为癫痫发作继发的骶骨骨折量身定制的骶骨成形术。

Surgical neurology international Pub Date : 2024-11-08 eCollection Date: 2024-01-01 DOI:10.25259/SNI_816_2024
Vladimir Stoyanov Prandzhev, Nikolay Dinev Georgiev, Donika Ivova Vezirska
{"title":"为癫痫发作继发的骶骨骨折量身定制的骶骨成形术。","authors":"Vladimir Stoyanov Prandzhev, Nikolay Dinev Georgiev, Donika Ivova Vezirska","doi":"10.25259/SNI_816_2024","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Sacral fractures causing neurological deficits secondary to epileptic seizures are very rare. They are traditionally treated by laminectomy and sacral fixation. However, minimally invasive techniques such as sacroplasty offer more limited surgery with decreased morbidity. Here, a 23-year-old male with a seizure-induced sacral fracture was successfully treated with a decompressive laminectomy and transcorporal sacroplasty.</p><p><strong>Methods: </strong>After a grand-mal seizure, a 23-year-old male presented with severe paraparesis accompanied by bilateral S1/S2 radiculopathy and urinary/fecal incontinence (Gibbons grade 4). When studies documented a Roy-Camille type 2 sacral fracture with severe central compression of the S1/S2 spinal canal, he underwent an S1-S2 laminectomy with transcorporal sacroplasty.</p><p><strong>Results: </strong>On the 1<sup>st</sup> postoperative day, he ambulated without assistance and demonstrated only mild residual sensory deficits (Gibbons grade 2); 1-month later, he walked without assistance.</p><p><strong>Conclusion: </strong>A 23-year-old male with a seizure-induced sacral fracture was successfully treated with a decompressive S1/S2 laminectomy/transcorporal sacroplasty.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"15 ","pages":"409"},"PeriodicalIF":0.0000,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11618676/pdf/","citationCount":"0","resultStr":"{\"title\":\"Tailored sacroplasty for sacral fracture secondary to an epileptic seizure.\",\"authors\":\"Vladimir Stoyanov Prandzhev, Nikolay Dinev Georgiev, Donika Ivova Vezirska\",\"doi\":\"10.25259/SNI_816_2024\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Sacral fractures causing neurological deficits secondary to epileptic seizures are very rare. They are traditionally treated by laminectomy and sacral fixation. However, minimally invasive techniques such as sacroplasty offer more limited surgery with decreased morbidity. Here, a 23-year-old male with a seizure-induced sacral fracture was successfully treated with a decompressive laminectomy and transcorporal sacroplasty.</p><p><strong>Methods: </strong>After a grand-mal seizure, a 23-year-old male presented with severe paraparesis accompanied by bilateral S1/S2 radiculopathy and urinary/fecal incontinence (Gibbons grade 4). When studies documented a Roy-Camille type 2 sacral fracture with severe central compression of the S1/S2 spinal canal, he underwent an S1-S2 laminectomy with transcorporal sacroplasty.</p><p><strong>Results: </strong>On the 1<sup>st</sup> postoperative day, he ambulated without assistance and demonstrated only mild residual sensory deficits (Gibbons grade 2); 1-month later, he walked without assistance.</p><p><strong>Conclusion: </strong>A 23-year-old male with a seizure-induced sacral fracture was successfully treated with a decompressive S1/S2 laminectomy/transcorporal sacroplasty.</p>\",\"PeriodicalId\":94217,\"journal\":{\"name\":\"Surgical neurology international\",\"volume\":\"15 \",\"pages\":\"409\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-11-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11618676/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Surgical neurology international\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.25259/SNI_816_2024\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical neurology international","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.25259/SNI_816_2024","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

背景:骶骨骨折引起继发于癫痫发作的神经功能缺损是非常罕见的。传统的治疗方法是椎板切除术和骶骨固定。然而,微创技术,如骶骨成形术提供了更有限的手术,降低了发病率。在这里,一位23岁的男性癫痫性骶骨骨折患者成功地接受了减压椎板切除术和经骶骨成形术。方法:一名23岁男性患者在癫痫发作后出现严重截瘫并伴有双侧S1/S2神经根病和尿/便失禁(Gibbons 4级)。当研究记录了一名Roy-Camille 2型骶骨骨折伴严重的S1/S2椎管中央压迫时,他接受了经骶骨成形术的S1-S2椎板切除术。结果:术后第一天,患者在没有帮助的情况下行走,仅表现出轻微的残余感觉缺陷(Gibbons 2级);一个月后,他在没有帮助的情况下行走。结论:一例23岁男性癫痫性骶骨骨折患者行骶S1/S2椎板减压术/经骶骨成形术治疗成功。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Tailored sacroplasty for sacral fracture secondary to an epileptic seizure.

Background: Sacral fractures causing neurological deficits secondary to epileptic seizures are very rare. They are traditionally treated by laminectomy and sacral fixation. However, minimally invasive techniques such as sacroplasty offer more limited surgery with decreased morbidity. Here, a 23-year-old male with a seizure-induced sacral fracture was successfully treated with a decompressive laminectomy and transcorporal sacroplasty.

Methods: After a grand-mal seizure, a 23-year-old male presented with severe paraparesis accompanied by bilateral S1/S2 radiculopathy and urinary/fecal incontinence (Gibbons grade 4). When studies documented a Roy-Camille type 2 sacral fracture with severe central compression of the S1/S2 spinal canal, he underwent an S1-S2 laminectomy with transcorporal sacroplasty.

Results: On the 1st postoperative day, he ambulated without assistance and demonstrated only mild residual sensory deficits (Gibbons grade 2); 1-month later, he walked without assistance.

Conclusion: A 23-year-old male with a seizure-induced sacral fracture was successfully treated with a decompressive S1/S2 laminectomy/transcorporal sacroplasty.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Mucosa-associated lymphoid tissue lymphoma of the dura mimicking meningioma: A case report. Orbital tumors: A retrospective analysis of cases from Iraq and orbital anatomical perspectives. Pediatric third ventricular glioependymal cyst: A case report. Posterior endoscopic cervical discectomy with partial pediculotomy for management of highly down-migrated cervical disc herniation: A case report. Putaminal hemorrhage potentially attributable to over-drainage of cerebrospinal fluid following ventriculoperitoneal shunt surgery in moyamoya disease: A case report.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1