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双通道内镜脊柱手术后的假性脑脊膜膨出：一例报告。

Pseudomeningocele after biportal endoscopic spine surgery: A case report.

作者信息

Kang Sang-Su, Kim Ju-Eun, Choi Dae-Jung, Park Eugene J

机构信息

Department of Orthopaedic Surgery, Leaders Hospital, Seoul, South Korea.

Department of Orthopaedic Surgery, Himnaera Hospital, Pusan, South Korea.

出版信息

J Orthop. 2019 Oct 25;18:1-4. doi: 10.1016/j.jor.2019.10.004. eCollection 2020 Mar-Apr.

DOI:10.1016/j.jor.2019.10.004
PMID:32189874
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7068011/
Abstract

BACKGROUND: 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. CASE DESCRIPTION: 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. CONCLUSION: Revision surgery using BESS for a small-sized IDT could be reasonable alternative treatment to preserve the soft tissue, the primary purpose of MISS.

摘要

背景：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。 病例描述：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。 结论：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。

相似文献

[1]
Pseudomeningocele after biportal endoscopic spine surgery: A case report.

J Orthop. 2019-10-25

[2]
Risk Factors and Options of Management for an Incidental Dural Tear in Biportal Endoscopic Spine Surgery.

Asian Spine J. 2020-12

[3]
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Global Spine J. 2022-4

[4]
Extraforaminal approach of biportal endoscopic spinal surgery: a new endoscopic technique for transforaminal decompression and discectomy.

J Neurosurg Spine. 2018-5

[5]
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Acta Neurochir (Wien). 2016-3

[6]
Biportal Endoscopic Spinal Surgery versus Microscopic Decompression for Lumbar Spinal Stenosis: A Systematic Review and Meta-Analysis.

World Neurosurg. 2020-3-5

[7]
Dural Tears in Percutaneous Biportal Endoscopic Spine Surgery: Anatomical Location and Management.

World Neurosurg. 2020-4

[8]
Efficacy of Biportal Endoscopic Spine Surgery for Lumbar Spinal Stenosis.

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[9]
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J Neurosurg Case Lessons. 2022-6-27

[10]
Comparing the efficacy and safety of minimally invasive biportal endoscopic spine surgery versus conventional microscopic discectomy in single-level lumbar herniated intervertebral disc (ENDO-BH Trial): a multicenter, prospective, randomized controlled equivalence trial study protocol.

Trials. 2022-2-22

引用本文的文献

[1]
Rare Complications in Endoscopic Spinal Surgery: A Narrative Review of Unique Cases.

Global Spine J. 2025-2-18

[2]
Comprehensive Analysis of UBE-Related Complications: Prevention and Management Strategies from 4685 Patients.

Med Sci Monit. 2024-10-10

[3]
The Method of Portal Making in Lumbar Unilateral Biportal Endoscopic Surgery with Different Operative Approaches According to the Constant Anatomical Landmarks of the Lumbar Spine: A Review of the Literature.

Global Spine J. 2024-7

[4]
Treatment Concept and Technical Considerations of Biportal Endoscopic Spine Surgery for Lumbar Spinal Stenosis.

Asian Spine J. 2024-4

[5]
Clinical outcomes and complications after biportal endoscopic spine surgery: a comprehensive systematic review and meta-analysis of 3673 cases.

Eur Spine J. 2023-8

[6]
[Research progress of unilateral biportal endoscopy technique in treatment of lumbar related diseases].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2022-10-15

[7]
Dural Injury in Unilateral Biportal Endoscopic Spinal Surgery.

Global Spine J. 2021-7

本文引用的文献

[1]
Biportal Endoscopic Spinal Surgery for Lumbar Spinal Stenosis.

Asian Spine J. 2019-4

[2]
Clinical and Radiological Outcomes of Foraminal Decompression Using Unilateral Biportal Endoscopic Spine Surgery for Lumbar Foraminal Stenosis.

Clin Orthop Surg. 2018-12

[3]
Clinical and Radiological Outcomes of Unilateral Biportal Endoscopic Decompression by 30° Arthroscopy in Lumbar Spinal Stenosis: Minimum 2-Year Follow-up.

Clin Orthop Surg. 2018-9

[4]
Unilateral biportal endoscopic decompression by 30° endoscopy in lumbar spinal stenosis: Technical note and preliminary report.

J Orthop. 2018-1-31

[5]
Biportal Endoscopic Transforaminal Lumbar Interbody Fusion with Arthroscopy.

Clin Orthop Surg. 2018-6

[6]
Spontaneous resolution of postoperative lumbar pseudomeningoceles: A report of four cases.

Indian J Orthop. 2013-7

[7]
Incidental durotomy during lumbar spine surgery: risk factors and anatomic locations: clinical article.

J Neurosurg Spine. 2012-11-30

[8]
Extradural arachnoidal cysts of traumatic origin.

J Neurosurg. 1947-11

[9]
Review of spinal pseudomeningoceles and cerebrospinal fluid fistulas.

Neurosurg Focus. 2000-7-15

[10]
Spinal pseudomeningoceles and cerebrospinal fluid fistulas.

Neurosurg Focus. 2003-12-15

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