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Transforaminal endoscopy in lumbar burst fracture: A case report
RATIONALE: Lumbar burst fractures are frequent injury resulting from high-energy trauma, and the patients suffer from pain and the neurologic dysfunction. Although minimally invasive techniques have advanced rapidly, it was the first time to apply transforaminal endoscopic combined with percutaneous...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704832/ https://www.ncbi.nlm.nih.gov/pubmed/29145287 http://dx.doi.org/10.1097/MD.0000000000008640 |
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author | Wang, Yuanyi Ning, Cong Yao, Liyu Huang, Xiuying Zhao, Chengliang Chen, Bin Zhang, Nan |
author_facet | Wang, Yuanyi Ning, Cong Yao, Liyu Huang, Xiuying Zhao, Chengliang Chen, Bin Zhang, Nan |
author_sort | Wang, Yuanyi |
collection | PubMed |
description | RATIONALE: Lumbar burst fractures are frequent injury resulting from high-energy trauma, and the patients suffer from pain and the neurologic dysfunction. Although minimally invasive techniques have advanced rapidly, it was the first time to apply transforaminal endoscopic combined with percutaneous pedicle screw fixation to treatment of lumbar burst fractures. PATIENT CONCERNS: A 33-year-old man underwent Magerl type A3.1 burst fracture at L2 and compression fractures at L3 due to falling from a height with severe lower back pain, sensory loss, and atony of the right leg. DIAGNOSES: Burst fracture at L2, compression fractures at L3. INTERVENTIONS: The patient was presented to 1-stage operation of percutaneous pedicle screw fixation at L1, L2, L3, and L4 instead of delayed posterior open surgery. At 1 week after injury, the 2-stage operation with a percutaneous transforaminal endoscopic was undertaken for decompression. OUTCOMES: No matter the function of nerve and imaging findings, all got ideal recoveries in just 3 days after 2-stage operation. At the 3-month follow-up, there was no loss of sagittal plane alignment, and spinal cord compression was completely relieved. The patient regained near-full neurologic function postoperatively. LESSONS: A minimally invasive surgery (ie, transforaminal endoscopic combined with percutaneous pedicle screw fixation) for the treatment of Magerl type A3.1 burst fracture at lumbar was feasible. In addition, the key to the recovery of neurological function is the complete and effective decompression of spinal. |
format | Online Article Text |
id | pubmed-5704832 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-57048322017-12-07 Transforaminal endoscopy in lumbar burst fracture: A case report Wang, Yuanyi Ning, Cong Yao, Liyu Huang, Xiuying Zhao, Chengliang Chen, Bin Zhang, Nan Medicine (Baltimore) 7100 RATIONALE: Lumbar burst fractures are frequent injury resulting from high-energy trauma, and the patients suffer from pain and the neurologic dysfunction. Although minimally invasive techniques have advanced rapidly, it was the first time to apply transforaminal endoscopic combined with percutaneous pedicle screw fixation to treatment of lumbar burst fractures. PATIENT CONCERNS: A 33-year-old man underwent Magerl type A3.1 burst fracture at L2 and compression fractures at L3 due to falling from a height with severe lower back pain, sensory loss, and atony of the right leg. DIAGNOSES: Burst fracture at L2, compression fractures at L3. INTERVENTIONS: The patient was presented to 1-stage operation of percutaneous pedicle screw fixation at L1, L2, L3, and L4 instead of delayed posterior open surgery. At 1 week after injury, the 2-stage operation with a percutaneous transforaminal endoscopic was undertaken for decompression. OUTCOMES: No matter the function of nerve and imaging findings, all got ideal recoveries in just 3 days after 2-stage operation. At the 3-month follow-up, there was no loss of sagittal plane alignment, and spinal cord compression was completely relieved. The patient regained near-full neurologic function postoperatively. LESSONS: A minimally invasive surgery (ie, transforaminal endoscopic combined with percutaneous pedicle screw fixation) for the treatment of Magerl type A3.1 burst fracture at lumbar was feasible. In addition, the key to the recovery of neurological function is the complete and effective decompression of spinal. Wolters Kluwer Health 2017-11-17 /pmc/articles/PMC5704832/ /pubmed/29145287 http://dx.doi.org/10.1097/MD.0000000000008640 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NoDerivatives License 4.0, which allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author. http://creativecommons.org/licenses/by-nd/4.0 |
spellingShingle | 7100 Wang, Yuanyi Ning, Cong Yao, Liyu Huang, Xiuying Zhao, Chengliang Chen, Bin Zhang, Nan Transforaminal endoscopy in lumbar burst fracture: A case report |
title | Transforaminal endoscopy in lumbar burst fracture: A case report |
title_full | Transforaminal endoscopy in lumbar burst fracture: A case report |
title_fullStr | Transforaminal endoscopy in lumbar burst fracture: A case report |
title_full_unstemmed | Transforaminal endoscopy in lumbar burst fracture: A case report |
title_short | Transforaminal endoscopy in lumbar burst fracture: A case report |
title_sort | transforaminal endoscopy in lumbar burst fracture: a case report |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704832/ https://www.ncbi.nlm.nih.gov/pubmed/29145287 http://dx.doi.org/10.1097/MD.0000000000008640 |
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