Thoraco-Lumbar Disc Disease

FACTS

Mechanical pathology: flexion and axial loading
 
Key principle: Disc Herniation Types and Traversing vs. Exiting Nerve Roots 
Herniation Type
Nerve Roots Impacted
Example
Central / Paracentra
traversing nerve root (nerve roots below)
L4-5 disc affects L5/S1 nerve root
Far Lateral / Foraminal
exiting nerve root(nerve root at that level)
L4-5 disc affects affects only L4 nerve root
notion image
 

HPI

 

PHYSICAL EXAM


IMAGING

 

A/P