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腰椎减压术后坐骨神经炎。

Sciatic neuritis after lumbar decompression surgery.

机构信息

Department of Orthopedic Surgery, Spine and Scoliosis Service, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY 10021, USA.

出版信息

Spine (Phila Pa 1976). 2013 May 15;38(11):E687-9. doi: 10.1097/BRS.0b013e31828cdf91.

DOI:10.1097/BRS.0b013e31828cdf91
PMID:23429682
Abstract

STUDY DESIGN

Case report.

OBJECTIVE

To report a unique case of sciatica secondary to sciatic neuritis developed after spine decompression surgery.

SUMMARY OF BACKGROUND DATA

Sciatica may arise within the spinal canal, the pelvis, or along the extrapelvic journey of the nerve. Sciatica after spine surgery is less common and can be secondary to nerve root compression from hematoma, seroma, or abscess. The purpose of this article was to present a unique case of a 68-year-old female with sciatica secondary to sciatic neuritis developed after lumbar decompression surgery complicated by dural tear.

METHODS

A single patient with radicular leg pain after lumbar decompression surgery is reported.

RESULTS

Pelvic magnetic resonance imaging revealed marked left sciatic nerve inflammation. The patient showed immediate pain relief after steroid administration.

CONCLUSION

This is the first reported case of sciatica secondary to sciatic neuritis developed after spine decompression surgery.

摘要

研究设计

病例报告。

目的

报告一例独特的坐骨神经痛病例,该病例继发于减压手术后的坐骨神经炎。

背景资料概要

坐骨神经痛可发生在椎管内、骨盆内或沿神经的盆腔外行程。脊柱手术后的坐骨神经痛较少见,可能是由于血肿、血清肿或脓肿引起神经根受压所致。本文的目的是报告一例 68 岁女性患者,在腰椎减压手术后出现坐骨神经炎继发的坐骨神经痛,该患者还伴有硬脊膜撕裂。

方法

报告一例腰椎减压手术后出现神经根性腿痛的单例患者。

结果

骨盆磁共振成像显示左侧坐骨神经明显炎症。患者在给予类固醇治疗后立即缓解疼痛。

结论

这是首例报告的脊柱减压手术后继发于坐骨神经炎的坐骨神经痛病例。

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