhejiang Province, Hangzhou, China.

The Journal of International Medical Research
|January 29, 2025
PubMed
Summary
This summary is machine-generated.

Idiopathic intervertebral disc calcification can cause severe back and leg pain. Prompt surgical decompression is crucial for symptom relief and preventing permanent nerve damage, as demonstrated in this case.

Keywords:
Idiopathic intervertebral disc calcificationcalcific discitiscase reportdisc calcificationdisc herniationidiopathic intervertebral disc herniation

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Radiology

Background:

  • Intervertebral disc calcification is a rare condition.
  • Massive disc herniation can lead to significant neurological deficits.

Purpose of the Study:

  • To report a case of idiopathic intervertebral disc calcification with massive herniation.
  • To highlight the importance of timely surgical decompression.

Main Methods:

  • Case presentation of an 18-year-old female with low back and radiating leg pain.
  • Diagnostic imaging (CT and MRI) revealed L3/4 disc calcification and an intraspinal mass.
  • Surgical intervention: L3 laminotomy for decompression.

Main Results:

  • A cystic intraspinal mass containing a toothpaste-like substance was found and removed.
  • Pathological examination confirmed fibrous tissue with calcifications.
  • Postoperative resolution of symptoms and resorption of disc calcification at 2-month follow-up.

Conclusions:

  • Idiopathic intervertebral disc calcification with herniation requires prompt surgical decompression.
  • Timely intervention can prevent permanent nerve damage and ensure a good prognosis.