Full-endoscopic spine surgery treatment of lumbar foraminal stenosis after osteoporotic vertebral compression fractures:A case report  

作　　者：Quan-Lai Zhao Kun-Peng Hou Zhong-Xuan Wu Liang Xiao Hong-Guang Xu 

机构地区：[1]Department of Spine Surgery,Wannan Medical College,Wuhu 241001,Anhui Province,China

出　　处：《World Journal of Clinical Cases》2022年第2期656-662,共7页世界临床病例杂志

基　　金：Supported by National Natural Science Foundation of China,No.81972108.

摘　　要：BACKGROUND Few reports have described lumbar foraminal stenosis-induced radiculopathy after treatment by full-endoscopic spine surgery(FESS)combined with percutaneous vertebroplasty(PVP)in patients with vertebral compression fractures.We herein report such a case,including the patient’s treatment process and doctor’s surgical experience.CASE SUMMARY A 79-year-old man presented with symptoms of radiculopathy after sustaining L4 vertebral compression fractures.Imaging and physical examination revealed L4 vertebral compression fractures combined with L3/4 Lumbar foraminal stenosis(LFS).The patient’s symptoms were low back pain with pain in the lateral left leg.Although many reports have described radiculopathy induced by osteoporotic vertebral compression fractures,the use of FESS combined with PVP has rarely been reported.This case report indicates that the combination of FESS and PVP is a safe and effective approach for the treatment of LFS-induced radiculopathy after vertebral compression fractures.This minimally invasive technique has great potential to replace traditional lumbar fixation and decompression surgery.Thus,we suggest the continued accumulation of similar cases to discuss the wider application of FESS.CONCLUSION For patients with osteoporotic vertebral compression fracture(OVCF)and LFS,PVP and FESS can be used to restore the vertebral height and reduce the pressure around the intervertebral foramen.Additionally,the combination of FESS and PVP can treat the pain or numbness of the low back and lower limbs and allow for recovery in a short time with excellent postoperative effects.In general,FESS is a good treatment for radiculopathy caused by foraminal stenosis after OVCF.

关 键 词：Osteoporotic vertebral compression fracture Lumbar foraminal stenosis Percutaneous vertebroplasty Full-endoscopic spine surgery RADICULOPATHY Case report 

分 类 号：R687.3[医药卫生—骨科学]