一种与L2/3椎间盘突出相关的L5根性病变。

Current health sciences journal Pub Date : 2023-01-01 Epub Date: 2023-03-31 DOI:10.12865/CHSJ.49.01.129
Eric Chun-Pu Chu, Kristy Hoi-Ying Yau, David Lawrence Bellin
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引用次数: 2

摘要

导致腰椎间盘突出引起神经根病的关键因素包括机械压迫。人们普遍认为,椎间盘突出会压迫邻近下段椎体椎弓根下的神经根。然而,椎间盘突出症偶尔可能会导致非相邻的、孤立的神经根症状。我们报告了一例74岁的女性病例,她有2年的进行性腰痛史,伴有L5神经根病和生活质量下降。患者接受了磁共振成像,显示大的L2/3椎间盘突出。症状逐渐恶化,对包括止痛药、运动康复和下腰部针灸在内的保守治疗无效。该患者被诊断为由L2/3椎间盘突出引起的L5神经根病。因此,她的症状通过脊椎按摩康复得到改善,该康复包括脊椎手法治疗和L2/3水平的间歇性电动牵引,以减少椎间盘突出。因此,在椎间盘突出程度和神经根模式不一致的病例的鉴别诊断中,应考虑与L2/3椎间盘突出相关的L5神经根病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

An L2/3 Disc Herniation-Related L5 Radiculopathy.

An L2/3 Disc Herniation-Related L5 Radiculopathy.

The key factors contributing to radiculopathy caused by lumbar disc herniation include mechanical compression. It was commonly believed that the disc herniation causes the compression on the nerve root exiting under the pedicle of the vertebral body at the adjacent inferior level. However, a disc herniation might occasionally result in non-adjacent, isolated radicular symptoms. We report the case of a 74-year-old female who presented with a 2-years history of progressive low back pain associated with L5 radiculopathy and reduced quality of life. The patient had undergone a magnetic resonance image showing a large L2/3 disc herniation. Symptoms had progressively worsened and failed to respond to conservative treatments including pain medication, exercise rehabilitation, and acupuncture at the lower lumbar region. The patient was diagnosed with L5 radiculopathy caused by L2/3 disc herniation. Consequently, her symptoms improved with chiropractic rehabilitation which involved spinal manipulative therapy and intermittent motorized traction at the L2/3 level to reduce herniated disc. Therefore, an L2/3 Disc herniation-related L5 radiculopathy should be considered in the differential diagnosis of cases of inconsistency of level of disc herniation and nerve root pattern.

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