Degenerative Conditions
A 45-year-old office worker presents with 6 months of low back pain radiating to the right buttock and posterior thigh. Pain is worse with sitting and bending forward. MRI shows L4-L5 disc degeneration with a posterolateral disc herniation and Modic Type II changes in the adjacent vertebrae. Regarding degenerative disc disease:
Mark each as TRUE or FALSE
The intervertebral disc consists of the nucleus pulposus (gel-like center with high water and proteo...
Modic changes are vertebral endplate and marrow signal changes seen on MRI: Type I (T1 low, T2 high)...
All patients with disc herniation on MRI require surgical treatment; a posterolateral disc herniatio...
A posterolateral L4-L5 disc herniation typically compresses the traversing L5 nerve root (not the ex...
Surgical options for symptomatic disc herniation with radiculopathy include microdiscectomy (gold st...
Answer the questions to see explanations
Click T (True) or F (False) for each option