2022, Number 3
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Acta Med 2022; 20 (3)
L4/L5 traumatic disc herniation grade III. Uncommon diagnosis
Domínguez GLG, Salazar HDL, Domínguez CLG
Language: Spanish
References: 5
Page: 266-268
PDF size: 149.79 Kb.
ABSTRACT
Introduction: Acute traumatic disc herniation, caused by a traffic accident, is a rare event at the cervical level, being even less (0.4%) at the lumbar level.
Case report: A 23-year-old male who, in a motorcycle accident, presented acute low back pain and paresis of muscles innervated by left L
4-L
5-S1 roots, with decreased left patellar and achilles reflexes and decreased sensitivity in the aforementioned left dermatomes. Imaging studies demonstrated a fracture of the poster inferior edge of the L
4 body and massive extrusion of disc material, requiring surgery for its resolution.
Conclusions: Traumatic disc herniation at the lumbar level is an uncommon event.
REFERENCES
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Lee G, Han MS, Lee SK, Moon B, Lee JK. Traumatic intradural ruptured lumbar disc with a spinal compression fracture: a case report. Medicine (Baltimore). 2020; 99 (7): e19037. doi: 10.1097/MD.0000000000019037.
Kadam G, Narsinghpura K, Deshmukh S, Desai S. Traumatic lumbar vertebral ring apophysis fracture with disk herniation in an adolescent. Radiol Case Rep. 2017; 12 (2): 427-430. doi: 10.1016/j.radcr.2016.11.026.
Sander AL, Laurer H, Lehnert T, El Saman A, Eichler K, Vogl TJ et al. A clinically useful classification of traumatic intervertebral disk lesions. AJR Am J Roentgenol. 2013; 200 (3): 618-623. doi: 10.2214/AJR.12.8748.
Domenicucci M, Mancarella C, Santoro G, Dugoni DE, Ramieri A, Arezzo MF et al. Spinal epidural hematomas: personal experience and literature review of more than 1000 cases. J Neurosurg Spine. 2017; 27 (2): 198-208. doi: 10.3171/2016.12.SPINE15475.