Transpedicular endoscopic surgery for lumbar spinal synovial cyst—report of two cases
| Autor: | Guntram Krzok, Menno Iprenburg, Ralf Wagner, Albert E. Telfeian |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
Facet (geometry) medicine.medical_specialty Foot drop Percutaneous Endoscope business.industry medicine.medical_treatment Forceps Laminectomy Case Report musculoskeletal system Surgery 03 medical and health sciences 0302 clinical medicine Lumbar 030220 oncology & carcinogenesis Facetectomy medicine Orthopedics and Sports Medicine medicine.symptom business 030217 neurology & neurosurgery |
| Popis: | Background : Lumbar facet cysts are a benign, degenerative, and fairly uncommon cause for lumbar radiculopathy. The standard surgical treatment for lumbar facet cysts often requires a laminectomy and medial facetectomy which can further destabilize a pathological motion segment. The authors present here a novel technique for transpedicular endoscopic access to the pathology that obviates the need to violate the lamina or facet. Methods: Two patient cases are described where the lumbar 4–5 facet cysts arise medial to the pedicle. Percutaneous access to the cysts was established by drilling through the adjacent pedicle creating a 7 mm corridor to establish access for the endoscopic tubular retractor and the working channel endoscope. Straight and bendable forceps were used to remove the cysts under direct visualization. Results: Following surgery, the patients’ symptoms showed immediate regression with complete relief of one patient’s foot drop by 6 months. Conclusions: Transpedicular endoscopic access is described as novel minimally invasive surgical option in the awake patient for lumbar facet cysts adjacent to the Lumbar 4 or 5 pedicle. |
| Databáze: | OpenAIRE |
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