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病例报告：腰椎黄韧带囊肿合并脊柱不稳致神经根病的外科治疗

Case Report: Surgical treatment of lumbar ligamentum flavum cysts combined with spinal instability causing radiculopathy.

作者信息

Yang Keshi, Ji Changbin, Luo Dawei, Yin Jiwei, Wu Xiaozhe, Xu Hui

机构信息

Department of Spine Surgery, Liaocheng People's Hospital, Liaocheng, Shandong, China.

Beijing Jishuitan Hospital Liaocheng Hospital, Liaocheng, Shandong, China.

出版信息

Front Surg. 2025 Feb 10;12:1481216. doi: 10.3389/fsurg.2025.1481216. eCollection 2025.

DOI:10.3389/fsurg.2025.1481216
PMID:39996152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11847798/
Abstract

PURPOSE

This study aimed to describe a case of a patient with a lumbar ligamentum flavum cyst combined with spinal instability who underwent cyst resection and transforaminal lumbar interbody fusion (TLIF).

METHODS

We present a rare case of a patient with a lumbar ligamentum flavum cyst combined with spinal instability causing radiculopathy. The patient underwent cyst resection and transforaminal lumbar interbody fusion.

RESULTS

The patient underwent follow-up for 3 years postoperatively and remained asymptomatic, with favorable radiographic results.

CONCLUSIONS

Cysts resection and TLIF for ligamentum flavum cysts combined with spinal instability can achieve sufficient and effective decompression while simultaneously restoring spinal stability. Therefore, this approach is both an effective and safe treatment option.

摘要

目的

本研究旨在描述一例腰椎黄韧带囊肿合并脊柱不稳患者接受囊肿切除及经椎间孔腰椎椎体间融合术（TLIF）的病例。

方法

我们报告了一例罕见的腰椎黄韧带囊肿合并脊柱不稳导致神经根病的患者。该患者接受了囊肿切除及经椎间孔腰椎椎体间融合术。

结果

患者术后随访3年，无症状，影像学结果良好。

结论

对于腰椎黄韧带囊肿合并脊柱不稳，囊肿切除及TLIF可实现充分有效的减压，同时恢复脊柱稳定性。因此，该方法是一种有效且安全的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d6e/11847798/e19d46b28cfe/fsurg-12-1481216-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d6e/11847798/5efbfd21d2a6/fsurg-12-1481216-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d6e/11847798/56b928a041f4/fsurg-12-1481216-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d6e/11847798/044c0f8a6e94/fsurg-12-1481216-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d6e/11847798/11f0b8ef940b/fsurg-12-1481216-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d6e/11847798/e19d46b28cfe/fsurg-12-1481216-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d6e/11847798/5efbfd21d2a6/fsurg-12-1481216-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d6e/11847798/56b928a041f4/fsurg-12-1481216-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d6e/11847798/044c0f8a6e94/fsurg-12-1481216-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d6e/11847798/11f0b8ef940b/fsurg-12-1481216-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d6e/11847798/e19d46b28cfe/fsurg-12-1481216-g005.jpg

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J Orthop Surg Res. 2023 May 10;18(1):344. doi: 10.1186/s13018-023-03824-3.
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Differentiating Lumbar Spinal Etiology from Peripheral Plexopathies.区分腰椎病因与周围神经丛病变。
Biomedicines. 2023 Mar 2;11(3):756. doi: 10.3390/biomedicines11030756.
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Ligamentum Flavum Cyst: Rare Presentation Report and Literature Review.黄韧带囊肿：罕见病例报告及文献综述
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