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Erschienen in: European Spine Journal 11/2016

03.03.2016 | Grand Rounds

Management of an unusual sciatica

verfasst von: Anouar Bourghli, Ahmed Chaballout, Ibrahim Obeid, Louis Boissiere, Jean-Marc Vital, Ghassan Khoury

Erschienen in: European Spine Journal | Ausgabe 11/2016

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Abstract

Purpose

Extraforaminal entrapment of the L5 nerve root is uncommon, and its management can sometimes be very challenging.

Methods

We present the case of a 57-year-old female, complaining of a sciatica in her left leg, for 3 years, with no response to any kind of conservative treatment. MRI and CT scan revealed the presence of a large L5S1 strictly lateral osteophyte compressing the left L5 root in its extraforaminal path.

Results

The patient underwent a left anterior retroperitoneal approach with assistance from a vascular surgeon given the very close relation between the osteophyte and the left common iliac vein, lying just on top of it, osteophyte was removed in one piece with the use of an osteotome after retraction of the vessels. The patient progressively recovered from her left sciatic pain with a satisfactory clinical result at 1 year.

Conclusion

Literature is sparse on the treatment of extraforaminal entrapment of the L5 nerve root; the current case shows a successful treatment strategy with the use of an anterior approach for direct vision of the lesion and good control of the vessels.
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Metadaten
Titel
Management of an unusual sciatica
verfasst von
Anouar Bourghli
Ahmed Chaballout
Ibrahim Obeid
Louis Boissiere
Jean-Marc Vital
Ghassan Khoury
Publikationsdatum
03.03.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
European Spine Journal / Ausgabe 11/2016
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-016-4446-z

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