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Fig. 7 | BMC Musculoskeletal Disorders

Fig. 7

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

Fig. 7

A 34-year-old woman with lumbar disc herniation (LDH) at L4–5. Lateral radiograph (A) and sagittal magnetic resonance images (B and C) showing degenerative changes and severe modic change (dotted white arrows) at L4–5. The patient underwent discectomy and DIAM implantation at L4–5 (white arrow) (D). At 11 years after discectomy and DIAM implantation at L4–5, lateral radiograph (G), sagittal magnetic resonance images (F and G) and computed tomogram (H) show well maintenance of DIAM and markedly improvement of modic changes (white arrows) at L4–5 (white arrows) without recurrence of LDH

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