OCAD MSK

History

75 y/o M s/p fusion surgery 3 years ago now with severe LBP and LLE radiculopathy for 1 week after tweaking back on stairs

Figure 1 for case Lumbar extrusion with sequestered fragment ( RID6163 ) — Figure 1

Figure 2 for case Lumbar extrusion with sequestered fragment ( RID6163 ) — Figure 2

Figure 3 for case Lumbar extrusion with sequestered fragment ( RID6163 ) — Figure 3

Figure 4 for case Lumbar extrusion with sequestered fragment ( RID6163 ) — Figure 4

Figure 5 for case Lumbar extrusion with sequestered fragment ( RID6163 ) — Figure 5

Figure 6 for case Lumbar extrusion with sequestered fragment ( RID6163 ) — Figure 6

Discussion

Patient had fusion surgery and is hypolordotic to the point of reversal with resulting kyphosis. Large mass below the L 3/4 level to the left of midline associated with posterior disc space narrowing. Hard to say how much mass effect is due to hemorrhage vs. disc. I read it out as disc. If f/u I will update.

Diagnosis

Lumbar extrusion with sequestered fragment ( RID6163 )

Phillip Tirman MD

Courtesy

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