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May 1964

Lumbar Disc Disease With Amputated or Denervated Legs

Author Affiliations

From the Division of Neurological Surgery, Veterans Administration Hospital.

Arch Neurol. 1964;10(5):473-474. doi:10.1001/archneur.1964.00460170043007

To date only six reported cases of lumbar disc herniation associated with pre-existing lower extremity amputation have been reported. In four of the cases, the radicular pain was ipsilateral to the amputation.2,3 In the other two, pain was contralateral to the side of operation.4 In a seventh case, amputation had been performed to relieve leg pain. Later this pain was considered to be of radicular nature. The pain was then ameliorated by removal of an offending disc.1 Ten neurological surgeons, who have practiced in the Miami area between 5 and 25 years, were canvassed as to whether they had, in their private practice, corrected a herniated nucleus pulposus in an amputee. Only one replied in the affirmative (case 3). Radicular pain due to herniated nucleus pulposus ipsilateral to a post-traumatic sciatic neuropathy has never been reported.

Three cases are presented of lumbar disc herniation associated with an

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