lumbar scoliosis combined lumbar spinal stenosis and herniation diagnosed patient was treated with “u” route transforaminal percutaneous endoscopic lumbar discectomy
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2017
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Abstract
The objective was to report a case of a 63-year-old man with a history of low back pain (LBP) and left leg pain for 2 years, and the symptom became more serious in the past 5 months. The patient was diagnosed with lumbar scoliosis combined with lumbar spinal stenosis (LSS) and lumbar disc herniation (LDH) at the level of L4-5 that was confirmed using Computerized Topography and Magnetic Resonance Imaging. The surgical team preformed a novel technique, “U” route transforaminal percutaneous endoscopic lumbar discectomy (PELD), which led to substantial, long-term success in reduction of pain intensity and disability. After removing the osteophyte mass posterior to the thecal sac at L4-5, the working channel direction was changed to the gap between posterior longitudinal ligament and thecal sac, and we also removed the herniation and osteophyte at L3-4 with “U” route PELD. The patient’s symptoms were improved immediately after the surgical intervention; low back pain intensity decreased from preoperative 9 to postoperative 2 on a visual analog scale (VAS) recorded at 1 month postoperatively. The success of the intervention suggests that “U” route PELD may be a feasible alternative to treat lumbar scoliosis with LSS and LDH patients.
| Reference Key |
wu2017caselumbar
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|---|---|
| Authors | ;Binbin Wu;Shaobo Zhang;Qingquan Lian;Haibo Yan;Xianfa Lin;Gonghao Zhan |
| Journal | journal of world-systems research |
| Year | 2017 |
| DOI |
10.1155/2017/7439016
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| URL | |
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