Sequential endoscopic and robot-assisted surgical solutions for a rare fungal spondylodiscitis, secondary lumbar spinal stenosis, and subsequent discal pseudocyst causing acute cauda equina syndrome: a case report.
Sequential endoscopic and robot-assisted surgical solutions for a rare fungal spondylodiscitis, secondary lumbar spinal stenosis, and subsequent discal pseudocyst causing acute cauda equina syndrome: a case report.
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针对罕见的真菌性椎间盘炎、继发性腰椎管狭窄以及随后引起急性马尾综合征的椎间盘假性囊肿的连续内窥镜和机器人辅助手术解决方案：病例报告
DOI：
10.1186/s12893-022-01493-3
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发表时间：
2022-01-29
期刊：
影响因子：
1.9
通讯作者：
Ma X
中科院分区：
文献类型：
--
作者：
Wang C;Zhang L;Zhang H;Xu D;Ma X
Fungal spondylodiscitis is a rare infectious disease. The secondary lumbar spinal stenosis and postoperative discal pseudocyst were even rarer. The surgical interventions were disputed, yet endoscopic and robot-assisted techniques may be helpful under different circumstances. A 62-year-old female was diagnosed as infectious spondylodiscitis at the L4/5 level and a posterolateral endoscopic debridement was performed after invalid conservative therapy. Causative organism culture revealed a rare fungus, Candida tropicalis. A secondary spinal stenosis with refractory radiculopathy occurred almost 3 years after the first surgery and a successful endoscopic surgery was implemented aiming to decompress the nerve in a minimally invasive way. However, 2 months later, the patient manifested severe acute cauda equina syndrome and radiological examinations suggested a rare postoperative discal pseudocyst. A laminectomy followed by a pseudocystectomy was applied to achieve thorough decompression. An innovative double trajectory system (simultaneous traditional pedicle screw and cortical bone trajectory screw) accompanied by posterolateral fusion was designed and executed by the professional robot-assisted system. Endoscopic and robot-assisted techniques may provide alternative solutions for fungal spondylodiscitis and accompanied sequelae.
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影响因子：
2.1
作者：
Matsukawa, Keitaro;Yato, Yoshiyuki;Nemoto, Koichi
通讯作者：
Nemoto, Koichi
DOI：
10.1097/01.blo.0000203451.36522.4c
发表时间：
2006-03-01
影响因子：
4.2
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2.4
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2.7
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影响因子：
2.3
作者：
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