Lumbar Spine Disorders:

Causes of Persistent Pain after Lumbar Discectomy

MR Neurography in patients with persistent radiculopathy after spine surgery.

(A) MR Neurography demonstrates flattening of the exiting nerve root (**) by a persistent fragment of disc material (fr) in the foramen. The contralateral nerve root (*) has a normal caliber.  

B) 36 year old man with right S1 dysesthetic pain after microdiscectomy. Post-operative imaging showed good decompression, but the Neurography demonstrated persistent hyperintensity of the dorsal root ganglion (DRG) consistent with intraoperative mechanical trauma.  No further surgical treatment was recommended.

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