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[Sciatica caused by massive herniated disk].

J Saloff-Coste, J Strauss

    Revue Du Rhumatisme Et Des Maladies Osteo-Articulaires
    |November 1, 1977
    PubMed
    Summary
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    A massive disc hernia, involving the entire disc, can cause severe lumbar sciatica. Recognizing this rare surgical presentation is crucial for effective treatment of refractory cases.

    Area of Science:

    • Neurosurgery
    • Orthopedics
    • Spinal Surgery

    Context:

    • Describes a rare, massive form of disc herniation.
    • Highlights its association with severe lumbar sciatica and cauda equina syndrome.
    • Based on surgical findings in 10 patients.

    Purpose:

    • To describe a specific type of massive disc herniation.
    • To inform surgeons about this uncommon presentation.
    • To aid in the diagnosis and surgical management of severe sciatica.

    Summary:

    • A massive disc hernia involves posterolateral displacement of the entire disc, including the fibrous ring and cartilaginous surfaces.
    • Observed in 7 cases of severe lumbar sciatica (3 with cauda equina hemisyndrome) and 3 refractory simple lumbar sciatica cases.

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  • The term 'massive hernia' is proposed for these specific presentations.

    • Impact:

    • Enhances surgical preparedness for unusual disc herniation morphologies.
    • Potentially improves outcomes for patients with severe, refractory sciatica.
    • Contributes to a more comprehensive understanding of lumbar disc pathologies.