经皮内镜下腰椎间盘切除术治疗腰椎动脉瘤样骨囊肿
Surgical treatment of a lumbar aneurysmal bone cyst using percutaneous endoscopic lumbar discectomy.
作者信息
Shibuya Isao, Dezawa Akira, Urayama Shigeki, Nakamura Shigeru
机构信息
Department of Orthopaedic Surgery, Teikyo University Mizonokuchi Hospital, 3-8-3 Mizonokuchi, Takatsu-ku, Kawasaki, Kanagawa, 213-8507, Japan.
Department of Orthopaedic Surgery, Mizuno Memorial Hospital, 6-32-10 Nishiarai, Adachi-ku, Tokyo, 123-0841, Japan.
出版信息
Eur Spine J. 2018 Jul;27(Suppl 3):368-374. doi: 10.1007/s00586-017-5297-y. Epub 2017 Sep 23.
PURPOSE
Aneurysmal bone cysts of the lumbar spine are usually treated by curettage followed by bone or bioactive ceramics grafting. Here, we present the first case of an aneurysmal bone cyst of the lumbar spine treated by percutaneous endoscopic lumbar discectomy (PELD).
METHODS
We describe the clinical characteristics of the patient including the radiological and pathological findings of the tumor and the surgical technique used.
RESULTS
A 15-year-old boy presented with low back pain, and he was diagnosed with an aneurysmal bone cyst of the L3 vertebra based on radiological findings, including plain radiograph, computed tomography, and magnetic resonance imaging. The technique and equipment of PELD were used to perform curettage of the tumor cavity and fill it with hydroxyapatite granules. The skin incision was only 8 mm. The patient was discharged 1 day postoperatively and could walk without assistance. The postoperative course was uneventful and the symptoms improved following surgery.
CONCLUSION
Endoscopic surgery via PELD can be a treatment option for ABCs of the lumbar spine.
目的
腰椎动脉瘤样骨囊肿通常采用刮除术，随后进行骨或生物活性陶瓷移植治疗。在此，我们报告首例采用经皮内镜下腰椎间盘切除术（PELD）治疗的腰椎动脉瘤样骨囊肿病例。
方法
我们描述了该患者的临床特征，包括肿瘤的放射学和病理学表现以及所采用的手术技术。
结果
一名15岁男孩因腰痛就诊，根据X线平片、计算机断层扫描和磁共振成像等放射学检查结果，被诊断为L3椎体动脉瘤样骨囊肿。采用PELD技术和设备对肿瘤腔进行刮除，并填充羟基磷灰石颗粒。皮肤切口仅8毫米。患者术后1天出院，无需辅助即可行走。术后过程顺利，术后症状改善。
结论
通过PELD进行的内镜手术可以作为腰椎动脉瘤样骨囊肿的一种治疗选择。
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