Cargando…

Symptomatic Postoperative Discal Pseudocyst After Percutaneous Endoscopic Interlaminar Discectomy: Case Report and Literature Review

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 interla...

Descripción completa

Detalles Bibliográficos
Autores principales: Xu, Wen‐bin, Wu, Dan‐ju, Chen, Chao, Zhao, Xing, Hu, Zhi‐jun, Fan, Shun‐wu, Fang, Xiang‐qian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7862141/
https://www.ncbi.nlm.nih.gov/pubmed/33331078
http://dx.doi.org/10.1111/os.12863
_version_ 1783647224285102080
author Xu, Wen‐bin
Wu, Dan‐ju
Chen, Chao
Zhao, Xing
Hu, Zhi‐jun
Fan, Shun‐wu
Fang, Xiang‐qian
author_facet Xu, Wen‐bin
Wu, Dan‐ju
Chen, Chao
Zhao, Xing
Hu, Zhi‐jun
Fan, Shun‐wu
Fang, Xiang‐qian
author_sort Xu, Wen‐bin
collection PubMed
description 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.
format Online
Article
Text
id pubmed-7862141
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher John Wiley & Sons Australia, Ltd
record_format MEDLINE/PubMed
spelling pubmed-78621412021-02-16 Symptomatic Postoperative Discal Pseudocyst After Percutaneous Endoscopic Interlaminar Discectomy: Case Report and Literature Review Xu, Wen‐bin Wu, Dan‐ju Chen, Chao Zhao, Xing Hu, Zhi‐jun Fan, Shun‐wu Fang, Xiang‐qian Orthop Surg Case Reports 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. John Wiley & Sons Australia, Ltd 2020-12-16 /pmc/articles/PMC7862141/ /pubmed/33331078 http://dx.doi.org/10.1111/os.12863 Text en © 2020 The Authors. Orthopaedic Surgery published by Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Xu, Wen‐bin
Wu, Dan‐ju
Chen, Chao
Zhao, Xing
Hu, Zhi‐jun
Fan, Shun‐wu
Fang, Xiang‐qian
Symptomatic Postoperative Discal Pseudocyst After Percutaneous Endoscopic Interlaminar Discectomy: Case Report and Literature Review
title Symptomatic Postoperative Discal Pseudocyst After Percutaneous Endoscopic Interlaminar Discectomy: Case Report and Literature Review
title_full Symptomatic Postoperative Discal Pseudocyst After Percutaneous Endoscopic Interlaminar Discectomy: Case Report and Literature Review
title_fullStr Symptomatic Postoperative Discal Pseudocyst After Percutaneous Endoscopic Interlaminar Discectomy: Case Report and Literature Review
title_full_unstemmed Symptomatic Postoperative Discal Pseudocyst After Percutaneous Endoscopic Interlaminar Discectomy: Case Report and Literature Review
title_short Symptomatic Postoperative Discal Pseudocyst After Percutaneous Endoscopic Interlaminar Discectomy: Case Report and Literature Review
title_sort symptomatic postoperative discal pseudocyst after percutaneous endoscopic interlaminar discectomy: case report and literature review
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7862141/
https://www.ncbi.nlm.nih.gov/pubmed/33331078
http://dx.doi.org/10.1111/os.12863
work_keys_str_mv AT xuwenbin symptomaticpostoperativediscalpseudocystafterpercutaneousendoscopicinterlaminardiscectomycasereportandliteraturereview
AT wudanju symptomaticpostoperativediscalpseudocystafterpercutaneousendoscopicinterlaminardiscectomycasereportandliteraturereview
AT chenchao symptomaticpostoperativediscalpseudocystafterpercutaneousendoscopicinterlaminardiscectomycasereportandliteraturereview
AT zhaoxing symptomaticpostoperativediscalpseudocystafterpercutaneousendoscopicinterlaminardiscectomycasereportandliteraturereview
AT huzhijun symptomaticpostoperativediscalpseudocystafterpercutaneousendoscopicinterlaminardiscectomycasereportandliteraturereview
AT fanshunwu symptomaticpostoperativediscalpseudocystafterpercutaneousendoscopicinterlaminardiscectomycasereportandliteraturereview
AT fangxiangqian symptomaticpostoperativediscalpseudocystafterpercutaneousendoscopicinterlaminardiscectomycasereportandliteraturereview