Centre for Spine Surgery, Hirslanden Clinic St. Anna, Lucerne, Switzerland.
Arch Orthop Trauma Surg. 2012 Aug;132(8):1085-7. doi: 10.1007/s00402-012-1517-4. Epub 2012 May 17.
Case report.
To report successful surgical therapy for spinal canal stenosis in an adult patient with congenital thoraco-lumbar kyphoscoliosis with spina bifida aperta and myelomeningocele.
A 65-year-old woman with a history of congenital thoraco-lumbar kyphoscoliosis with spina bifida aperta and myelomeningocele presented with severe radicular pain and weakness in her left lower limb.
The patient underwent microsurgical decompression at the level of L3/S1 on the left side. Postsurgery, the patient showed significant amount of pain relief and improvement in weakness in the left lower limb.
Surgery for spinal canal stenosis in patients with severe thoraco-lumbar scoliosis can be effective in relieving radicular pain, weakness and numbness, and while not curative can greatly improve the quality of life.
病例报告。
报告一例成人先天性胸腰椎后凸伴开放性脊柱裂和脊髓脊膜膨出合并椎管狭窄的成功手术治疗。
一位 65 岁女性，有先天性胸腰椎后凸伴开放性脊柱裂和脊髓脊膜膨出病史，出现严重的左下肢根性疼痛和无力。
患者在左侧 L3/S1 水平行显微减压术。术后，患者左下肢疼痛明显缓解，无力改善。
对于严重胸腰椎侧凸患者的椎管狭窄手术，可有效缓解根性疼痛、无力和麻木，虽然不能治愈，但可大大提高生活质量。
