Kim Jin-Sung, Choi Gun, Lee Choon Dae, Lee Sang-Ho
Department of Neurosurgery, Wooridul Spine Hospital, 47-4 Chungdam-dong Gangnam-gu, Seoul, South Korea.
Eur Spine J. 2009 Jul;18 Suppl 2(Suppl 2):201-5. doi: 10.1007/s00586-008-0815-6. Epub 2008 Nov 26.
Discal cyst is a very rare lesion that can cause refractory low back pain and radiating leg pain. Although there are some reports to remove this lesion, there has been no report of discal cyst removed by percutaneous endoscopic transforaminal approach. Two young patients manifested left gluteal and leg pain due to a discal cyst at L5-S1 level and L4-5 level, respectively. Percutaneous endoscopic transforaminal approach was performed to remove the discal cyst, achieving complete decompression of the nerve root. The symptom was relieved and the patient was discharged the next day. Percutaneous endoscopic transforaminal approach could be a good alternative option in selected cases for the treatment of lumbar discal cyst.
椎间盘囊肿是一种非常罕见的病变，可导致难治性腰痛和放射性腿痛。尽管有一些关于切除该病变的报道，但尚无经皮内镜下经椎间孔入路切除椎间盘囊肿的报道。两名年轻患者分别因L5-S1水平和L4-5水平的椎间盘囊肿出现左臀部和腿部疼痛。采用经皮内镜下经椎间孔入路切除椎间盘囊肿，实现了神经根的完全减压。症状缓解，患者次日出院。经皮内镜下经椎间孔入路在选择的病例中可能是治疗腰椎间盘囊肿的一个很好的替代选择。
