scholarly journals Lumbar Facet Cyst as a Rare Cause of L5 Radiculopathy: A Case Report

2020 ◽  
Vol 3 (1) ◽  
pp. 34-41
Author(s):  
Salim AL Habsi ◽  
Khalifa AL Ghafri ◽  
Mansour Elsaid ◽  
Abdulrahman AL Subhi ◽  
Hunaina AL Kindi ◽  
...  
Keyword(s):  
Case Report ◽  
Intervertebral Disc ◽  
Clinical Picture ◽  
Nerve Root ◽  
Rare Case ◽  
Nerve Root Compression ◽  
Intervertebral Disc Disease ◽  
Disc Disease ◽  
Zygapophyseal Joints ◽  
Lumbar Facet

Lumbar facet cysts arise from zygapophyseal joints and are commonly associated with spondylosis. They are a rare cause of symptomatic nerve root compression. We are presenting a rare case of L4/5 lumbar facet cyst compressing the nerve root in a patient presenting with L5 radiculopathy. The clinical picture of a facet cyst in this case is similar to intervertebral disc disease.

Surgical management of first caudal nerve root foraminal compression secondary to intervertebral disc disease in a Cocker Spaniel

2012 ◽  
Vol 25 (01) ◽  
pp. 74-78 ◽  
Author(s):  
F. de Vicente ◽  
M. Pinilla ◽  
J. F. McConnell ◽  
F. Bernard
Keyword(s):  
Computed Tomography ◽  
Intervertebral Disc ◽  
Surgical Management ◽  
Nerve Root ◽  
Clinical Signs ◽  
Surgical Decompression ◽  
Intervertebral Disc Disease ◽  
Disc Disease ◽  
Cocker Spaniel ◽  
The One

SummaryA nine-year-old spayed female Cocker Spaniel was investigated for an eight week history of licking and rubbing at the tail base, dullness, and signs of pain on manipulation of the tail. Left-sided intraforaminal compression of the first caudal nerve root due to intervertebral disc disease was diagnosed by radiographic, computed tomography, and magnetic resonance imaging examinations. The dog was non-responsive to conservative medical therapy. A decompressive left-sided first-second caudal (Cd1-Cd2) foraminotomy was performed.Postoperative computed tomography confirmed surgical decompression of the involved nerve root. At the one month follow-up examination there was marked improvement in clinical signs. At two months, clinical signs were completely resolved and there was not any evidence of recurrence twelve months after surgery.Intervertebral disc disease should be considered as a differential diagnosis in dogs with discomfort at the tail base or signs of pain on manipulation of the tail. Surgical decompression may be indicated for management of these cases.This is the first report of diagnosis and surgical management of caudal intervertebral disc disease by foraminotomy in the dog. Surgical decompression by foraminotomy may therefore be a treatment option for this condition.

Posterior Surgical Approach to the Cervical Neural Foramen for Intervertebral Disc Disease

Neurosurgery ◽  
2004 ◽  
Vol 54 (3) ◽  
pp. 662-666 ◽  
Author(s):  
Stephen M. Russell ◽  
Vallo Benjamin
Keyword(s):  
Surgical Technique ◽  
Surgical Approach ◽  
Nerve Root ◽  
Foraminal Stenosis ◽  
Nerve Root Compression ◽  
Pathological Anatomy ◽  
Intervertebral Disc Disease ◽  
Disc Disease ◽  
Neural Foramen ◽  
Posterior Foraminotomy

Abstract A POSTERIOR FORAMINOTOMY (hemilaminotomy and medial facetectomy) is indicated for the treatment of nerve root compression secondary to posterolateral disc herniation or spondylotic foraminal stenosis. We describe the normal and pathological anatomy of the cervical neural foramen as well as our surgical technique, which has been highly effective in cases of cervical discogenic radiculopathy.

scholarly journals Conservative treatment of cervical intervertebral disc disease in a dog with the use of a cervical collar: case report

2020 ◽  
Vol 13 (3) ◽  
pp. 57
Author(s):  
G. F. Pessine ◽  
D. Farias Junior
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Intervertebral Disc ◽  
Conservative Management ◽  
Clinical Signs ◽  
Clinical State ◽  
Intervertebral Disc Disease ◽  
Disc Disease

Intervertebral Disc Disease (IVDD) is the main  spinal cord disease in dogs, especially  of chondrodisthrophic breeds, and it’s  characterized  by structural degeneration of discs, following protrusion or extrusion of debris to the medullar canal, compression and variable degrees of pain, paresis and ataxia. Surgical  descompressive intervention   coupled with disc fenestration are the treatment of choice as it promotes faster recovery with higher succes rates, not withou important morbidity and mortality. The conservative management is considered when the pacient has mild clinical signs, doesn’t have severe medullar compression or contusion lesions on imaging tests, as well as when there are restrictions associated with the clinical state of the pacient or the higher costs of surgical treatment.

