Upper endplate nonunion after transcorporeal percutaneous endoscopic cervical discectomy: A case report

BACKGROUND: Transcorporeal percutaneous endoscopic cervical discectomy (TcPECD) destroys the integrity of the vertebral body. We herein discuss its long-term risks and avoidance measures. Case presentation: A 44-year-old woman underwent TcPECD. Although her upper limb symptoms were relieved after th...

Descripción completa

Detalles Bibliográficos
Autores principales: Huang, Zhen, Li, Yuefei, Liu, Hui, Sun, Ning, Liu, Xin, Ren, Jiabin, Bi, Jingwei, Sun, Zhaozhong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235680/
https://www.ncbi.nlm.nih.gov/pubmed/32419554
http://dx.doi.org/10.1177/0300060520922684
_version_ 1783536010901061632
author Huang, Zhen
Li, Yuefei
Liu, Hui
Sun, Ning
Liu, Xin
Ren, Jiabin
Bi, Jingwei
Sun, Zhaozhong
author_facet Huang, Zhen
Li, Yuefei
Liu, Hui
Sun, Ning
Liu, Xin
Ren, Jiabin
Bi, Jingwei
Sun, Zhaozhong
author_sort Huang, Zhen
collection PubMed
description BACKGROUND: Transcorporeal percutaneous endoscopic cervical discectomy (TcPECD) destroys the integrity of the vertebral body. We herein discuss its long-term risks and avoidance measures. Case presentation: A 44-year-old woman underwent TcPECD. Although her upper limb symptoms were relieved after the operation, the bone channel did not heal and the endplate of the segment was altered. She consequently developed chronic neck and shoulder discomfort. CONCLUSION: Careful preoperative planning is needed to avoid non-healing of the bone channel following TcPECD. The diameter of the bony channel should be as small as possible and the channel should be opened at the posterior edge of the upper endplate to avoid collapse.
format Online
Article
Text
id pubmed-7235680
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-72356802020-06-09 Upper endplate nonunion after transcorporeal percutaneous endoscopic cervical discectomy: A case report Huang, Zhen Li, Yuefei Liu, Hui Sun, Ning Liu, Xin Ren, Jiabin Bi, Jingwei Sun, Zhaozhong J Int Med Res Case Report BACKGROUND: Transcorporeal percutaneous endoscopic cervical discectomy (TcPECD) destroys the integrity of the vertebral body. We herein discuss its long-term risks and avoidance measures. Case presentation: A 44-year-old woman underwent TcPECD. Although her upper limb symptoms were relieved after the operation, the bone channel did not heal and the endplate of the segment was altered. She consequently developed chronic neck and shoulder discomfort. CONCLUSION: Careful preoperative planning is needed to avoid non-healing of the bone channel following TcPECD. The diameter of the bony channel should be as small as possible and the channel should be opened at the posterior edge of the upper endplate to avoid collapse. SAGE Publications 2020-05-18 /pmc/articles/PMC7235680/ /pubmed/32419554 http://dx.doi.org/10.1177/0300060520922684 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Huang, Zhen
Li, Yuefei
Liu, Hui
Sun, Ning
Liu, Xin
Ren, Jiabin
Bi, Jingwei
Sun, Zhaozhong
Upper endplate nonunion after transcorporeal percutaneous endoscopic cervical discectomy: A case report
title Upper endplate nonunion after transcorporeal percutaneous endoscopic cervical discectomy: A case report
title_full Upper endplate nonunion after transcorporeal percutaneous endoscopic cervical discectomy: A case report
title_fullStr Upper endplate nonunion after transcorporeal percutaneous endoscopic cervical discectomy: A case report
title_full_unstemmed Upper endplate nonunion after transcorporeal percutaneous endoscopic cervical discectomy: A case report
title_short Upper endplate nonunion after transcorporeal percutaneous endoscopic cervical discectomy: A case report
title_sort upper endplate nonunion after transcorporeal percutaneous endoscopic cervical discectomy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235680/
https://www.ncbi.nlm.nih.gov/pubmed/32419554
http://dx.doi.org/10.1177/0300060520922684
work_keys_str_mv AT huangzhen upperendplatenonunionaftertranscorporealpercutaneousendoscopiccervicaldiscectomyacasereport
AT liyuefei upperendplatenonunionaftertranscorporealpercutaneousendoscopiccervicaldiscectomyacasereport
AT liuhui upperendplatenonunionaftertranscorporealpercutaneousendoscopiccervicaldiscectomyacasereport
AT sunning upperendplatenonunionaftertranscorporealpercutaneousendoscopiccervicaldiscectomyacasereport
AT liuxin upperendplatenonunionaftertranscorporealpercutaneousendoscopiccervicaldiscectomyacasereport
AT renjiabin upperendplatenonunionaftertranscorporealpercutaneousendoscopiccervicaldiscectomyacasereport
AT bijingwei upperendplatenonunionaftertranscorporealpercutaneousendoscopiccervicaldiscectomyacasereport
AT sunzhaozhong upperendplatenonunionaftertranscorporealpercutaneousendoscopiccervicaldiscectomyacasereport

Ejemplares similares