Percutaneous Endoscopic Discectomy via Transforaminal Route for Discal Cyst.
Percutaneous Endoscopic Discectomy via Transforaminal Route for Discal Cyst.
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DOI：
10.1155/2015/273151
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发表时间：
2015
影响因子：
--
通讯作者：
Sairyo K
中科院分区：
文献类型：
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作者：
Jha SC;Higashino K;Sakai T;Takata Y;Abe M;Nagamachi A;Fukuta S;Sairyo K
背景椎间盘囊肿已被确定为一种罕见的原因，腰痛和放射性腿痛。这种情况的发病机制和管理仍有争议。报告的最多病例接受了显微手术，而很少病例接受了经皮内窥镜椎间盘切除术（PED）治疗。方法.一名18岁的男孩抱怨在一次轻微的道路交通事故后腰痛辐射到右腿。基于磁共振成像（MRI）诊断为L4-L5椎间盘囊肿。尽管保守治疗了6个月，但腰痛和放射性腿部疼痛持续存在，因此在局部麻醉下通过PED进行手术治疗。由于患者是一名非常活跃的棒球运动员，他的医生建议进行微创手术，以避免损伤背部肌肉。结果患者的腰痛和腿痛在手术后立即消失，并迅速康复。他在手术后4周恢复轻度运动和体育锻炼。术后2个月MRI显示囊性病变完全消退。结论像PED这样的微创手术可以是椎间盘囊肿的有效手术治疗，特别是在活跃的运动人群中。
Background. Discal cyst has been identified as a rare cause of low back pain and radiating leg pain. The pathogenesis and management of this condition are still debated. The largest number of reported cases had undergone microsurgery while very few cases have been treated with percutaneous endoscopic discectomy (PED). Methods. An 18-year-old boy complained of low back pain radiating to right leg after a minor road traffic accident. Diagnosis of a discal cyst at L4-L5 level was made based on magnetic resonance imaging (MRI). Despite conservative management for 6 months, the low back pain and radiating leg pain persisted so surgical treatment by PED was performed under local anesthesia. As the patient was a very active baseball player, his physician recommended a minimally invasive procedure to avoid damage to the back muscles. Results. The patient's low back pain and leg pain disappeared immediately after surgery and he made a rapid recovery. He resumed mild exercise and sports practice 4 weeks after surgery. Complete regression of the cystic lesion was demonstrated on the 2-month postoperative MRI. Conclusion. A minimal invasive procedure like PED can be an effective surgical treatment for discal cyst, especially in active individuals who play sports.