Published in:
13-10-2023 | Laminectomy | Test Yourself: Question
Chronic sciatica without motor deficit
Published in: Skeletal Radiology | Issue 5/2024
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An 84-year-old woman with prior history of L4-L5 laminectomy and L4 spinous process resection 25 years ago, presented for an acute exacerbation of her chronic right sciatica not responsive to analgesics and non-steroidal anti-inflammatory drugs. There was no motor deficit. After imaging workup (Figs. 1, 2 and 3), she underwent right L3-L4, L4-L5 and L5-S1 facet medial branch block without significant improvement.
Fig. 1
Conventional radiography of the lumbar spine – lateral view at the level of L2-L4
Fig. 2
MRI of the lumbar spine—sagittal plane
Fig. 3
Unenhanced CT scan of the lumbar spine
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