Related Articles |
Minimally invasive translaminar endoscopic method to percutaneous vertebroplasty cement leakage: Technical be aware.
World Neurosurg. 2018 Jun 05;:
Authors: Akyoldas G, ?enturk S, Ünsal ÜÜ, Yaman O, Özer AF
Summary
BACKGROUND: Percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) are two widespread procedures that could possibly be utilized merely in therapy of vertebral compression fractures (VCFs). Regardless of simplicity and protected software of those procedures, there are some drawbacks as nicely. The cement leakage into spinal canal is usually seen complication of PVP and PKV procedures. The intention of this text is to current a minimally invasive various method for eradicating cement leakage fragment after the PVP.
METHOD: A 44-year-old feminine affected person started to complain of L4 radiculopathy after L4 PVP. The lumbar computed tomography (CT) demonstrated cement fragment closed to higher medial facet of the left L4 pedicle. A minimally invasive translaminar endoscopic process was carried out to take away cement fragment.
RESULTS: Following the endoscopic process, the affected person’s complaints resolved utterly and was discharged on postoperative first day. The minimally invasive intervention supplied shorter operation time, minimal blood loss, and lowered complication price as a consequence of its simplicity. Specifically, there was no have to bear common anesthesia.
CONCLUSION: Endoscopic translaminar method could possibly be safely carried out in sufferers with symptomatic cement leakage after PVP or PKP process.
PMID: 29883829 [PubMed – as supplied by publisher]