医学
减压
外科
经皮
内窥镜检查
经皮椎体成形术
骨水泥
水泥
椎体
考古
历史
作者
Wei Cheng,Youyang Fan,Tongyu Dai,Jiaming Liang,Chengyue Zhu,Rongxue Shao,Dong Wang,Wei Zhang,Hao Pan
标识
DOI:10.1016/j.wneu.2024.06.127
摘要
We aimed to preliminarily explore the efficacy and safety of unilateral biportal endoscopy (UBE) for the treatment of epidural cement leaks. We report a patient who underwent epidural cement leakage removal and achieved endoscopic spinal decompression. A 67-year-old female patient underwent biportal endoscopic paraspinal decompression following percutaneous vertebroplasty for an osteoporotic fracture that resulted in neurologic impairment due to epidural cement leakage. A transforaminal biportal endoscopic surgery was performed to remove the leaked cement, and the left L1 and bilateral L2 nerves were decompressed. The patient's postoperative clinical course was uneventful. A paraspinal approach that avoids a posterior approach reduces the need to remove stabilizing facet bone, is truly minimally invasive and does not involve an instrumented fusion, maybe a helpful addition in the minimally invasive spine surgeon's armamentarium.
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