脊髓损伤后的最小侵入性脊髓减压
Roger Liu1, Marya Ghazzi2, Tomasz Chec3
1Department of Rehabilitation Medicine, Thomas Jefferson University Hospital, Philadelphia, PA.
Pain medicine case reports
|November 27, 2025
概括
脊髓损伤是经过轻微侵入性腰部减压 (MILD) 的罕见并发症. 这一案例突显了严重腰椎脊柱狭窄症患者的潜在风险,需要仔细考虑患者因素.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 脊柱外科手术 脊柱外科手术
背景情况:
- 最少侵入性腰部减压 (MILD) 是对症状的腰部脊柱狭窄症的一种成熟的治疗方法.
- 脊髓损伤是MILD程序在现有文献中未经证实的并发症.
研究的目的:
- 在MILD之后报告脊髓损伤的情况.
- 讨论MILD程序的潜在风险因素和影响.
主要方法:
- 一个95岁的女性患者的病例报告,她在L1-L2接受了MILD,因为腰椎缩.
- 术后评估包括神经学检查和突发性核磁共振.
- 随后进行了手术减压.
主要成果:
- 患者在MILD后出现了下肢虚弱,麻木,上麻木,沟疼痛和尿路保留.
- 核磁共振扫描显示了新的T12-L1带信号变化.
- 新出现的L1-S1减压导致症状逐渐改善.
结论:
- 潜在的原因包括直接的带创伤或从注射剂增加的通道压力在严重的狭窄.
- 狭窄的严重程度和位置是MILD相关脊髓损伤的关键风险因素.
- 仔细的患者选择和程序考虑是至关重要的.
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