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Lumbar ligamentum flavum hematoma at L3-4 treated with full-endoscopic laminectomy: a case report.


ABSTRACT:

Background

Lumbar ligamentum flavum hematoma (LFH) is a rare cause of nerve root and/or cauda equina compression which is commonly treated using microsurgical laminectomy and posterior fixation. However, technological advances may allow for less invasive options to be used.

Case description

A 70-year-old female with lower back and right lower extremity radicular pain without relevant medical history. Muscle strength and tendon reflexes were normal. Lumbar computed tomography (CT) and magnetic resonance imaging (MRI) revealed a lumbar dural sac and nerve root compression due to lumbar canal stenosis and lumbar LFH at L3-4. Full-endoscopic laminectomy (FEL) was performed at L3-4 after conservative treatment failed to provide sufficient improvement. Intraoperative observation r

SUBMITTER: Ioroi Y 

PROVIDER: S-EPMC12516574 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature