徳島大学 教育・研究者情報データベース(EDB)

1. (英) Tamaki Yasuaki

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2. 酒井 紀典([徳島大学.病院.中央診療施設等.高度先進整形外科診療部])

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3. 宮城 亮

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4. (英) Nakagawa Takefumi

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5. (英) Shimakawa Tateaki

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6. 西良 浩一([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.運動機能外科学])

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7. (英) Chikawa Takashi

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(英) Intradural lumbar disc herniation after percutaneous endoscopic lumbar discectomy: case report.

(英) A 64-year-old man was referred to the authors with low-back pain (LBP) and right leg pain with a history of previously diagnosed lumbar disc herniation (LDH) at L4-5. He had undergone 2 percutaneous endoscopic lumbar discectomies (PELDs) for the herniation at another institution, and according to the surgical record of the second surgery, a dural tear occurred intraoperatively but was not repaired. Postoperative conservative treatments such as an epidural block and blood patch had not relieved his persistent LBP or right leg pain. Upon referral to the authors, MRI and myelography revealed an intradural LDH. The herniated mass was removed by durotomy, and posterior lumbar interbody fusion was performed. His symptoms were partially improved after surgery. Primary suture is technically difficult when a dural tear occurs during PELD. Therefore, close attention should be paid to avoiding such tears, and surgeons should increase their awareness of intradural LDH as a possible postoperative complication of PELD.

1. (英) PublicationType: JOURNAL ARTICLE