Extra-foraminal prolapsed lumbar disc: a possible cause of recurrent sciatica in failed low-back surgery patient. Case report.
The present report describes the case of a 48 year-old woman who had undergone two separate lumbar laminectomies for a L4-L5 disc. She was admitted for a recurrent sciatica of 6-months duration, which failed to respond to conservative treatment. Myelogram on admission was negative. However CT showed a far laterally placed bulging L4-L5 disc. The patient was successfully reoperated on using a paramedian posterolateral approach on the side of the lesion. The rationale for this approach is discussed.
Spallone
A
A
Section of Neurosurgery, 2nd University of Rome Tor Vergata, Italy.
Gazzeri
G
G
Floris
R
R
D002921:Cicatrix / Q000150:complications; D004576:Electromyography; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D008159:Lumbar Vertebrae / Q000601:surgery; D008875:Middle Aged; D009121:Muscle Denervation; D011183:Postoperative Complications / Q000209:etiology*; D012086:Reoperation; D012585:Sciatica / Q000209:etiology*; D014057:Tomography, X-Ray Computed