Abstract
Background
Lumbar disc extrusion is a common spinal disease, but very high-grade lumbar disc extrusion is relatively rare, especially among young patients. This study reports a case of very high-grade lumbar disc extrusion in a young male patient and explores its clinical features, treatment, and prognosis.
Case Report:
A 36 year-old male patient with a previously healthy medical history was admitted to the hospital due to "low back pain and leg pain for half a month, with aggravation for 4 days." Lumbar MRI plain scan and enhancement revealed an abnormal signal in the vertebral canal at the level of the L3 vertebra, suggesting: 1. Disc cyst; 2. Epidural hematoma. Surgical exploration of the vertebral canal and excision of the extruded lumbar disc were performed, resulting in complete resolution of the patient's symptoms of low back pain and leg pain.
Conclusion
Very high-grade lumbar disc extrusion in young patients is a rare case. Through literature review, the epidemiological characteristics, pathogenesis, diagnosis, and treatment methods of this disease were summarized, providing suggestions for its diagnosis and treatment.