Pacult Mark A, Farber S Harrison, Tumialán Luis M, Oppenlander Mark E
Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
J Neurosurg Case Lessons. 2024 Dec 9;8(24). doi: 10.3171/CASE24497.
Neurogenic claudication caused by lumbar stenosis is a prevalent disorder of the spinal canal for which many treatment options exist. The mild (minimally invasive lumbar decompression) procedure has recently been introduced as a safe and effective alternative to medical management in the treatment of lumbar stenosis. However, data on complications are rarely reported, and the incidence of complications, when reported, is frequently assessed at 0% in the literature.
The case of a patient with a cerebrospinal fluid leak following a mild procedure performed at an outpatient facility who presented to an inpatient emergency department is discussed. After lumbar drainage failed, the patient required 2 operative procedures to rectify the leak.
A seemingly innocuous procedure may have highly morbid complications requiring a lengthy inpatient stay and return trips to the operating room. The physicians and surgeons who manage these complications are frequently not those who performed the index procedure; they should be educated on the risks of the procedure and best practices for definitive management. https://thejns.org/doi/10.3171/CASE24497.
腰椎管狭窄症所致神经源性间歇性跛行是一种常见的椎管疾病，针对该疾病有多种治疗选择。轻度（微创腰椎减压）手术最近已被引入，作为腰椎管狭窄症治疗中医疗管理的一种安全有效的替代方法。然而，关于并发症的数据很少被报道，而且当有并发症报道时，文献中其发生率常被评估为0%。
本文讨论了一名在门诊机构接受轻度手术后出现脑脊液漏的患者，该患者随后入住住院急诊部。腰椎引流失败后，患者需要进行2次手术来纠正脑脊液漏。
一个看似无害的手术可能会有严重的并发症，需要长时间住院并返回手术室。处理这些并发症的内科医生和外科医生往往不是实施初次手术的医生；应对他们进行该手术风险及确定性治疗最佳实践方面的教育。https://thejns.org/doi/10.3171/CASE24497 。
