L3 and l4 herniated disc
Lumbar Fusion and Total Disc Arthroplasty (TDA)
The patellar reflex was affected in 37% of L2-3 and 43% of L3-4 herniations, in contrast to only 6% of L4-5 and L5-S1 disc herniations. No sensory deficit was found in L2-3 disc herniations. The straight leg raising test was positive in 94% of all herniations, and it was strongly positive at under 30°, more frequently in lower lumbar herniations.
[DOC File]Chapter 2 The intervertebral disc
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L3-L4 . L4-L5 . L5-S1 . Request is for lumbar fusion . ... Individual has radiculopathy secondary to a herniated disc and has radiographic evidence of . lumbar spinal instability (for example, spondylolisthesis) ... Individual has degenerative disc disease limited to the single spinal level at which the lumbar TDA .
Lumbar Herniated Disc Symptoms
Herniated Nucleus Pulposus (HNP) L: There are vertebral disc changes seen at the levels of L3–4, L4–5, and L5–S1. The L3–4 change is located centrally and laterally to the right. The L5–S1 change is best seen in the center of the disc . CAT: There are no remarkable changes in …
[DOC File]PATIENT 4 - Lippincott Williams & Wilkins
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There is a large disc herniation at L4/5 and a small protrusion at L3/4. Note that the diffuse disc bulge at L5/S1 is darker than the disc from which it comes. The disc protrusion at L3/4 is the same signal as the disc from which it comes. The Acute disc herniation at L4/5 is brighter than the disc frm which it comes.
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