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Atlas of Spine - Degenerative Disorders

 

Editor: Dr. Chris Ekong

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Left L5S1 Extruded Disc.

Contributor:

Dr. Chris Ekong


Case 5

Age: 39

Sex: Female

History: Sudden onset of severe left hip pain radiating down the left leg 3 months ago(August 1999). She could barely walk 2 months after the onset of symptoms.


Examination:

Initial examination showed SLR of 60 degrees on the left, decreased sensation in the left S1 dermatome, and absent left ankle jerk.


X-Rays

CT of Lumbosacral spine showing no abnormality at the L34 level.


CT of the Lumbosacral spine showing a large extruded disc at the L5S1 level on the left side.


Treatment:

By the time the CT scan was done 3 months after the onset of the symptoms, the symptoms completely resolved. The patient returned to normal activities.


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Last Updated: May 29, 2003