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Fig. 1 | Journal of Orthopaedic Surgery and Research

Fig. 1

From: Recurrent disc herniation following percutaneous endoscopic lumbar discectomy preferentially occurs when Modic changes are present

Fig. 1

Example of rLDH on the L4/5 level in a 52 years old male with MCs: T1-weighted (a) and T2-weighted (b) MR images of lumbar endplates showed the presence of type II Modic changes (indicated by high signal on T1 and T2) on L4/5 level. MRI showed disc herniation on the same level (c, d); the herniated cartilage was present in the intraoperative specimen (e). Reappearance of the same pain as presentation and MRI confirmation of the recurrent herniation on the same level after 6 months follow-up (f, g), then fusion was performed (h, i)

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