Partheni Melpomeni, Kalogheropoulou Christina, Karageorgos Nikolaos, Panagiotopoulos Vasilios, Voulgaris Spyridon, Tzortzidis Fotios
Department of Neurosurgery, University Hospital of Patras, 26500, Greece.
Spine J. 2006 Jul-Aug;6(4):455-8. doi: 10.1016/j.spinee.2005.12.006.
Lumbar radiculopathy after lumbar spine surgery is an alerting sign usually caused by either a recurrent disc herniation or epidural hematoma. However, pressure on a spinal nerve root may also be exerted by a retained piece of Surgicel used to achieve hemostasis during lumbar spine surgical procedures.
To describe a case of lumbar radiculopathy that was caused by a piece of Surgicel left in the spinal canal after operation for lumbar disc herniation.
A case report of a retained piece of Surgicel being the cause of S1 radiculopathy.
Patient interview, medical records, imaging studies, and literature review.
A 29-year-old man developed acute left S1 radiculopathy after a successful hemilaminectomy and discectomy operation for a L5-S1 disc herniation. In the magnetic resonance imaging studies that were performed, a postoperative hematoma could not be excluded and a reoperation revealed compression from Surgicel that was used for hemostasis. The patient was free of symptoms after reoperation.
This case depicts the difficulty in distinguishing-by means of magnetic resonance imaging-nerve root compression caused by a postoperative hematoma and a recurrent disc herniation, from that caused by a retained Surgicel. Therefore, hemostatic agents should be meticulously used in spine surgery.
腰椎手术后的腰椎神经根病是一种警示体征，通常由复发性椎间盘突出或硬膜外血肿引起。然而，在腰椎手术过程中用于止血的一块残留速即纱也可能对脊神经根施加压力。
描述一例腰椎间盘突出症手术后椎管内残留一块速即纱导致腰椎神经根病的病例。
一份关于残留速即纱导致S1神经根病的病例报告。
患者访谈、病历、影像学研究及文献回顾。
一名29岁男性在成功进行L5-S1椎间盘突出症半椎板切除术和椎间盘切除术后出现急性左侧S1神经根病。在进行的磁共振成像研究中，不能排除术后血肿，再次手术发现是用于止血的速即纱造成了压迫。再次手术后患者症状消失。
本病例描述了通过磁共振成像区分术后血肿和复发性椎间盘突出症引起的神经根压迫与残留速即纱引起的神经根压迫的困难。因此，在脊柱手术中应谨慎使用止血剂。
