Document Detail


Impacted "roof disc" as a cause of failure of lumbar disc surgery.
MedLine Citation:
PMID:  7413036     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A clinical entity called roof disc is described. It is a centrally located disc extruction found posterior to the posterior borders of the vertebrae that is enclosed by the intact posterior longitudinal ligament; the roof disc exerts pressure against the dorsally lying thecal sac and its enclosed cauda equina roots, causing symptoms and signs incident to this pressure. The contention is made that, unless this roof disc is removed, the patient will continue to have symptoms. Three varieties are described and examples are presented. Its concealed location makes the conventional surgical approaches ineffective, including foraminotomy and laminotomy or laminectomy with standard discectomy.
Authors:
W Cuatico
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  6     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1980 May 
Date Detail:
Created Date:  1980-11-20     Completed Date:  1980-11-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  518-23     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Humans
Intervertebral Disk Displacement / diagnosis,  radiography,  surgery*
Laminectomy / methods*
Lumbar Vertebrae / injuries,  surgery
Male
Middle Aged
Myelography
Postoperative Complications / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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