Nomenclature of Degenerative Disc Disease


(Left) Sagittal graphic of a disc bulge shows generalized extension of the disc margin beyond the vertebral body image. An axial view must show generalized extension > 90° of the disc margin to be a bulge; less than 90° would be a protrusion.


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(Right) Sagittal graphic of a disc protrusion shows extension of disc material beyond the interspace margin where the base of the herniation is wider than the portion in the epidural space image.

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(Left) Sagittal graphic of a disc extrusion shows extension of disc material beyond the interspace where the base of the herniated material is smaller than the component in the epidural space image.


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(Right) Sagittal graphic shows a disc extrusion with free fragment. Extruded disc demonstrates extension of disc material beyond the interspace with the base narrower than the portion in the epidural space image. A 2nd component image has separated from the parent disc and is a free fragment or sequestered disc.

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(Left) Sagittal T1WI MR shows severe disc degeneration at L5-S1 with disc extrusion where the base of herniation is narrower than the portion extending into epidural space image. There is inferior migration of herniation consistent with free fragment.


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(Right) Sagittal T1WI MR shows a large L3-L4 far lateral disc extrusion, which is located within the neural foramen (foraminal herniation) image and obscures the exiting L3 nerve root. Note the normal exiting root at the level below for comparison image.

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Oct 5, 2016 | Posted by in NEUROLOGICAL IMAGING | Comments Off on Nomenclature of Degenerative Disc Disease

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