Posterior epidural migration of lumbar disc: Will the real "disc" please stand up?

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Posterior epidural migration of lumbar disc: Will the real "disc" please stand up?

Surg Neurol Int. 2017;8:302

Authors: Deora H, Prabhuraj AR, Pruthi N

Abstract
Background: Posterior epidural lumbar disc fragment migration is rare and most commonly occurs at the L3-L4 level where it may contribute to cauda equina compression.
Case Description: Here, we report three cases of epidural migration of a lumbar disc, two of which led to bladder dysfunction/cauda equina compression. Early decompression (e.g., laminectomy) and aggressive postoperative physiotherapy led to significant postoperative improvement in all three patients.
Conclusion: Migration of large sequestrated lumbar disc herniations leading to cauda equina compression should be recognized early and promptly treated with decompressive laminectomies to achieve the best postoperative outcomes.

PMID: 29296288 [PubMed]

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