Interventionist performs a 'sham' lumbar microdiscectomy: Should interventionalists be performing spinal surgery?
| Autor: | Ramsis F. Ghaly, Kenneth D. Candido, Nebojsa Nick Knezevic, Zinaida Perciuleac |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Cauda equina syndrome Case Report 03 medical and health sciences 0302 clinical medicine Spine specialists medicine Low back pain Microdiscectomy Disc herniation Sciatica medicine.diagnostic_test business.industry Magnetic resonance imaging medicine.disease Spinal surgery Surgery Interventional pain specialist Phantom spine surgery 030220 oncology & carcinogenesis Neurology (clinical) Neurosurgery Interventional pain management medicine.symptom Lumbar microdiscectomy business 030217 neurology & neurosurgery |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2152-7806 2229-5097 |
| Popis: | Background: Neurosurgeons and orthopedists, who have received specific training, should be the ones performing spinal surgery. Here, we present a case in which spinal surgeons secondarily (e.g., 6 months later) found that a patient’s first lumbar discectomy, performed by an interventional specialist, had been a “sham” procedure. Case Description: A 30-year-old male presented with sciatica attributed to a magnetic resonance imaging documented large, extruded disc at the L4-5 level. An interventional pain management specialist (IPMS) performed two epidural steroid injections; these resulted in an exacerbation of his pain. The IPMS then advised the patient that he was a surgeon and performed an “interventional” microdiscectomy. Secondarily, 6 months later, when the patient presented to a spinal neurosurgeon with a progressive cauda equina syndrome, the patient underwent a bilateral laminoforaminotomy and L4-L5 microdiscectomy. Of interest, at surgery, there was no evidence of scarring from the IPMS’ prior “microdiscectomy;” it had been a “sham” operation. Following the second surgery, the patient’s cauda equina syndrome resolved. Conclusion: IMPS, who are not trained as spinal surgeons should not be performing spinal surgery/ microdiscectomy. |
| Databáze: | OpenAIRE |
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