Anterior-to-Posterior Migration of a Lumbar Disc Sequestration: Surgical Remarks and Technical Notes about a Tailored Microsurgical Discectomy
Extrusion of disc material within the spinal canal complicates up to 28.6% of lumbar disc herniations. Due to the anatomical “corridors” created by the anterior midline septum and lateral membranes, relocation occurs with an anterior and anterolateral axial topography. Posterior migration is an extr...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2017/1762047 |
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| author | Alessandro Frati Alessandro Pesce Mauro Palmieri Tommaso Vangelista Riccardo Caruso Maurizio Salvati Antonino Raco |
| author_facet | Alessandro Frati Alessandro Pesce Mauro Palmieri Tommaso Vangelista Riccardo Caruso Maurizio Salvati Antonino Raco |
| author_sort | Alessandro Frati |
| collection | DOAJ |
| description | Extrusion of disc material within the spinal canal complicates up to 28.6% of lumbar disc herniations. Due to the anatomical “corridors” created by the anterior midline septum and lateral membranes, relocation occurs with an anterior and anterolateral axial topography. Posterior migration is an extremely rare condition and anterior-to-posterior circumferential migration is an even rarer condition. Its radiological feature can be enigmatic and since, in more than 50% of cases, clinical onset is a hyperacute cauda equina syndrome, it may imply a difficult surgical decision in emergency settings. Surgery is the gold standard but when dealing with such huge sequestrations, standard microdiscectomy must be properly modified in order to minimize the risk of surgical trauma or traction on the nerve roots. |
| format | Article |
| id | doaj-art-f49dd6d2835a4f95917bf2bb90ed7164 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-f49dd6d2835a4f95917bf2bb90ed71642025-02-03T06:07:59ZengWileyCase Reports in Surgery2090-69002090-69192017-01-01201710.1155/2017/17620471762047Anterior-to-Posterior Migration of a Lumbar Disc Sequestration: Surgical Remarks and Technical Notes about a Tailored Microsurgical DiscectomyAlessandro Frati0Alessandro Pesce1Mauro Palmieri2Tommaso Vangelista3Riccardo Caruso4Maurizio Salvati5Antonino Raco6IRCCS Neuromed, Via Atinense 18, 86077 Pozzilli, ItalyNeurosurgery Division, A. O. Sant’Andrea, Via di Grottarossa 1035-1039, 00189 Roma, ItalyNeurosurgery Division, A. O. Sant’Andrea, Via di Grottarossa 1035-1039, 00189 Roma, ItalyIRCCS Neuromed, Via Atinense 18, 86077 Pozzilli, ItalyDepartment of Neurology and Psychiatry-Neurosurgery, Sapienza University of Rome, Roma, ItalyIRCCS Neuromed, Via Atinense 18, 86077 Pozzilli, ItalyNeurosurgery Division, A. O. Sant’Andrea, Via di Grottarossa 1035-1039, 00189 Roma, ItalyExtrusion of disc material within the spinal canal complicates up to 28.6% of lumbar disc herniations. Due to the anatomical “corridors” created by the anterior midline septum and lateral membranes, relocation occurs with an anterior and anterolateral axial topography. Posterior migration is an extremely rare condition and anterior-to-posterior circumferential migration is an even rarer condition. Its radiological feature can be enigmatic and since, in more than 50% of cases, clinical onset is a hyperacute cauda equina syndrome, it may imply a difficult surgical decision in emergency settings. Surgery is the gold standard but when dealing with such huge sequestrations, standard microdiscectomy must be properly modified in order to minimize the risk of surgical trauma or traction on the nerve roots.http://dx.doi.org/10.1155/2017/1762047 |
| spellingShingle | Alessandro Frati Alessandro Pesce Mauro Palmieri Tommaso Vangelista Riccardo Caruso Maurizio Salvati Antonino Raco Anterior-to-Posterior Migration of a Lumbar Disc Sequestration: Surgical Remarks and Technical Notes about a Tailored Microsurgical Discectomy Case Reports in Surgery |
| title | Anterior-to-Posterior Migration of a Lumbar Disc Sequestration: Surgical Remarks and Technical Notes about a Tailored Microsurgical Discectomy |
| title_full | Anterior-to-Posterior Migration of a Lumbar Disc Sequestration: Surgical Remarks and Technical Notes about a Tailored Microsurgical Discectomy |
| title_fullStr | Anterior-to-Posterior Migration of a Lumbar Disc Sequestration: Surgical Remarks and Technical Notes about a Tailored Microsurgical Discectomy |
| title_full_unstemmed | Anterior-to-Posterior Migration of a Lumbar Disc Sequestration: Surgical Remarks and Technical Notes about a Tailored Microsurgical Discectomy |
| title_short | Anterior-to-Posterior Migration of a Lumbar Disc Sequestration: Surgical Remarks and Technical Notes about a Tailored Microsurgical Discectomy |
| title_sort | anterior to posterior migration of a lumbar disc sequestration surgical remarks and technical notes about a tailored microsurgical discectomy |
| url | http://dx.doi.org/10.1155/2017/1762047 |
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