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Case ReportsA 61-year-old man with left lumbar pain and left lower limb pain was pointed out to have an abnormal shadow in the spinal canal on CT-scan.Simple X-P view in the lumbal spine revealed vacuum phenome non in L3-4 intervertebral disc.Myelography revealed the defect of the left L4 root at the supe rior aspect of the L4 vertebral body.Plain-CT revealed low density lesion in the spinal canal at the same level.Discography and CTD revealed the continuance between interv ertebral disc and cystic tissue.We confirmed cystic tissue surrouded by the thick capsule and the presence of the gas collection in it at the operation.We did disectomy and vertebral body fusion via the posterior approach to prevent a relapse.The patient was in good condition after the operation.

One case of lumbar intervertebral disc gas herniation with lumbar radiculopathy.