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Rhizolysis: an unusual postoperative complication.

Sameena Hassan1, Sanjay Purushothamdas, John Webb

  • 1Centre for Spinal Studies and Surgery, Queens Medical Centre, Nottingham University NHS Trust, Nottingham, United Kingdom. s.hassan@nhs.net

American Journal of Orthopedics (Belle Mead, N.J.)
|August 18, 2012
PubMed
Summary

Percutaneous retrogasserian glycerol rhizolysis is used for trigeminal neuralgia and back pain. A case study reveals severe multifidus degeneration and paralysis after lumbar rhizolysis, leading to kyphosis.

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Area of Science:

  • Neurosurgery
  • Pain Management
  • Spinal Surgery

Background:

  • Percutaneous retrogasserian glycerol rhizolysis is a minimally invasive procedure.
  • It is established for treating trigeminal neuralgia and zygapophyseal joint pain.
  • Previous studies show success in managing lower back pain.

Observation:

  • A case of a patient undergoing 3-level lumbar rhizolysis is presented.
  • The patient developed severe multifidus degeneration.
  • This degeneration resulted in complete paralysis of lumbar paravertebral muscle function.

Findings:

  • The patient experienced significant kyphosis post-procedure.
  • Loss of sagittal balance was a key outcome.
  • This highlights a potential complication of lumbar rhizolysis.

Implications:

  • Lumbar rhizolysis may lead to unexpected muscular complications.
  • Careful patient selection and monitoring are crucial.
  • Further research is needed to understand long-term effects and prevention strategies.