Unilateral Biportal Endoscopic-Guided Transcorporeal Vertebroplasty with Neural Decompression for Treating a Traumatic Lumbar Fracture of L5.

Autor: Quillo-Olvera J; The Brain and Spine Care, Minimally Invasive Spine Surgery Center, Neurosurgery Department, Hospital H+ Queretaro, Queretaro City, Mexico. Electronic address: neuroqomd@gmail.com., Quillo-Olvera D; The Brain and Spine Care, Minimally Invasive Spine Surgery Center, Neurosurgery Department, Hospital H+ Queretaro, Queretaro City, Mexico., Quillo-Reséndiz J; The Brain and Spine Care, Minimally Invasive Spine Surgery Center, Neurosurgery Department, Hospital H+ Queretaro, Queretaro City, Mexico., Barrera-Arreola M; The Brain and Spine Care, Minimally Invasive Spine Surgery Center, Neurosurgery Department, Hospital H+ Queretaro, Queretaro City, Mexico.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2020 Dec; Vol. 144, pp. 74-81. Date of Electronic Publication: 2020 Aug 22.
DOI: 10.1016/j.wneu.2020.08.130
Abstrakt: Background: Lumbar burst fractures (complete or incomplete) of L5 have a low incidence, accounting for 1.2% of all spinal burst fractures. Treatment for these fractures remains controversial. Decompression of neural elements and stabilization of the spine to preserve lordosis and avoid kyphotic deformity are recommended when a patient has a neurological deficit and an unstable fracture. Otherwise, the fracture could be managed conservatively.
Methods: We report a detailed step-by-step unilateral biportal endoscopy technique used in a patient with an L5 incomplete burst fracture and neurological deficit.
Results: The patient had an acceptable immediate postoperative course; lower back pain and radicular symptoms improved significantly after surgery.
Conclusions: Our unilateral biportal endoscopy technique for L5 incomplete burst fractures offers the capability to perform enough decompression of neural elements and assist other procedure-related maneuvers under direct endoscopic visualization. This technique could be considered another minimally invasive spine surgery option for treating selected patients with L5 incomplete burst fractures.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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