Transradicular lumbar disc herniation: An extreme variant of intraradicular disc herniation

Manish K Kasliwal, Adam L ShimerIndian Journal of Orthopaedics 2015 49(6):672-675Intradural or intraradicular lumbar disc herniation (IDH) is a relatively rare condition often diagnosed intraoperatively. We encountered an extreme variant of IDH - a transradicular herniation as the disc material extruded through the lumbar nerve root through a split essentially transecting the nerve root. While failure to recognize intradural and intraradicular disc herniation can lead to failed back surgery, the variant described in the present case could lead to iatrogenic injury and complication if not recognized. A unique case of transradicular lumbar disc herniation in a 25-year-old patient is presented with the depiction of intraoperative images supplementing the text.

Source: Indian Journal of Orthopaedics - November 3, 2015 Category: Orthopaedics Authors: Manish K KasliwalAdam L Shimer Source Type: research