Adjacent Lumbar Disc Herniation after Lumbar Short Spinal Fusion
A 70-year-old outpatient presented with a chief complaint of sudden left leg motor weakness and sensory disturbance. He had undergone L4/5 posterior interbody fusion with L3–5 posterior fusions for spondylolisthesis 3 years prior, and the screws were removed 1 year later. He has been followed up for...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2014/456940 |
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| author | Koshi Ninomiya Koichi Iwatsuki Yu-ichiro Ohnishi Toshika Ohkawa Toshiki Yoshimine |
| author_facet | Koshi Ninomiya Koichi Iwatsuki Yu-ichiro Ohnishi Toshika Ohkawa Toshiki Yoshimine |
| author_sort | Koshi Ninomiya |
| collection | DOAJ |
| description | A 70-year-old outpatient presented with a chief complaint of sudden left leg motor weakness and sensory disturbance. He had undergone L4/5 posterior interbody fusion with L3–5 posterior fusions for spondylolisthesis 3 years prior, and the screws were removed 1 year later. He has been followed up for 3 years, and there had been no adjacent segment problems before this presentation. Lumbar magnetic resonance imaging (MRI) showed a large L2/3 disc hernia descending to the L3/4 level. Compared to the initial MRI, this hernia occurred in an “intact” disc among multilevel severely degenerated discs. Right leg paresis and bladder dysfunction appeared a few days after admission. Microscopic lumbar disc herniotomy was performed. The right leg motor weakness improved just after the operation, but the moderate left leg motor weakness and difficulty in urination persisted. |
| format | Article |
| id | doaj-art-76aac440bcfb4819ae670ee01fdf9730 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-76aac440bcfb4819ae670ee01fdf97302025-02-03T05:58:05ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/456940456940Adjacent Lumbar Disc Herniation after Lumbar Short Spinal FusionKoshi Ninomiya0Koichi Iwatsuki1Yu-ichiro Ohnishi2Toshika Ohkawa3Toshiki Yoshimine4Department of Neurosurgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Neurosurgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Neurosurgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Neurosurgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, JapanDepartment of Neurosurgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, JapanA 70-year-old outpatient presented with a chief complaint of sudden left leg motor weakness and sensory disturbance. He had undergone L4/5 posterior interbody fusion with L3–5 posterior fusions for spondylolisthesis 3 years prior, and the screws were removed 1 year later. He has been followed up for 3 years, and there had been no adjacent segment problems before this presentation. Lumbar magnetic resonance imaging (MRI) showed a large L2/3 disc hernia descending to the L3/4 level. Compared to the initial MRI, this hernia occurred in an “intact” disc among multilevel severely degenerated discs. Right leg paresis and bladder dysfunction appeared a few days after admission. Microscopic lumbar disc herniotomy was performed. The right leg motor weakness improved just after the operation, but the moderate left leg motor weakness and difficulty in urination persisted.http://dx.doi.org/10.1155/2014/456940 |
| spellingShingle | Koshi Ninomiya Koichi Iwatsuki Yu-ichiro Ohnishi Toshika Ohkawa Toshiki Yoshimine Adjacent Lumbar Disc Herniation after Lumbar Short Spinal Fusion Case Reports in Orthopedics |
| title | Adjacent Lumbar Disc Herniation after Lumbar Short Spinal Fusion |
| title_full | Adjacent Lumbar Disc Herniation after Lumbar Short Spinal Fusion |
| title_fullStr | Adjacent Lumbar Disc Herniation after Lumbar Short Spinal Fusion |
| title_full_unstemmed | Adjacent Lumbar Disc Herniation after Lumbar Short Spinal Fusion |
| title_short | Adjacent Lumbar Disc Herniation after Lumbar Short Spinal Fusion |
| title_sort | adjacent lumbar disc herniation after lumbar short spinal fusion |
| url | http://dx.doi.org/10.1155/2014/456940 |
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