侯。脊柱侧凸神经根病的内镜减压治疗

IF 2.5 Q3 Medicine

North American Spine Society Journal Pub Date : 2025-07-01 DOI:10.1016/j.xnsj.2025.100635

Jun Rui Don Koh MBChB, BS

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引用次数: 0

摘要

成人退行性脊柱侧凸是一种脊柱畸形，导致脊柱不平衡，其进一步进展会导致相关疾病，如椎间盘突出、韧带肥大和小关节面骨化。因此，脊柱侧凸患者经常遭受轴性背痛和神经根性背痛。目的/研究设计/设置病例系列患者样本/结果测量/方法我们报告了两例中年严重脊柱侧凸患者的病例系列，他们到我科就诊，主诉背部和神经根疼痛。结果这些患者在保守治疗失败后接受了微创内窥镜减压，没有融合来解决脊柱侧凸。患者报告术后神经根痛得到了很好的缓解，但腰背痛仍然存在。结论内镜下减压术是治疗脊柱侧凸患者神经根性疼痛的一种可行的手术方法。FDA器械/药物状态本摘要不讨论或包括任何适用的器械或药物。

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P11. Endoscopic decompression for radiculopathy in scoliosis

BACKGROUND CONTEXT

Adult degenerative scoliosis is a spinal deformity resulting in an unbalanced spine, the further progression of which results in associated conditions such as disc herniation, ligament hypertrophy and facet ossification. Patients with scoliosis therefore frequently suffer from both axial back pain as well as radicular pain.

PURPOSE

N/A

STUDY DESIGN/SETTING

Case Series

PATIENT SAMPLE

N/A

OUTCOME MEASURES

N/A

METHODS

We report a case series of two middle aged patients with severe scoliosis who presented to our department complaining of both back and radicular pain.

RESULTS

These patients subsequently underwent minimally invasive endoscopic decompression of the affected levels following a failure of conservative management, with no fusion to address the scoliosis. The patients report good relief of their radicular pain post-operatively, although the axial back pain remained.