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  • Title: Microsurgical excision of hematoma of the lumbar ligamentum flavum.
    Author: Takeno K, Kobayashi S, Miyazaki T, Yayama T, Baba H.
    Journal: Joint Bone Spine; 2010 Jul; 77(4):351-4. PubMed ID: 20537575.
    Abstract:
    Hematoma of the lumbar ligamentum flavum is a very rare cause of sciatica. A 72-year-old man presented with left-sided sciatica and paresthesia of the lateral aspect of his left foot. From CT and MRI findings, he was diagnosed as having a hematoma embedded in the ligamentum flavum, which compressed the dura mater at the L5/S1 disc level. After an adequate surgical field was obtained with a microscope and a Casper retractor, the hematoma of the ligamentum flavum could be excised via a unilateral approach and satisfactory decompression of the cauda equina and nerve roots were obtained.
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