Wagner Ralf, Telfeian Albert E, Iprenburg Menno, Krzok Guntram, Gokaslan Ziya, Choi David B, Pucci Francesco G, Oyelese Adetkumbo
Ligamenta Spine Centre, Frankfurt am Main, Germany.
Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
World Neurosurg. 2016 Jul;91:195-8. doi: 10.1016/j.wneu.2016.04.013. Epub 2016 Apr 9.
Kyphoplasty is a minimally invasive spine surgical procedure performed to stabilize and treat the pain caused by a spine compression fracture. Complications are rare with kyphoplasty and include cement extrusion into the vertebral canal leading to spinal cord or nerve root compression. Herein, the authors present a case of a 72-year-old woman who presented with symptoms of a right L2 radiculopathy after a kyphoplasty procedure. Computed tomography imaging showed leakage of the kyphoplasty cement into the neural foramen above and medial to the right L2 pedicle. A transforaminal endoscopic surgical approach was used to remove the cement and decompress the L2 nerve. The patient's postoperative clinical course was uneventful. Clinicians should be aware that for the treatment of complications to vertebroplasty and kyphoplasty procedures, minimally invasive transforaminal endoscopic surgery is one option to avoid the destabilizing effects of laminectomy and facetectomy.
椎体后凸成形术是一种用于稳定和治疗脊柱压缩性骨折所致疼痛的微创脊柱外科手术。椎体后凸成形术的并发症很少见，包括骨水泥挤入椎管导致脊髓或神经根受压。在此，作者报告了一例72岁女性病例，该患者在椎体后凸成形术后出现右L2神经根病症状。计算机断层扫描成像显示椎体后凸成形术的骨水泥渗漏至右L2椎弓根上方和内侧的神经孔。采用经椎间孔内镜手术方法清除骨水泥并对L2神经进行减压。患者术后临床过程平稳。临床医生应意识到，对于椎体成形术和椎体后凸成形术相关并发症的治疗，微创经椎间孔内镜手术是一种避免椎板切除术和小关节切除术破坏稳定性影响的选择。
