Surgical management of tumor-mimicking posteriorly migrated lumbar disc fragment using a quadrant minimally invasive approach: a case report and literature review - Summary - MDSpire

Surgical management of tumor-mimicking posteriorly migrated lumbar disc fragment using a quadrant minimally invasive approach: a case report and literature review

  • By

  • Saifei Meng

  • Longxiao Wu

  • Zizu Li

  • Haolin Tang

  • Chunlei Liu

  • June 23, 2026

  • 0 min

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Objective:

To present a case of posterior epidural migration of disc fragments (PEMDF) and highlight the diagnostic challenges it poses, while demonstrating the feasibility of minimally invasive surgical treatment using the Quadrant approach.

Approach:
    Key Findings:
    • PEMDF can mimic spinal tumors on MRI, complicating preoperative diagnosis based on this case study.
    • Minimally invasive techniques like the Quadrant approach were successfully used in this case to treat PEMDF.
    • Histopathological examination confirmed degenerative intervertebral disc tissue post-surgery.
    Interpretation:

    Awareness of PEMDF is crucial to avoid misdiagnosis as a neoplastic process, and minimally invasive surgical options may be viable alternatives to traditional open decompression.

    Limitations:
    • The study is based on a single case report, limiting generalizability, and there is a lack of larger studies to support these findings.
    Conclusion:

    Minimally invasive approaches, such as the Quadrant technique, were successfully used in this case for managing PEMDF, allowing for rapid recovery and definitive diagnosis.

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