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Transitional lumbosacral discs. probability of herniation.
Spine 1981 March
The charts and roentgenograms of 200 patients operated upon for lumbar disc herniations were reviews. Among them, there were 42 persons in whom a lumbosacral transitional vertebra existed. The discs beneath these vertebra varied in appearance. A descriptive classification for the four disc types is proposed. In none of the 42 patients were there myelographic evidence of herniation of such a disc. In five instances, such disc were surgically inspected, and no protrusion was uncovered. Before transitional discs are operated upon, the proof of herniation should be incontrovertible.
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