Title |
Osseous erosion by herniated nucleus pulposus mimicking intraspinal tumor: a case report
|
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Published in |
Journal of Orthopaedics and Traumatology, November 2010
|
DOI | 10.1007/s10195-010-0119-6 |
Pubmed ID | |
Authors |
Shinji Yoshioka, Koichi Sairyo, Toshinori Sakai, Tatsuya Tamura, Hirofumi Kosaka, Natsuo Yasui |
Abstract |
Erosion of spinal osseous structure, so-called scalloping, has been rarely reported associated with herniated nucleus pulposus (HNP). We report a rare case of HNP causing erosion of the spinal osseous structure (including lamina). The patient was an 81-year-old woman with 3-year history of low-back pain and left leg radiating pain. Muscle weakness of the left leg was also apparent. Computed tomography following myelography showed severe compression of the dural sac at the level of L3-L4; furthermore, erosion of the lamina, pedicle, and vertebral body was noted, indicating that the space-occupying mass was most probably a tumorous lesion. The mass also showed calcification inside. During the surgery, the mass was confirmed to be an HNP with calcification. Following resection, the pain disappeared. Surgeons should be aware of the possibility of scalloping of the vertebrae caused by HNP mimicking a tumorous lesion. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 11% |
Unknown | 8 | 89% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 2 | 22% |
Student > Master | 2 | 22% |
Researcher | 1 | 11% |
Professor > Associate Professor | 1 | 11% |
Unknown | 3 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 2 | 22% |
Immunology and Microbiology | 1 | 11% |
Nursing and Health Professions | 1 | 11% |
Psychology | 1 | 11% |
Neuroscience | 1 | 11% |
Other | 0 | 0% |
Unknown | 3 | 33% |