Amirjamshidi A, Mehrazin M, Abbassioun K, Ketabtchi E
Department of Neurosurgery, Sina Hospital, Tehran, Iran.
Spine (Phila Pa 1976). 1994 Apr 15;19(8):981-4. doi: 10.1097/00007632-199404150-00018.
Four cases in which, during standard laminectomies, knife blades broke deep into the disc space are reported.
These broken knife blades could not be removed at the time of initial operations.
Follow-up studies indicated further anterior migration of retained fragments in two cases after ambulation.
Because of the potential hazards of late intraabdominal visceral or vascular injuries, removal of sharp retained fragments at another session is recommended.
报告了4例在标准椎板切除术中刀片断入椎间盘间隙深处的病例。
在初次手术时无法取出这些折断的刀片。
随访研究表明,2例患者在行走后残留碎片进一步向前移位。
由于晚期腹腔内脏器或血管损伤的潜在风险,建议在另一阶段取出尖锐的残留碎片。