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Review
. 2010 Jul;19 Suppl 2(Suppl 2):S197-9.
doi: 10.1007/s00586-010-1354-5. Epub 2010 Mar 10.

Extreme lateral lumbar disc herniation in a 12-year child: case report and review of the literature

Sheng-Dan Jiang  1 , Lei-Sheng Jiang, Li-Yang Dai
Affiliations
Review

Extreme lateral lumbar disc herniation in a 12-year child: case report and review of the literature

Sheng-Dan Jiang et al. Eur Spine J. 2010 Jul.

Abstract

Extreme lateral lumbar disc herniations (ELLDHs) occur more frequently among elderly patients, with a peak incidence in the sixth decade, and are rarely found in children. The patient presented is a 12-year-old boy with a 3-month history of right-sided leg pain. Computerized tomography and magnetic resonance imaging demonstrated an extreme lateral disc herniation on the right at L4-L5 with compression of the L4 nerve root. He subsequently underwent removal of extreme lateral herniated disc through an intertransverse approach under general anesthesia. At 11-month follow-up, the patient maintained resolution of preoperative symptoms and a neurological examination revealed no sensory or motor deficit. Surgical intervention may be indicated for patients with ELLDHs that fail with conservative treatment.

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Figures

Fig. 1
Fig. 1
Axial CT images demonstrating an extreme lateral lumbar disc herniation at the level of the right L4–L5 disc
Fig. 2
Fig. 2
Axial MRI images demonstrating an extreme lateral lumbar disc herniation at the level of the right L4–L5 disc
See this image and copyright information in PMC

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