腰椎巨大骨化性假性脑脊膜膨出的手术治疗：一例报告
Surgical management of an ossified giant lumbar pseudomeningocele: A case report.
作者信息
Richardson William Trent, Bhenderu Lokeshwar Sai Santosh, Soto Jose M, Garrett David
机构信息
Department of Neurosurgery, Baylor Scott and White, Temple, Texas, United States.
Department of Neurological Surgery, Baylor Scott and White, Temple, Texas, United States.
出版信息
Surg Neurol Int. 2023 Jul 14;14:244. doi: 10.25259/SNI_475_2023. eCollection 2023.
BACKGROUND
Pseudomeningoceles (PMs) are infrequent complications of spine surgery resulting from incidental durotomy and subsequent extravasation of cerebrospinal fluid. Giant PMs (GPMs), defined as ≥8 cm in major diameter, are rarely reported in the literature and present a challenge due to a lack of clear guidelines for surgical management.
CASE DESCRIPTION
Here, the authors discuss the successful surgical management of a 25.3 cm lumbar GPM that became calcified 3 years following an initial T10-S2 laminectomy with instrumented fusion performed at an outside-hospital.
CONCLUSION
This report focuses on the successful 3-year delayed surgical intervention for the management of an ossified GPM.
背景
假性脑脊膜膨出（PMs）是脊柱手术罕见的并发症，由意外的硬脊膜切开术及随后的脑脊液外渗引起。巨假性脑脊膜膨出（GPMs）定义为最大直径≥8 cm，文献中鲜有报道，且由于缺乏明确的手术管理指南而带来挑战。
病例描述
在此，作者讨论了一例25.3 cm腰椎GPM的成功手术治疗，该患者在院外接受初次T10 - S2椎板切除术并器械融合术后3年出现钙化。
结论
本报告重点介绍了对一例骨化性GPM进行成功的3年延迟手术干预。
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