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首页> 外文期刊>Neurospine. >Fully Endoscopic Interlaminar Detethering of Spinal Cord in Tethered Cord Syndrome: A Case Report and Technical Description
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Fully Endoscopic Interlaminar Detethering of Spinal Cord in Tethered Cord Syndrome: A Case Report and Technical Description

机译:脊髓栓系综合征的脊髓内窥镜层间束缚术:病例报告和技术说明

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摘要

A 19-year-old man presented with long lasting significant back and bilateral leg pain, and hypoesthesia on the lateral side of both his thighs for which he had undergone several courses of medication and bouts of physical therapy treatment. His urodynamic parameters were normal and lumbar magnetic resonance imaging (MRI) revealed a low-lying conus at the L2-3 level with a thickened fatty filum, and he was diagnosed as having tethered cord syndrome (TCS). The patient underwent a fully endoscopic detethering through an interlaminar approach with intraoperative neurophysiological monitoring. The thickened filum terminale was located and then the filum was coagulated and cut. The patient showed a significant improvement in his preoperative symptoms, and reported no problems at 2-year follow-up. Detethering of the spinal cord in tethered cord syndrome using a fully endoscopic interlaminar approach provides the advantages of minimal damage to tissues, less postoperative discomfort, early postoperative recovery, and a shorter hospitalization.
机译:一名19岁的男子表现出长期严重的背部和双侧腿痛,大腿两侧均感觉异常,为此他接受了数个疗程和物理疗法治疗。他的尿动力学参数正常,并且腰部磁共振成像(MRI)显示L2-3水平的低位圆锥体,脂肪膜增厚,并且被诊断为患有脊髓栓系综合征(TCS)。通过术中神经生理学监测,采用层间方法对患者进行完全内窥镜检查。找到增稠的花丝末端,然后将花丝凝结并切割。该患者术前症状明显改善,并且在2年的随访中未报告任何问题。使用完全内窥镜下层间方法对脊髓栓系综合征中的脊髓进行束缚,具有组织损伤最小,术后不适少,术后早期康复和住院时间短的优点。

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