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Fig. 5 | BMC Musculoskeletal Disorders

Fig. 5

From: 15-year survivorship analysis of an interspinous device in surgery for single-level lumbar disc herniation

Fig. 5

A 36-year-old woman with lumbar disc herniation (LDH) at L4–5. Lateral (A) radiographs showing lumbarization of S1, becoming L6. Magnetic resonance images (B and C) showing LDH at L5–6. The patient underwent discectomy and DIAM implantation at L5–6 (white arrow) (D). At 8 months after surgery, lateral radiograph (E) and magnetic resonance images (F and G) showing maintenance of DIAM (white arrows) but recurrent LDH at L5–6. At 5 years after DIAM removal and another discectomy, lateral radiograph (H) shows disc space narrowing at L5–6 (white arrow)

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