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Acta médica Grupo Ángeles
Print version ISSN 1870-7203
Abstract
DOMINGUEZ GASCA, Luis Gerardo; SALAZAR HORNER, Diana Laura and DOMINGUEZ CARRILLO, Luis Gerardo. L4/L5 traumatic disc herniation grade III. Uncommon diagnosis. Acta méd. Grupo Ángeles [online]. 2022, vol.20, n.3, pp.266-268. Epub Feb 06, 2023. ISSN 1870-7203. https://doi.org/10.35366/105731.
Introduction:
Acute traumatic disc herniation, caused by a traffic accident, is a rare event at the cervical level, being even less (0.4%) at the lumbar level.
Case report:
A 23-year-old male who, in a motorcycle accident, presented acute low back pain and paresis of muscles innervated by left L4-L5-S1 roots, with decreased left patellar and achilles reflexes and decreased sensitivity in the aforementioned left dermatomes. Imaging studies demonstrated a fracture of the poster inferior edge of the L4 body and massive extrusion of disc material, requiring surgery for its resolution.
Conclusions:
Traumatic disc herniation at the lumbar level is an uncommon event.
Keywords : Traumatic disc herniation; spinal epidural hematoma; spinal fracture.
