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腰椎间盘切除术的术后并发症:椎间盘/纤维环囊肿。

A postoperative complication of lumbar discectomy: A discal/annular cyst.

作者信息

Saleemi M, Abrar Sahibzada, Dherijha Muhammad Sa, George K Joshi

机构信息

Department of Neurosurgery, Salford Royal Foundation Trust, Manchester, United Kingdom.

出版信息

Surg Neurol Int. 2022 Dec 9;13:572. doi: 10.25259/SNI_947_2022. eCollection 2022.

Abstract

BACKGROUND

A postoperative discal/annular cyst following lumbar discectomy may reproduce the symptoms/signs of a recurrent lumbar disc herniation (i.e., back pain and radiculopathy).

CASE DESCRIPTION

A 21-year-old rugby player developed leg pain after an uncomplicated lumbar microdiscectomy. The repeat lumbar magnetic resonance imaging confirmed a postoperative lumbar annular/ discal cyst, for which he underwent repeat surgery. The diagnosis was further confirmed histopathologically at surgery.

CONCLUSION

Although rare, postoperative discal/annular cysts may be potential causes of recurrent postoperative pain and lumbar radiculopathy mimicking recurrent disc herniations.

摘要

背景

腰椎间盘切除术后的椎间盘/纤维环囊肿可能会再现复发性腰椎间盘突出症的症状/体征(即背痛和神经根病)。

病例描述

一名21岁的橄榄球运动员在进行了无并发症的腰椎显微椎间盘切除术后出现腿痛。重复腰椎磁共振成像证实存在术后腰椎纤维环/椎间盘囊肿,为此他接受了再次手术。手术中的组织病理学检查进一步证实了诊断。

结论

尽管罕见,但术后椎间盘/纤维环囊肿可能是术后复发性疼痛和模仿复发性椎间盘突出症的腰椎神经根病的潜在原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a74/9805644/93f491ac1914/SNI-13-572-g001.jpg

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