Symptomatic Postoperative Discal Pseudocyst After Percutaneous Endoscopic Interlaminar Discectomy: Case Report and Literature Review
| Autor: | Zhi-Jun Hu, Shunwu Fan, Xiangqian Fang, Wenbin Xu, Xing Zhao, Dan-Ju Wu, Chao Chen |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Postoperative discal pseudocyst Percutaneous Percutaneous endoscopic interlaminar discectomy medicine.medical_treatment Case Report Intervertebral Disc Degeneration Case Reports Cystectomy 03 medical and health sciences 0302 clinical medicine Postoperative Complications lcsh:Orthopedic surgery Mental stress Discectomy medicine Humans Orthopedics and Sports Medicine Cyst Diskectomy Percutaneous 030222 orthopedics Surgical treatment Lumbar Vertebrae business.industry Cysts Leg pain Intervertebral disc Endoscopy Loxoprofen medicine.disease Surgery lcsh:RD701-811 medicine.anatomical_structure business 030217 neurology & neurosurgery Intervertebral Disc Displacement medicine.drug |
| Zdroj: | Orthopaedic Surgery Orthopaedic Surgery, Vol 13, Iss 1, Pp 347-352 (2021) |
| ISSN: | 1757-7861 |
| Popis: | Background A postoperative discal pseudocyst (PDP) is a cystic lesion that is formed in the operation area of the intervertebral disc, leading to recurrence or even worse symptoms. To our knowledge, to date, there is no research focusing specifically on PDP following percutaneous endoscopic interlaminar discectomy (PEID). Case presentation We present the case of a 27‐year‐old man with L5S1 intervertebral disc herniation who was treated with PEID after failed conservative treatment. His leg pain was relieved immediately but reoccurred on the 40th day. MRI showed a PDP. Because loxoprofen and bedrest were ineffective and the patient was anxious, we performed a cystectomy. The patient's symptoms were significantly relieved, and a 6‐month follow up showed no recurrence both clinically and on MRI. Conclusion A PDP is more likely to form using the interlaminar approach than the transforaminal approach. For patients with mental stress, severe pain, and neurological symptoms, surgery is suggested to remove the cyst. Discectomy cannot be performed when disc degeneration is mild. We present the case of a 27‐year‐old man with L5S1 intervertebral disc herniation who was treated with PEID after failed conservative treatment. His leg pain was relieved immediately but reoccurred on the 40th day. MRI showed a PDP. Because loxoprofen and bed rest were ineffective and the patient was anxious, we performed a cystectomy. The patient's symptoms were significantly relieved, and a 6‐month follow‐up showed no recurrence both clinically and on MRI. |
| Databáze: | OpenAIRE |
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