The use of decompressive segmental sublaminoplasty to treat myelopathy caused by lumbar stenosis in tethered cord syndrome
| Autor: | Michael J Yang, Ron I. Riesenburger, Jeffrey M Breton |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Arthrodesis medicine.medical_treatment lumbar myelopathy lumbar spinal stenosis Case Report Hyperreflexia segmental sublaminoplasty 03 medical and health sciences Myelopathy 0302 clinical medicine medicine 030212 general & internal medicine tethered cord syndrome business.industry Lumbar spinal stenosis medicine.disease Spondylolisthesis Surgery Stenosis Radicular pain Spinal decompression medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| Popis: | A 79-year-old woman presented with acute-onset right leg pain in the setting of 3 months of progressive gait deterioration and bilateral leg weakness. On exam she had right lower extremity hyperreflexia and weakness. Lumbar spine magnetic resonance imaging demonstrated L3–L5 central canal stenosis with L4–L5 spondylolisthesis and a previously undiagnosed tethered cord. She underwent minimally invasive left segmental sublaminoplasty at L3–L4 and L4–L5 for spinal cord decompression with onlay arthrodesis resulting in resolution of her radicular pain and improved strength. This is a unique case of lumbar spinal stenosis presenting with myelopathy in the context of a previously asymptomatic and undiagnosed tethered cord. |
| Databáze: | OpenAIRE |
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