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Tytuł:
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Symptomatic Postoperative Discal Pseudocyst After Percutaneous Endoscopic Interlaminar Discectomy: Case Report and Literature Review.
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Autorzy:
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Xu WB; Department of Orthopaedics, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Wu DJ; Department of Pathology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Chen C; Department of Orthopaedics, Yuhuan People's Hospital, Taizhou, China.
Zhao X; Department of Orthopaedics, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Hu ZJ; Department of Orthopaedics, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Fan SW; Department of Orthopaedics, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Fang XQ; Department of Orthopaedics, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
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Źródło:
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Orthopaedic surgery [Orthop Surg] 2021 Feb; Vol. 13 (1), pp. 347-352. Date of Electronic Publication: 2020 Dec 16.
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Typ publikacji:
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Case Reports; Journal Article; Review
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Język:
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English
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Imprint Name(s):
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Publication: 2013- : Richmond, Vic. Wiley on behalf of the Chinese Orthopedic Association
Original Publication: Richmond, Vic. : Tianjin : Blackwell Pub. Asia ; Tianjin Hospital, 2009-
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MeSH Terms:
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Cystectomy/*methods
Cysts/*surgery
Diskectomy, Percutaneous/*methods
Endoscopy/*methods
Intervertebral Disc Degeneration/*surgery
Intervertebral Disc Displacement/*surgery
Lumbar Vertebrae/*surgery
Postoperative Complications/*surgery
Adult ; Cysts/etiology ; Humans ; Male ; Postoperative Complications/etiology ; Reoperation/methods
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References:
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Eur Spine J. 2010 Oct;19(10):1621-6. (PMID: 20364391)
Spine J. 2009 Feb;9(2):e9-e15. (PMID: 18280218)
Neurol Med Chir (Tokyo). 2019 Jun 15;59(6):204-212. (PMID: 31068543)
Spine J. 2003 May-Jun;3(3):242-6. (PMID: 14589206)
Asian J Neurosurg. 2019 Jul-Sep;14(3):890-893. (PMID: 31497121)
AJR Am J Roentgenol. 2008 May;190(5):W310-4. (PMID: 18430817)
World Neurosurg. 2018 Mar;111:e241-e249. (PMID: 29258942)
Spine (Phila Pa 1976). 2001 Oct 1;26(19):2112-8. (PMID: 11698889)
Eur Spine J. 2020 Jul;29(7):1752-1770. (PMID: 32274586)
J Korean Neurosurg Soc. 2013 Apr;53(4):255-7. (PMID: 23826485)
Surgeon. 2012 Oct;10(5):290-6. (PMID: 22705355)
Acta Neurochir (Wien). 2012 Apr;154(4):715-22. (PMID: 22223287)
J Korean Neurosurg Soc. 2011 Jan;49(1):31-6. (PMID: 21494360)
J Neurosurg Sci. 2010 Dec;54(4):149-52. (PMID: 21423085)
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Grant Information:
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LQ20H060005 Natural Science Fund of Zhejiang Province; 2020C03041 The Key research and Development plan in Zhejiang Province; 2018YFC1105202 National Key R&D Program of China
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Contributed Indexing:
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Keywords: Percutaneous endoscopic interlaminar discectomy; Postoperative discal pseudocyst; Surgical treatment
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SCR Disease Name:
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Intervertebral disc disease
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Entry Date(s):
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Date Created: 20201217 Date Completed: 20211011 Latest Revision: 20211011
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Update Code:
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20240105
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PubMed Central ID:
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PMC7862141
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DOI:
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10.1111/os.12863
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PMID:
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33331078
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Background: A postoperative discal pseudocyst (PDP) is a cystic lesion that is formed in the operation area of the intervertebral disc, leading to recurrence or even worse symptoms. To our knowledge, to date, there is no research focusing specifically on PDP following percutaneous endoscopic interlaminar discectomy (PEID).
Case Presentation: We present the case of a 27-year-old man with L 5 S 1 intervertebral disc herniation who was treated with PEID after failed conservative treatment. His leg pain was relieved immediately but reoccurred on the 40th day. MRI showed a PDP. Because loxoprofen and bedrest were ineffective and the patient was anxious, we performed a cystectomy. The patient's symptoms were significantly relieved, and a 6-month follow up showed no recurrence both clinically and on MRI.
Conclusion: A PDP is more likely to form using the interlaminar approach than the transforaminal approach. For patients with mental stress, severe pain, and neurological symptoms, surgery is suggested to remove the cyst. Discectomy cannot be performed when disc degeneration is mild.
(© 2020 The Authors. Orthopaedic Surgery published by Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd.)
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