Spinal Endoscopy for Delayed-Onset Lumbar Radiculopathy Resulting from Foraminal Stenosis after Osteoporotic Vertebral Fracture: A Case Report of a New Surgical Strategy
There is little evidence regarding the optimal approach to treatment for delayed-onset lumbar radiculopathy due to foraminal stenosis after osteoporotic vertebral fracture. Here, we describe the use of spinal endoscopy for the treatment of this disabling condition, in an 80-year-old woman presenting...
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doaj-669e1d06611740b48a701bfc872639902020-11-24T22:32:15ZengHindawi LimitedCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/15930211593021Spinal Endoscopy for Delayed-Onset Lumbar Radiculopathy Resulting from Foraminal Stenosis after Osteoporotic Vertebral Fracture: A Case Report of a New Surgical StrategyYuyu Ishimoto0Hiroshi Yamada1Elizabeth Curtis2Cyrus Cooper3Hiroshi Hashizume4Akihito Minamide5Yukihiro Nakagawa6Munehito Yoshida7Department of Orthopedic Surgery, Wakayama Medical University, JapanDepartment of Orthopedic Surgery, Wakayama Medical University, JapanMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, Hampshire, UKMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, Hampshire, UKDepartment of Orthopedic Surgery, Wakayama Medical University, JapanDepartment of Orthopedic Surgery, Wakayama Medical University, JapanDepartment of Orthopedic Surgery, Wakayama Medical University, JapanDepartment of Orthopedic Surgery, Wakayama Medical University, JapanThere is little evidence regarding the optimal approach to treatment for delayed-onset lumbar radiculopathy due to foraminal stenosis after osteoporotic vertebral fracture. Here, we describe the use of spinal endoscopy for the treatment of this disabling condition, in an 80-year-old woman presenting with severe radicular pain following an osteoporotic lumbar compression fracture. Radiographic findings showed the compression of the L2 root within the foramen, and computed tomography identified a fragment of the posterior wall of the vertebral body under the pedicle. Since the patient had little back pain and was relatively frail, we decided to perform foraminal decompression via a lateral approach using spinal endoscopy. Intraoperative findings demonstrated degenerative changes as well as a fragment of the posterior wall of the fractured vertebral body in the foramen, covered in a fibrous film. The nerve was decompressed on removal of the fragment. After surgery, the patient experienced immediate pain relief. The preoperative Japanese Orthopedic Association (JOA) and visual analogue scale (VAS) scores were 9 and 82, respectively, and at 36-month follow-up, scores were reduced to 19 and 34, respectively.http://dx.doi.org/10.1155/2018/1593021 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yuyu Ishimoto Hiroshi Yamada Elizabeth Curtis Cyrus Cooper Hiroshi Hashizume Akihito Minamide Yukihiro Nakagawa Munehito Yoshida |
spellingShingle |
Yuyu Ishimoto Hiroshi Yamada Elizabeth Curtis Cyrus Cooper Hiroshi Hashizume Akihito Minamide Yukihiro Nakagawa Munehito Yoshida Spinal Endoscopy for Delayed-Onset Lumbar Radiculopathy Resulting from Foraminal Stenosis after Osteoporotic Vertebral Fracture: A Case Report of a New Surgical Strategy Case Reports in Orthopedics |
author_facet |
Yuyu Ishimoto Hiroshi Yamada Elizabeth Curtis Cyrus Cooper Hiroshi Hashizume Akihito Minamide Yukihiro Nakagawa Munehito Yoshida |
author_sort |
Yuyu Ishimoto |
title |
Spinal Endoscopy for Delayed-Onset Lumbar Radiculopathy Resulting from Foraminal Stenosis after Osteoporotic Vertebral Fracture: A Case Report of a New Surgical Strategy |
title_short |
Spinal Endoscopy for Delayed-Onset Lumbar Radiculopathy Resulting from Foraminal Stenosis after Osteoporotic Vertebral Fracture: A Case Report of a New Surgical Strategy |
title_full |
Spinal Endoscopy for Delayed-Onset Lumbar Radiculopathy Resulting from Foraminal Stenosis after Osteoporotic Vertebral Fracture: A Case Report of a New Surgical Strategy |
title_fullStr |
Spinal Endoscopy for Delayed-Onset Lumbar Radiculopathy Resulting from Foraminal Stenosis after Osteoporotic Vertebral Fracture: A Case Report of a New Surgical Strategy |
title_full_unstemmed |
Spinal Endoscopy for Delayed-Onset Lumbar Radiculopathy Resulting from Foraminal Stenosis after Osteoporotic Vertebral Fracture: A Case Report of a New Surgical Strategy |
title_sort |
spinal endoscopy for delayed-onset lumbar radiculopathy resulting from foraminal stenosis after osteoporotic vertebral fracture: a case report of a new surgical strategy |
publisher |
Hindawi Limited |
series |
Case Reports in Orthopedics |
issn |
2090-6749 2090-6757 |
publishDate |
2018-01-01 |
description |
There is little evidence regarding the optimal approach to treatment for delayed-onset lumbar radiculopathy due to foraminal stenosis after osteoporotic vertebral fracture. Here, we describe the use of spinal endoscopy for the treatment of this disabling condition, in an 80-year-old woman presenting with severe radicular pain following an osteoporotic lumbar compression fracture. Radiographic findings showed the compression of the L2 root within the foramen, and computed tomography identified a fragment of the posterior wall of the vertebral body under the pedicle. Since the patient had little back pain and was relatively frail, we decided to perform foraminal decompression via a lateral approach using spinal endoscopy. Intraoperative findings demonstrated degenerative changes as well as a fragment of the posterior wall of the fractured vertebral body in the foramen, covered in a fibrous film. The nerve was decompressed on removal of the fragment. After surgery, the patient experienced immediate pain relief. The preoperative Japanese Orthopedic Association (JOA) and visual analogue scale (VAS) scores were 9 and 82, respectively, and at 36-month follow-up, scores were reduced to 19 and 34, respectively. |
url |
http://dx.doi.org/10.1155/2018/1593021 |
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