case_images: PMC11325866_01
case_images: (A) Sagittal MRI scan and (B,C) axial MRI scans showed the L5/S1 disk protruding to the central right, leading to compression of the nerve root. (D) Sagittal MRI scan and (E,F) axial MRI scans showed C3/4 cervical disk protrusion to the left posterior and C5/6 disk protrusion to the right of the central posterior. These protrusions caused compression of the spinal cord and resulted in abnormal signals within the spinal cord.
case_images: fmed-11-1429618-g001.jpg
case_images: PMC11325866_01_fmed-11-1429618-g001.jpg
case_images: fig1
case_images: During the 3 years of postoperative follow-up, the patient had complete relief of symptoms and did not report any complications (Figure 1).
case_images: PMC11325866_02
case_images: (A) Sagittal MRI scan and (B,C) axial MRI scans revealed a posterior protrusion of the L4/5 disk, causing spinal canal stenosis. (D) Sagittal MRI scan and (E,F) axial MRI scans showed disk protrusion at C4/5 and C5/6, resulting in the compression of the spinal cord.
case_images: fmed-11-1429618-g002.jpg
case_images: PMC11325866_02_fmed-11-1429618-g002.jpg
case_images: fig2
case_images: During the 17-month follow-up period, the sciatica-like pain completely resolved (Figure 2).
case_images: PMC11325866_03
case_images: (A) Sagittal MRI and (B-D) axial MRI revealed L4/5 disk protrusion and spinal canal stenosis. (E) The sagittal MRI scan and (F-H) the axial MRI scans demonstrated multi-segmental disk herniation from C2 to C7, hypertrophy of the ligamentum flavum causing cervical spinal canal stenosis, and spinal cord compression at the corresponding levels.
case_images: fmed-11-1429618-g003.jpg
case_images: PMC11325866_03_fmed-11-1429618-g003.jpg
case_images: fig3
case_images: Throughout the 21-month follow-up period, the patient did not report any further complaints related to lower extremity pain (Figure 3).
case_images: PMC11325866_04
case_images: (A) Sagittal MRI scan and (B,C) axial MRI scans exhibited posterior protrusion of the L4/5 disk to the central left. (D) The sagittal MRI scan and (E,F) axial MRI scans demonstrated posterior protrusion of the C3/4 and C4/5 cervical disk, resulting in mild spinal cord compression with abnormal signal. (G) The sagittal MRI scan and (H,I) axial MRI scans in the hyperextended position demonstrated that the C3/4 and C4/5 cervical disks had significant compression of the spinal cord.
case_images: fmed-11-1429618-g004.jpg
case_images: PMC11325866_04_fmed-11-1429618-g004.jpg
case_images: fig4
case_images: The VAS score at the last follow-up was 1 point (Figure 4).