Evidence map›Paper›PMID 42713382›Full record

ArticleJournal of orthopaedic case reports2026

Direct Endoscopic Visualization of Gas Release in a Lumbar Disc Herniation: A Case Report.

Stephanie Mendez, Mark Polemidiotis, Cyrus Nasr, Allen Justin, Anahan Joshua Baptist, Yoshihiro Katsuura

Abstract readCase Reports
In one paragraph

Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Stephanie MendezSurgical Fitness Research Pod, Novato Community Hospital, Novato, California, United States of America.
Mark PolemidiotisSurgical Fitness Research Pod, Novato Community Hospital, Novato, California, United States of America.
Cyrus NasrSurgical Fitness Research Pod, Novato Community Hospital, Novato, California, United States of America.
Allen JustinSurgical Fitness Research Pod, Novato Community Hospital, Novato, California, United States of America.
Anahan Joshua BaptistSurgical Fitness Research Pod, Novato Community Hospital, Novato, California, United States of America.
Yoshihiro KatsuuraSurgical Fitness Research Pod, Novato Community Hospital, Novato, California, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Gas within a degenerated lumbar disc is common on computed tomography (CT), but a gas-filled disc herniation producing radiculopathy is uncommon. Recognition usually depends on CT rather than magnetic resonance imaging (MRI). Gas-containing disc herniation produces symptoms through mass effect rather than extrusion of disc material. Case Report: A 62- year-old man presented with chronic right S1 radicular pain, sensory loss, reduced Achilles reflex, and weakness of the gastrocnemius. Imaging showed severe degeneration at L5-S1 with a lesion containing intradiscal gas. Endoscopic inspection demonstrated a tense diverticular outpouching of the disc compressing the descending nerve root. Puncture of the lesion released gas under direct vision, followed by removal of residual pathology. Symptoms improved immediately and remained improved at review. Conclusion: CT is the most reliable modality for detecting intradiscal gas and should be carefully reviewed when symptoms and MRI findings do not align. Gas-filled disc herniation should be included in the differential diagnosis of lumbar radiculopathy when CT demonstrates intradiscal gas adjacent to a nerve root. Endoscopic decompression provides definitive diagnosis and effective treatment.

Indexed as

endoscopic spine surgerygas-filled discintradiscal gaslumbar disc herniationVacuum disc phenomenon

Identifiers

PMID42713382
PMCPMC13552084

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.