Percutaneous transforaminal endoscopic decompression combined with percutaneous vertebroplasty in treatment of lumbar vertebral body metastases:A case report  

作　　者：Qiang Ran Tong Li Zhi-Ping Kuang Xiao-Hong Guo 

机构地区：[1]Department of Orthopaedics,Chongqing Hospital of Traditional Chinese Medicine,Chongqing 400010,China [2]Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610000,Sichuan Province,China [3]Department of Orthopaedics,Chongqing Hospital of Traditional Chinese Medicine,Chongqing 400000,China [4]Department of Pharmacy,Chongqing Hospital of Traditional Chinese Medicine,Chongqing 400000,China

出　　处：《World Journal of Clinical Cases》2022年第22期7944-7949,共6页世界临床病例杂志

摘　　要：BACKGROUND Percutaneous endoscopic lumbar discectomy(PTED)is a procedure that is commonly used to treat lumbar disc herniation and spinal stenosis.Despite its less invasiveness,this surgery is rarely used to treat spinal metastases.Percutaneous vertebroplasty(PVP)has been utilized to treat lumbar vertebral body metastases but it has not proven useful in treating sciatic patients.CASE SUMMARY A 68-year-old woman presented with low back pain and radicular symptoms.She couldn't straighten her legs because of severe pain.Computed tomography(CT)showed a mass lesion in the lung and bone destruction in the L4 vertebrae.The biopsy of the lung lesion revealed adenocarcinoma and the biopsy for L4 vertebrae revealed metastatic adenocarcinoma.PTED paired with PVP was performed on the patient due to the patient's poor overall physical state and short survival time.Transcatheter arterial embolization of vertebral tumors was performed before surgical resection to reduce excessive blood loss during the operation.The incision was scaled up with the TESSY technology.The pain was obviously relieved following the operation and no serious complications occurred.Postoperative CT showed that the decompression around the nerve root was successful,polymethyl methacrylate filling was satisfactory and the tumor tissue around the nerve root was obviously removed.During the 1-year follow-up period,the patient was in a stable condition.CONCLUSION PTED in combination with PVP is an effective and safe treatment for Lumbar single-level Spinal Column metastases with radicular symptoms.Because of the small sample size and short followup time,the long-term clinical efficacy of this method needs to be further confirmed.

关 键 词：Minimally invasive surgery Nerve root PERCUTANEOUS Spinal metastases Transforaminal endoscopic decompression Case report 

分 类 号：R738.1[医药卫生—肿瘤]