Tatli Mehmet, Güzel Aslan, Ceviz Adnan, Karadağ Ozen
Department of Neurosurgery, Social Security Hospital, Dicle University, Diyarbakir, Turkey.
Br J Neurosurg. 2005 Jun;19(3):257-9. doi: 10.1080/02688690500208593.
Posterior epidural migration of free disc fragments is rare, and posterior migration of the free fragments causing cauda equina syndrome is exceptionally rare. This report describes a 53-year-old man with disc fragment extrusion at the levels of L3-4 and a 54-year-old man with disc fragment extrusion at L5-S1 intervertebral space. The patients responded well to the operative therapy with complete relief of the symptoms. The pathological examination confirmed that the specimen was a degenerated intervertebral disc. Early surgery should be the first choice of therapy in patients with large posteriorly migrated sequestered disc fragments, to prevent severe neurological deficits such as cauda equina and conus medullaris syndromes.
游离椎间盘碎片向后硬膜外迁移很少见，而游离碎片向后迁移导致马尾综合征则极为罕见。本报告描述了一名53岁男性，其L3-4节段有椎间盘碎片突出，以及一名54岁男性，其L5-S1椎间隙有椎间盘碎片突出。患者对手术治疗反应良好，症状完全缓解。病理检查证实标本为退变的椎间盘。对于游离椎间盘碎片向后大量迁移的患者，早期手术应作为首选治疗方法，以预防马尾和圆锥综合征等严重神经功能缺损。
