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Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Extradural cyst causing spinal cord compression in osteoporotic compression fracture
Jung-Hee Lee1, Ki-Tack Kim, Kyung-Soo Suk
1Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. ljhspine@gmail.com
Journal of Neurosurgery. Spine
|May 14, 2013
Summary
This study reports the first case of an intraspinal extradural cyst developing after an osteoporotic compression fracture. The cyst caused neurological deficits but was successfully treated with a single posterior surgical approach.
Area of Science:
- Neurosurgery
- Orthopedics
- Radiology
Background:
- Intraspinal cystic lesions can cause neurological deficits.
- Intraspinal extradural cysts following osteoporotic compression fractures are not well-documented.
- A 66-year-old woman experienced progressive neurological deficits after conservative treatment for an L-1 osteoporotic fracture.
Purpose of the Study:
- To report the first case of an intraspinal extradural cyst secondary to an osteoporotic compression fracture.
- To illustrate the diagnostic imaging findings.
- To present the successful surgical management.
Main Methods:
- Serial radiographic and MRI imaging were used to diagnose the epidural cyst.
- The cyst was successfully treated via a single posterior surgical approach.
Main Results:
- The patient presented with progressive neurological deficit and back pain.
- Imaging confirmed an intraspinal extradural cyst.
- Surgical treatment resulted in successful resolution of the cyst.
Conclusions:
- Intraspinal extradural cysts can develop after osteoporotic compression fractures.
- Early diagnosis and surgical intervention can lead to favorable outcomes.
- This case highlights a rare complication and its effective management.
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