RESUMO
We report the first extraforaminal location of a lumbar discal cyst. The patient was treated by hemilaminectomy, arthrectomy, cyst resection, and unilateral arthrodesis, achieving complete release of the nerve root. Extraforaminal lumbar discal cyst may represent an unexpected cause of sciatic pain with favorable outcome after surgical resection.
Assuntos
Cistos/complicações , Disco Intervertebral/cirurgia , Vértebras Lombares/cirurgia , Radiculopatia/etiologia , Doenças da Coluna Vertebral/complicações , Cistos/diagnóstico por imagem , Cistos/cirurgia , Humanos , Disco Intervertebral/diagnóstico por imagem , Laminectomia , Vértebras Lombares/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Radiculopatia/diagnóstico por imagem , Radiculopatia/cirurgia , Doenças da Coluna Vertebral/diagnóstico por imagem , Doenças da Coluna Vertebral/cirurgia , Fusão Vertebral , Tomografia Computadorizada por Raios XRESUMO
Degenerative disease of the spine is a leading cause of back pain and radiculopathy, and is a frequent indication for spine MR imaging. Disc degeneration, disc protrusion/herniation, discarhtrosis, spinal canal stenosis, and facet joint arthrosis, as well as interspinous processes arthrosis, may require an MR imaging workup. This review presents the MR imaging patterns of these diseases and describes the benefit of the MR imaging in these indications compared with the other imaging modalities like plain radiographs or computed tomography scan.
