A Case of Herniated Upper Lumbar Disc with Paraplegia

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On January 4, 1974. a 30-year-old man was admitted to our hospital with sudden onset of paraplegia. He could take standing position but was not able to walk.The Laségue test was negative bilaterally. There was hyporeflexia of both the Achilles and patellar jerks and sensory disturbance (hypalgesia) located in the right anterior tibial region. The Qieckenstedt test was markedly positive and cerebrospinal fluid (CSF) protein content was 3000mg/dl. X-Ray findings showed narrowing of L2-3 vertebral interspace and a posterior spur formation of L2 vertebral body. Myelography showed a complete block at this level.A total laminectomy of L2 and L3 was carried out. At the L2-3 vertebral interspace, midline disc protrusion was found and removed. 30 days after surgery, he was allowed to get up and was able to walk normally. He could return the former job.
西日本整形・災害外科学会の論文