Kang Sang-Su, Kim Ju-Eun, Choi Dae-Jung, Park Eugene J
Department of Orthopaedic Surgery, Leaders Hospital, Seoul, South Korea.
Department of Orthopaedic Surgery, Himnaera Hospital, Pusan, South Korea.
J Orthop. 2019 Oct 25;18:1-4. doi: 10.1016/j.jor.2019.10.004. eCollection 2020 Mar-Apr.
Biportal endoscopic spinal surgery (BESS) was recently introduced and became prevalent fast. Incidental dural tear (IDT) could happen as one of the common complications even in endoscopic spine surgery.
A 45-year old male underwent discectomy by BESS. IDT sized about 15mm at the dorsal surface of dura occurred during the laminotomy procedure with an osteotome. Revision surgery was planned for assuming that the IDT is small enough to be sealed with a patch.
Revision surgery using BESS for a small-sized IDT could be reasonable alternative treatment to preserve the soft tissue, the primary purpose of MISS.
双门内镜脊柱手术（BESS）最近被引入并迅速普及。即使在内镜脊柱手术中，意外硬脊膜撕裂（IDT）也可能作为常见并发症之一发生。
一名45岁男性接受了BESS下的椎间盘切除术。在使用骨刀进行椎板切除术时，硬脊膜背侧出现了大小约15mm的IDT。由于认为IDT足够小，可以用补片封闭，因此计划进行翻修手术。
对于小型IDT，使用BESS进行翻修手术可能是一种合理的替代治疗方法，以保留软组织，这是微创脊柱手术的主要目的。
