We present a review of 553 patients who underwent surgery for intractable sciatica ascribed to prolapsed lumbar intervertebral disc. One surgeon in one institution undertook or supervised all the operations over a period of 16 years. The total number of primary discectomies included in the study was 531, of which 42 subsequently required a second operation for recurrent sciatica, giving a revis...

We have presented a case of rare dorsally sequestrated lumbar disc herniation manifesting as cauda equina syndrome. The patient was admitted to the Neurological Department of Canton Hospital Zenica due to urinary retention and weakness in both lower extremities. Magnetic resonance imaging showed a compressing mass located in the dorsal extradural space at the L2-L3 level. An extruded interverte...

Intervertebral intradural lumbar disc herniation (ILDH) is a quite rare pathology, and isolated intradural lumbar disc herniation is even more rare. Magnetic resonance imaging (MRI) may not be able to reveal ILDHs, especially if MRI findings show an intact lumbar disc annulus and posterior longitudinal ligament. Here, we present an exceedingly rare case of an isolated IDLH that we initially mis...

OBJECTIVE Our aim was to evaluate the efficacy of Diffusion Weighted Imaging (DWI) and Constructive Interference Steady State (CISS) sequences in the depiction of lumbar disc hernias, including sequestrated and extruded discs. MATERIALS AND METHODS 100 patients; 35 males and 65 females, with 3 sequestration-16 extruded and 81 protruded all together 100 herniated discs were involved in this st...

A 53 year-old man who had been suffering from left leg pain had relief to some degree with conservative treatment. Fifteen days later he had another painful episode and was hospitalized for physical therapy. Acute paraparesia developed on the tenth day after admission. On neurosurgical consultation there was paraparesia which was prominent distally. both patella and Achilles reflexes were aboli...