{"id":"12bbfba6-deb7-4d0b-a976-3362fea74931","slug":"intradural-t12-l1-disc-herniation-in-a-patient-with-achondroplasia-a-case-report","title":"Intradural T12–L1 disc herniation in a patient with achondroplasia: A case report","authors":["Edgar G. Ordonez-Rubiano","Jorge Alberto Romo","Juan Torres","Santiago José Troncoso","Javier Patiño"],"abstract":"Background: There are very few reports of intradural disc herniations associated with achondroplasia described in the literature. Case Description: A patient with achondroplasia presented with progressive paraparesis attributed to a magnetic resonance-documented intradural disc herniation at the T12–L1 level occupying more than 90% of the spinal canal. It was successfully removed through a T12 laminectomy with durotomy; note a laminectomy would have been contraindicated if this had been an extradural anterior/anterolateral disc. Postoperatively, the patient progressively improved and, within 6 months, had 4/5 proximal/distal function and full sphincter control. Conclusion: A patient with achondroplasia and an intradural T12/L1 disc herniation (i.e., unlike an extradural anterior/anterolateral thoracic disc) successfully underwent a decompressive laminectomy with near full resolution of their preoperative paraparesis.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/12bbfba6-deb7-4d0b-a976-3362fea74931/featured/hero-1781559161831.png","publishDate":"2024-10-11T00:00:00.000Z","doi":"10.25259/SNI_347_2024","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2024/10/13146/SNI-15-369.pdf"}