Symptomatic Lumbar Disc Protrusion Causing Progressive Myelopathy in a Low-Lying Cord
| Autor: | Rohit Shetty, Shreya Srinivas, Iona Collins |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty decompression Cord low-lying cord Disc protrusion Article Myelopathy myelopathy medicine tethered cord Orthopedics and Sports Medicine business.industry medicine.disease Spinal cord Low back pain Surgery spina bifida medicine.anatomical_structure Spinal decompression Neurology (clinical) medicine.symptom business Syringomyelia Lumbar disc disease |
| Zdroj: | Global Spine Journal |
| ISSN: | 2192-5690 2192-5682 |
| Popis: | Low-lying cord is an uncommon entity, and cord compression due lumbar disc disease is rarely encountered. We discuss our experience with a case of lumbar cord compression secondary to a large disc protrusion, which caused myelopathy in a low-lying/tethered cord. A 77-year-old woman with known spina bifida occulta presented with 6-week history of severe low back pain and progressive paraparesis. Magnetic resonance imaging showed a low-lying tethered cord and a large disc prolapse at L2/3 causing cord compression with associated syringomyelia. Medical comorbidities precluded her from anterior decompression, and therefore a posterior decompression was performed. She recovered full motor power in her lower limbs and could eventually walk unaided. She had a deep wound infection, which was successfully treated with debridement, negative pressure therapy (vacuum-assisted closure pump), and antibiotics. Six months after surgery, her Oswestry Disability Index improved from 55% preoperatively to 20%. Posterior spinal cord decompression for this condition has been successful in our case, and we believe that the lumbar lordosis may have helped indirectly decompress the spinal cord by posterior decompression alone. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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