التفاصيل البيبلوغرافية
| العنوان: |
Arthroscopic-assisted uni-portal spinal surgery combined with modified unilateral laminotomy with bilateral decompression for the treatment of lumber epidural lipomatosis: Case report and new therapeutic method. |
| المؤلفون: |
Li, Yongneng, Qian, Fei, Sun, Fei, Song, En |
| المصدر: |
Journal of Orthopaedics; Dec2024, Vol. 58, p90-95, 6p |
| مصطلحات موضوعية: |
LUMBAR vertebrae surgery, SPINAL cord diseases, LIPOMATOSIS, ARTHROSCOPY, EPIDURAL space, LAMINECTOMY, TREATMENT effectiveness, SURGICAL decompression |
| مستخلص: |
Lumbar spinal epidural lipomatosis (SEL) is a rare condition characterized by the pathological proliferation of adipose tissue in the epidural space of the spinal canal. This study presents the case of a 59-year-old male with lumbar SEL treated effectively in the short term through arthroscopic-assisted uniportal spinal surgery (AUSS) combined with a modified circle-drawing unilateral laminotomy with bilateral decompression (ULBD) technique. A modified circle-drawing ULBD procedure was executed via AUSS for a patient with SEL. The procedure involved the excision of diseased adipose tissue from the spinal canal, enlargement and decompression of the spinal canal, liberation of nerves, and post-operative evaluation of imaging results and clinical outcomes. The patient exhibited improvements in the dural sac cross-sectional area, low back pain Visual Analogue Score (VAS, leg pain VAS, lumbar spine Japanese Orthopaedic Association (JOA), and EQ-5D post-surgery. AUSS offers comprehensive visualization, straightforward positioning, facilitating a broad field of view and precise lesion management. The modified circle-drawing ULBD technique characterized by its simplicity, operational freedom, and extensive decompression range, contributes to symptom alleviation and patient recovery. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |