■腰椎融合术后邻近节段性退变是腰椎融合术后常见的远期并发症之一。随着邻近节段变性的不断发展,保守治疗失败的患者通常需要再次手术以缓解症状。近年来,微通道下单侧入路双侧微减压技术已广泛应用于腰椎退行性疾病的治疗。然而,该手术对腰椎融合术后相邻节段退变的疗效尚未确定.这里,我们报道了1例腰椎融合术后邻近节段性退变患者通过单侧入路经微通道进行双侧显微减压的病例。
■一名70岁的男性患者因腰痛伴左下肢疼痛入院,麻木和虚弱了两年,加重了2个月。十年前,他因腰椎管狭窄接受了PLIF治疗,手术后恢复良好。根据影像学资料和体格检查,诊断为腰椎融合术后邻近节段退变。在微通道下通过单侧入路进行双侧微减压。术后1年随访观察到良好的临床效果。
■本报告报道了一名ASD患者在腰椎融合术10年后的成功治疗。通过在微通道下单侧入路进行双侧微减压是治疗腰椎融合术后ASD的安全有效方法,具有良好的手术效果。
UNASSIGNED: Adjacent segmental degeneration after lumbar fusion is one of the common long-term complications after
lumbar fusion. With the continuous development of adjacent segmental degeneration, patients who fail conservative treatment often need reoperation to relieve symptoms. In recent years, the technique of bilateral microdecompression through unilateral approach under microchannel has been widely used in the treatment of lumbar degenerative diseases. However, the efficacy of this procedure for adjacent-segment degeneration after lumbar fusion has not been established. Here, we report a
case of bilateral microscopic decompression via a unilateral approach through a microchannel in a patient with adjacent segmental degeneration after
lumbar fusion.
UNASSIGNED: A 70-year-old male patient was admitted to hospital because of lumbago accompanied by left lower extremity pain, numbness and weakness for 2 years, which aggravated for 2 months. Ten years ago, he underwent PLIF for lumbar spinal stenosis, and recovered well after the operation. According to imaging data and physical examination, the diagnosis was adjacent segmental degeneration after
lumbar fusion. Bilateral microdecompression was performed through a unilateral approach under a microchannel. Good clinical outcomes was observed through 1-year postoperative follow-up.
UNASSIGNED: This report
reports the successful treatment of a patient with ASD 10 years after
lumbar fusion. Bilateral microdecompression via a unilateral approach under a microchannel is a safe and effective method for the treatment of ASD after lumbar fusion with good surgical outcomes.