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腰椎间盘的硬膜外后移：真正的“椎间盘”能现身吗？

Posterior epidural migration of lumbar disc: Will the real "disc" please stand up?

作者信息

Deora Harsh, Prabhuraj A R, Pruthi Nupur

机构信息

Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.

出版信息

Surg Neurol Int. 2017 Dec 18;8:302. doi: 10.4103/sni.sni_395_17. eCollection 2017.

DOI:10.4103/sni.sni_395_17
PMID:29296288
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5742913/
Abstract

BACKGROUND

Posterior epidural lumbar disc fragment migration is rare and most commonly occurs at the L3-L4 level where it may contribute to cauda equina compression.

CASE DESCRIPTION

Here, we report three cases of epidural migration of a lumbar disc, two of which led to bladder dysfunction/cauda equina compression. Early decompression (e.g., laminectomy) and aggressive postoperative physiotherapy led to significant postoperative improvement in all three patients.

CONCLUSION

Migration of large sequestrated lumbar disc herniations leading to cauda equina compression should be recognized early and promptly treated with decompressive laminectomies to achieve the best postoperative outcomes.

摘要

背景

腰椎间盘碎片的硬膜外迁移很少见，最常发生在L3 - L4水平，在此处可能导致马尾神经受压。

病例描述

在此，我们报告3例腰椎间盘硬膜外迁移病例，其中2例导致膀胱功能障碍/马尾神经受压。早期减压（如椎板切除术）及积极的术后物理治疗使所有3例患者术后均有显著改善。

结论

应早期识别导致马尾神经受压的大型游离腰椎间盘突出症的迁移，并及时行减压性椎板切除术治疗，以获得最佳术后效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ce/5742913/1f7761ba9835/SNI-8-302-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ce/5742913/26c6bcab7e05/SNI-8-302-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ce/5742913/269f0720dcc4/SNI-8-302-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ce/5742913/9cf227d83719/SNI-8-302-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ce/5742913/1f7761ba9835/SNI-8-302-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ce/5742913/26c6bcab7e05/SNI-8-302-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ce/5742913/269f0720dcc4/SNI-8-302-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ce/5742913/9cf227d83719/SNI-8-302-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ce/5742913/1f7761ba9835/SNI-8-302-g005.jpg

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