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Upper lumbar disk herniations

M E Cedoz1, J P Larbre, C Lequin

  • 1Rheumatology Department, Lyon South Teaching Hospital, Pierre-Bénite, France.

Revue Du Rhumatisme (English Ed.)
|June 1, 1996
PubMed
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Upper lumbar disk herniations present with varied symptoms, often leading to misdiagnosis. Surgical intervention for these specific spinal conditions yields positive outcomes.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Radiology

Background:

  • Upper lumbar disk herniations (L1-L2, L2-L3) present unique diagnostic challenges.
  • Clinical presentations are often atypical, mimicking other conditions such as visceral pain or meralgia paresthetica.
  • Severe neurological deficits, including cauda equina syndrome, can occur.

Purpose of the Study:

  • To review the specific features of upper lumbar disk herniations.
  • To analyze clinical manifestations and diagnostic imaging utility.
  • To evaluate surgical outcomes for these herniations.

Main Methods:

  • Retrospective analysis of 24 surgically treated cases (1982-1994).
  • Review of literature on upper lumbar disk herniations.

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  • Evaluation of diagnostic imaging modalities (radiography, myelography, CT, MRI).

    • Main Results:

    • Clinical symptoms were polymorphic and often misleading.
    • Five cases presented with severe cauda equina syndrome.
    • Imaging studies were crucial for diagnosis.
    • Surgical treatment demonstrated encouraging results.

    Conclusions:

    • Upper lumbar disk herniations require careful diagnostic consideration due to varied presentations.
    • Prompt diagnosis and surgical intervention are vital for favorable outcomes.
    • Imaging plays a critical role in identifying these specific spinal pathologies.