The University of Southampton
University of Southampton Institutional Repository

Spinal endoscopy for delayed onset lumbar radiculopathy resulting from foraminal stenosis after osteoporotic vertebral fracture: A case report of a new surgical strategy

Spinal endoscopy for delayed onset lumbar radiculopathy resulting from foraminal stenosis after osteoporotic vertebral fracture: A case report of a new surgical strategy
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 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.
Ishimoto, Yuyu
8c8108ca-80de-494e-8338-1783396b26eb
Yamada, Hiroshi
5f4d18c7-428a-4666-8750-b04e379a86a7
Curtis, Elizabeth
12aba0c3-1e9e-49ef-a7e9-3247e649cdd6
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Hashizume, Hiroshi
12ff45ac-50ac-4032-98aa-f4ba3907341e
Minamide, Akihito
ec11f383-76b6-417c-bfe5-10f18c5b1781
Nakagawa, Yukihiro
e43baf0b-a3db-4fe8-9607-bcac100d2d49
Yoshiida, Munehito
43009b70-0ed7-4e69-9367-97c11d35f702
Ishimoto, Yuyu
8c8108ca-80de-494e-8338-1783396b26eb
Yamada, Hiroshi
5f4d18c7-428a-4666-8750-b04e379a86a7
Curtis, Elizabeth
12aba0c3-1e9e-49ef-a7e9-3247e649cdd6
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Hashizume, Hiroshi
12ff45ac-50ac-4032-98aa-f4ba3907341e
Minamide, Akihito
ec11f383-76b6-417c-bfe5-10f18c5b1781
Nakagawa, Yukihiro
e43baf0b-a3db-4fe8-9607-bcac100d2d49
Yoshiida, Munehito
43009b70-0ed7-4e69-9367-97c11d35f702

Ishimoto, Yuyu, Yamada, Hiroshi, Curtis, Elizabeth, Cooper, Cyrus, Hashizume, Hiroshi, Minamide, Akihito, Nakagawa, Yukihiro and Yoshiida, Munehito (2018) 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. (doi:10.1155/2018/1593021).

Record type: Article

Abstract

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.

Text
Re Delayed onset radiculopathy submit CRO - Accepted Manuscript
Restricted to Registered users only
Download (36kB)
Request a copy
Text
1593021 - Version of Record
Available under License Creative Commons Attribution.
Download (7MB)
Slideshow
delayed onset radiculopathy
Restricted to Registered users only
Download (4MB)
Request a copy

More information

Accepted/In Press date: 27 August 2018
e-pub ahead of print date: 25 October 2018

Identifiers

Local EPrints ID: 427404
URI: https://eprints.soton.ac.uk/id/eprint/427404
PURE UUID: 3909c9c1-425e-479c-9655-c4e000d4f7d1
ORCID for Elizabeth Curtis: ORCID iD orcid.org/0000-0002-5147-0550
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

Catalogue record

Date deposited: 15 Jan 2019 17:30
Last modified: 23 Jul 2019 00:26

Export record

Altmetrics

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of https://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×