Outcome of thoracolumbar surgical feline intervertebral disc disease

2021 ◽  
pp. 1098612X2110280
Author(s):  
Kayla M Fowler ◽  
Theresa E Pancotto ◽  
Stephen R Werre ◽  
Michaela J Beasley ◽  
William Kay ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Intervertebral Disc ◽  
Positive Outcome ◽  
Intervertebral Disc Herniation ◽  
Intervertebral Disc Disease ◽  
Disc Disease ◽  
Exact Test ◽  
Imaging Results ◽  
Larger Sample

Objectives The aim of this study was to evaluate the outcome and prognosis of thoracolumbar feline intervertebral disc disease (IVDD) treated by surgical decompression. Methods This was a multi-institutional retrospective study evaluating the age, breed, sex, body weight, presenting complaint, neuroanatomic diagnosis at presentation, diagnostic imaging results, surgery performed and the overall outcome at discharge and at recheck. Bivariable associations between variables were assessed using the Kruskal–Wallis test (age and grade of IVDD at presentation) and Fisher’s exact test (grade of IVDD at presentation and outcome). Results A total of 35 cats met the inclusion criteria for the study. The most frequently reported clinical sign was difficulty walking (54.2%). The majority of cats presented with an L4–S3 localization (57%). The most common site of intervertebral disc herniation (IVDH) was at L6–L7 (34%). The majority of feline patients that received surgery had a positive outcome at the time of discharge (62.5%; n = 20/32) and at the time of the 2-week recheck (91.3%; n = 21/23). No association was identified between the age of the patient and the grade of IVDD. No association was identified between the presenting grade of IVDD and the clinical outcome at the time of discharge or at the time of recheck evaluation. Conclusions and relevance Cats undergoing spinal decompressive surgery for thoracolumbar IVDH appear to have a favorable prognosis independent of the initial presenting grade of IVDD. A larger sample size and a longer length of follow-up is necessary to obtain statistical associations between the presenting grade of IVDD and overall clinical outcome.

Treatment of protruded lumbar intervertebral discs with chymopapain (Discase)

1973 ◽  
Vol 39 (2) ◽  
pp. 203-208 ◽  
Author(s):  
Dwight Parkinson ◽  
Christopher Shields
Keyword(s):  
Intervertebral Disc ◽  
Drug Administration ◽  
Food And Drug Administration ◽  
Intervertebral Discs ◽  
Intervertebral Disc Disease ◽  
Disc Disease ◽  
Chemical Action ◽  
Content Type ◽  
Fine Print

✓ Thirty-three intervertebral disc patients who otherwise would have been subjected to surgery were treated by injection with chymopapain. The pharmacology, toxicology, physiology, immunology, and chemical action of this enzyme, which specifically reacts with chondromucoproteins, are discussed. Results indicate that this method, although still experimental and unapproved by the U. S. Food and Drug Administration, may become a useful addition to the surgeon's armamentarium in the treatment of intervertebral disc disease.

Residual herniated disc material following hemilaminectomy in chondrodystrophic dogs with thoracolumbar intervertebral disc disease

2012 ◽  
Vol 25 (02) ◽  
pp. 109-115 ◽  
Author(s):  
M. Thomas ◽  
J. M. Weh ◽  
J. Bleedorn ◽  
K. Wells ◽  
W. J. Roach
Keyword(s):  
Intervertebral Disc ◽  
Herniated Disc ◽  
Intervertebral Disc Disease ◽  
Disc Disease ◽  
Vertebral Canal ◽  
Telephone Interviews ◽  
Disc Material ◽  
Long Term Follow Up

SummaryObjective: To evaluate the presence of residual disc material within the vertebral canal following hemilaminectomy in chondrodystrophic dogs with thoracolumbar intervertebral disc disease.Methods: Forty dogs were treated by hemilaminectomy. Computed tomography was performed preoperatively and immediately postoperatively. The vertebral canal height, width, area, and herniated disc material area were measured. Maximum filling percentage (MFP), residual disc percentage (RDP), maximum residual filling percentage (MRFP), and residual filling percentage (RFP) were calculated. Clinical outcome was determined by telephone interviews.Results: Residual disc material was present in 100% of the dogs. Mean MFP = 55.4% (range 25.9–82.3%; median 56.9%). Mean RDP = 50.3% (range 2.6–155.8%; median 47.9%). Mean MRFP = 30.8% (range 4.9–60%; median 30.1%). Mean RFP = 19.8% (range 4.8–45%; median 19.0%). All dogs were ambulatory with voluntary urination at the long-term follow-up (range: 88–735 days).Clinical significance: Residual disc was present in all dogs following hemilaminectomy for intervertebral disc disease. Residual disc was not associated with failure to achieve functional recovery in these cases.

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