{"id":"2084a6be-6a5e-4181-bfc4-46a5622b7aac","slug":"posterior-epidural-migration-of-lumbar-disc-will-the-real-disc-please-stand-up","title":"Posterior epidural migration of lumbar disc: Will the real “disc” please stand up?","authors":["Harsh Deora","A. R. Prabhuraj","Nupur Pruthi"],"abstract":"Background: Posterior epidural lumbar disc fragment migration is rare and most commonly occurs at the L3-L4 level where it may contribute to cauda equina compression. Case Description: Here, we report three cases of epidural migration of a lumbar disc, two of which led to bladder dysfunction/cauda equina compression. Early decompression (e.g., laminectomy) and aggressive postoperative physiotherapy led to significant postoperative improvement in all three patients. Conclusion: Migration of large sequestrated lumbar disc herniations leading to cauda equina compression should be recognized early and promptly treated with decompressive laminectomies to achieve the best postoperative outcomes.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/2084a6be-6a5e-4181-bfc4-46a5622b7aac/featured/hero-1782420886794.png","publishDate":"2017-12-18T00:00:00.000Z","doi":"10.4103/sni.sni_395_17","categories":["Spine","Case Report"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2018/01/8704/SNI-8-302.pdf"}