关键词: Endoscopic spine surgery Failed back surgery syndrome Lumbar spine Postoperative discal pseudocyst Radiculopathy Transforaminal endoscopic lumbar decompression

来  源:   DOI:10.25259/SNI_892_2023   PDF(Pubmed)

Abstract:
UNASSIGNED: Lumbar discal pseudocysts are uncommon complications that can arise following lumbar spine surgery. It manifests as a fluid-filled sac near the intervertebral disc, causing pain and discomfort. Understanding its causes, symptoms, and management is crucial for patients and healthcare professionals involved in postoperative spinal care.
UNASSIGNED: 35-year-old female developed a discal pseudocyst after undergoing laminectomy and discectomy for lumbar disc herniation. The patient presented with recurrent lower back pain, radiculopathy, and neurological deficit two months post-surgery. Imaging revealed a discal pseudo cyst causing compression of the traversing right L5 nerve root. Given the refractory nature of her symptoms, an endoscopic procedure was offered. Using the transforaminal endoscopic technique, the pseudo cyst was identified and removed, leading to immediate symptomatic relief.
UNASSIGNED: This article reports the rare occurrence of discal pseudocyst and highlights the use of endoscopic techniques in its surgical management. Surgeons should be aware of the minimally invasive techniques, as they can offer less morbidity, shorter recovery times, and reduced healthcare costs compared to traditional open surgery.
摘要:
腰椎间盘假性囊肿是腰椎手术后可能出现的罕见并发症。它表现为椎间盘附近的充满液体的囊,引起疼痛和不适。了解其原因,症状,和管理是至关重要的患者和医护人员参与术后脊柱护理。
35岁女性在接受椎板切除术和椎间盘切除术治疗腰椎间盘突出症后出现椎间盘假性囊肿。患者出现反复的下背部疼痛,神经根病,手术后两个月神经功能缺损.影像学检查显示椎间盘假性囊肿,导致横穿的右L5神经根受压。鉴于她症状的难治性,提供了内窥镜检查。使用经椎间孔镜技术,假性囊肿被确认并切除,导致症状立即缓解。
本文报道了椎间盘假性囊肿的罕见发生,并重点介绍了内镜技术在其手术治疗中的应用。外科医生应该意识到微创技术,因为它们可以提供更低的发病率,更短的恢复时间,与传统的开放手术相比,降低了医疗成本。
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