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Double Level Non-Contiguous Traumatic Lumbar Disc Herniation Presenting With Cauda Equina Syndrome: A Case Report and Literature Review – Lumbar Spinal Stenosis

In this case report published in JBJS Case Connect, a 52-year-old man presented with cauda equina syndrome following a motorcycle accident. MRI revealed traumatic disc herniation at L2-L3 and L5-S1 levels without bony injury. The patient underwent successful wide laminectomy and microdiscectomy at both levels, resulting in complete neurological recovery at the 2-month follow-up. Traumatic disc herniation in the lumbar region is a rare occurrence, with an incidence of 0.4%, and may mimic a spinal epidural hematoma in acute trauma. While MRI may not always differentiate between the two, urgent surgical intervention may be necessary in cases of profound neurological deficits

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised spine facility on Harley Street UK

Published article

CONCLUSION: With a reported incidence of 0.4%, traumatic disc herniation in the lumbar region is an uncommon occurrence that may resemble a spinal epidural hematoma in acute trauma. Although MRI may not reliably differentiate spinal epidural hematoma from disc herniation, urgent surgical intervention may be required in profound neurological deficits.

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JBJS Case Connect. 2024 Apr 26;14(2). doi: 10.2106/JBJS.CC.23.00473. eCollection 2024 Apr 1. ABSTRACT CASE: A 52-year-old man presented with cauda equina syndrome after a motorcycle accident. Magnetic resonance imaging revealed traumatic disc herniation, at L2-L3 and L5-S1 levels without bony injury. He was managed successfully by wide laminectomy and microdiscectomy at both levels with complete,

JBJS Case Connect. 2024 Apr 26;14(2). doi: 10.2106/JBJS.CC.23.00473. eCollection 2024 Apr 1.

ABSTRACT

CASE: A 52-year-old man presented with cauda equina syndrome after a motorcycle accident. Magnetic resonance imaging revealed traumatic disc herniation, at L2-L3 and L5-S1 levels without bony injury. He was managed successfully by wide laminectomy and microdiscectomy at both levels with complete neurological recovery at 2-month follow-up.

CONCLUSION: With a reported incidence of 0.4%, traumatic disc herniation in the lumbar region is an uncommon occurrence that may resemble a spinal epidural hematoma in acute trauma. Although MRI may not reliably differentiate spinal epidural hematoma from disc herniation, urgent surgical intervention may be required in profound neurological deficits.

PMID:38669352 | DOI:10.2106/JBJS.CC.23.00473

The London Spine Unit : most specialised spine facility on Harley Street UK

Read the original publication:

Double Level Non-Contiguous Traumatic Lumbar Disc Herniation Presenting With Cauda Equina Syndrome: A Case Report and Literature Review

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JBJS Case Connect. 2024 Apr 26;14(2). doi: 10.2106/JBJS.CC.23.00473. eCollection 2024 Apr 1. ABSTRACT CASE: A 52-year-old man presented with cauda equina syndrome after a motorcycle accident. Magnetic resonance imaging revealed traumatic disc herniation, at L2-L3 and L5-S1 levels without bony injury. He was managed successfully by wide laminectomy and microdiscectomy at both levels with complete

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