Presentation
Right lower limb numbness after the post-op-free symptomatic period for lumbar spine fixation due to trauma.
Patient Data
Age: 50 years
Gender: Male
From the case:
Misplaced lumbar pedicle screw
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Straightening of the lumbar lordosis with multi-level end plate irregularities is seen.
Orthopedic rods and screws transfix the L3 down to the S1 vertebrae, of which the right-sided screw at the L3-L4 level is within the intervertebral space distally and more proximally traverses the outside of the neural exit foramen.
Case Discussion
The left-sided pedicle screw at the L3-L4 level is within the intervertebral disc space and on the outer aspect of the neural exit foramen, which is the most likely cause of the presentation.
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