Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Clinical and Radiological Findings of Nerve Root Herniation after Discectomy of Lumbar Disc Herniation

  • Bae, Jun-Seok (Department of Neurosurgery, Wooridul Spine Hospital) ;
  • Pee, Yong-Hun (Department of Neurosurgery, Seoul Wooridul Hospital) ;
  • Jang, Jee-Soo (Department of Neurosurgery, Wooridul Spine Hospital) ;
  • Lee, Sang-Ho (Department of Neurosurgery, Wooridul Spine Hospital)
  • Received : 2011.11.14
  • Accepted : 2012.07.06
  • Published : 2012.07.28
Download PDF
⟨ Previous Next ⟩

Abstract

The authors report 2 cases of nerve root herniation after discectomy of a large lumbar disc herniation caused by an unrecognized dural tear. Patients complained of the abrupt onset of radiating pain after lumbar discectomy. Magnetic resonance imaging showed cerebrospinal fluid signal in the disc space and nerve root displacement into the disc space. Symptoms improved after the herniated nerve root was repositioned. Clinical symptoms and suggestive radiologic image findings are important for early diagnosis and treatment.

Keywords

References

  1. Ahn Y, Lee HY, Lee SH, Lee JH : Dural tears in percutaneous endoscopic lumbar discectomy. Eur Spine J 20 : 58-64, 2011 https://doi.org/10.1007/s00586-010-1493-8
  2. Bosacco SJ, Gardner MJ, Guille JT : Evaluation and treatment of dural tears in lumbar spine surgery : a review. Clin Orthop Relat Res : 238-247, 2001
  3. Cammisa FP Jr, Girardi FP, Sangani PK, Parvataneni HK, Cadag S, Sandhu HS : Incidental durotomy in spine surgery. Spine (Phila Pa 1976) 25 : 2663-2667, 2000 https://doi.org/10.1097/00007632-200010150-00019
  4. Hodges SD, Humphreys SC, Eck JC, Covington LA : Management of incidental durotomy without mandatory bed rest. A retrospective review of 20 cases. Spine (Phila Pa 1976) 24 : 2062-2064, 1999 https://doi.org/10.1097/00007632-199910010-00017
  5. Jones AA, Stambough JL, Balderston RA, Rothman RH, Booth RE Jr : Long-term results of lumbar spine surgery complicated by unintended incidental durotomy. Spine (Phila Pa 1976) 14 : 443-446, 1989 https://doi.org/10.1097/00007632-198904000-00021
  6. Nishi S, Hashimoto N, Takagi Y, Tsukahara T : Herniation and entrapment of a nerve root secondary to an unrepaired small dural laceration at lumbar hemilaminectomies. Spine (Phila Pa 1976) 20 : 2576-2579, 1995 https://doi.org/10.1097/00007632-199512000-00020
  7. Pavlou G, Bucur SD, van Hille PT : Entrapped spinal nerve roots in a pseudomeningocoele as a complication of previous spinal surgery. Acta Neurochir (Wien) 148 : 215-219; discussion 219-220, 2006 https://doi.org/10.1007/s00701-005-0696-y
  8. Saxler G, Kr$ä$mer J, Barden B, Kurt A, Pf$Ö$rtner J, Bernsmann K : The long-term clinical sequelae of incidental durotomy in lumbar disc surgery. Spine (Phila Pa 1976) 30 : 2298-2302, 2005 https://doi.org/10.1097/01.brs.0000182131.44670.f7
  9. Sin AH, Caldito G, Smith D, Rashidi M, Willis B, Nanda A : Predictive factors for dural tear and cerebrospinal fluid leakage in patients undergoing lumbar surgery. J Neurosurg Spine 5 : 224-227, 2006 https://doi.org/10.3171/spi.2006.5.3.224
  10. TÖppich HG, Feldmann H, Sandvoss G, Meyer F : Intervertebral spacenerve root entrapment after lumbar disc surgery. Two cases. Spine (Phila Pa 1976) 19 : 249-250, 1994 https://doi.org/10.1097/00007632-199401001-00021
  11. Wang JC, Bohlman HH, Riew KD : Dural tears secondary to operations on the lumbar spine. Management and results after a two-year-minimum follow-up of eighty-eight patients. J Bone Joint Surg Am 80 : 1728-1732, 1998 https://doi.org/10.2106/00004623-199812000-00002

Cited by

  1. Nerve root herniation with entrapment in the facet joint gap after lumbar decompression surgery: a case presentation vol.22, pp.1, 2012, https://doi.org/10.1186/s12891-021-04601-1