disc sequestration
complete separation of disc material with rupture through posterior
longitudinal ligament into the epidural space; free fragment herniation
findings:
- migration superiorly/inferiorly with compression of nerve
roots above/below the level of herniation
- disc material noted >9mm from disc space
DDx:
- postoperative scarring (retraction of thecal sac to the site
of surgery)
- epidural abscess/tumor
- conjoined nerve root: 2 nerve roots arising simultaneously from
the thecal sac; normal variant in 1-3%
see: degenerative disc disease
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© 2002, C.E. Kahn, Jr.
2002-04-18