Nerve root herniation with entrapment in the facet joint gap after lumbar decompression surgery: a case presentation

Branko Popadic, Florian Scheichel, Melanie Themesl, Ingo Decristoforo, Camillo Sherif, Franz Marhold

Research output: Journal article (peer-reviewed)Case study

Abstract

BACKGROUND: An incidental dural tear is a well-known complication during spine surgery. A rare consequence is a postoperative nerve root herniation. The purpose of this report is to describe a case of such a herniation with entrapment in the facet gap joint and to present the first MR images of this rare surgical complication.

CASE PRESENTATION: We report a case of a patient who underwent lumbar decompression surgery and afterwards suffered a sudden intractable sciatica. Postoperative MRI showed a new facet joint gap effusion. During revision surgery an entrapped nerve root was found in the facet joint gap. In retrospective, the herniated nerve root is visible on postoperative MRI.

CONCLUSION: This case report highlights a rare complication during spine surgery. This finding is important as signs suggestive for nerve root herniation can easily be overlooked on MRI. Furthermore, this represents the first MRI documentation of this complication.

Original languageEnglish
Article number736
Pages (from-to)736
JournalBMC Musculoskeletal Disorders
Volume22
Issue number1
DOIs
Publication statusPublished - Dec 2021

Keywords

  • Decompression
  • Humans
  • Intervertebral Disc Displacement/diagnostic imaging
  • Lumbar Vertebrae/diagnostic imaging
  • Lumbosacral Region
  • Retrospective Studies
  • Zygapophyseal Joint
  • Entrapment
  • Case report
  • Nerve root herniation
  • Spine surgery
  • Complication

ASJC Scopus subject areas

  • Rheumatology
  • Orthopedics and Sports Medicine

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