Tej D Azad, Divyaansh Raj, Ethan S Srinivasan, Ali Bydon
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引用次数: 0
Abstract
Case: We present the case of a 59-year-old man who had MIS L4-5 decompression. He presented the next day with intractable back and leg pain. Magnetic resonance imaging revealed ventral displacement of the cauda equina and a subdural collection on the right L3/L4 nerve roots. Revision decompression revealed occult durotomy caudal and contralateral to the index decompression.
Conclusion: Minimally invasive spine (MIS) surgery leverages shorter operative time and reduced postoperative pain. Yet, decreased exposure can make identification and management complications challenging. This report highlights occult durotomy and spinal subdural extra-arachnoid hygroma in patients with postoperative nerve compression after seemingly uncomplicated MISS.
病例本病例是一名 59 岁男子的病例，他接受了 MIS L4-5 减压术。第二天，他出现了难以忍受的背部和腿部疼痛。磁共振成像显示马尾腹侧移位，右侧 L3/L4 神经根硬膜下聚集。复查减压术发现，在指数减压术的尾侧和对侧存在隐性硬膜：结论：微创脊柱（MIS）手术可缩短手术时间，减少术后疼痛。结论：微创脊柱手术（MIS）具有缩短手术时间和减少术后疼痛的优势，但由于暴露减少，识别和处理并发症具有挑战性。本报告重点介绍了在看似并不复杂的 MISS 术后神经压迫患者中出现的隐匿性硬脊膜切开术和脊柱硬膜下蛛网膜外瘤。
期刊介绍：
JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.
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