Percutaneous transforaminal endoscopic decompression in the treatment of spinal metastases: A case report
Spinal metastases are always associated with specific pain of back and limbs caused by nerve root compression. Although percutaneous endoscopic lumbar discectomy (PELD) has been widely performed on patients with back and radicular pain originating from lumbar disc herniation, this minimally invasive...
Gespeichert in:
| Veröffentlicht in: | Medicine (Baltimore) 2019-03, Vol.98 (11), p.e14819-e14819 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e14819 |
|---|---|
| container_issue | 11 |
| container_start_page | e14819 |
| container_title | Medicine (Baltimore) |
| container_volume | 98 |
| creator | Gao, Zengxin Wu, Zhanpo Lin, Yucheng Zhang, Pei |
| description | Spinal metastases are always associated with specific pain of back and limbs caused by nerve root compression. Although percutaneous endoscopic lumbar discectomy (PELD) has been widely performed on patients with back and radicular pain originating from lumbar disc herniation, this minimally invasive surgery is rarely used for the treatment of spinal metastases.
A 71-year-old woman with colon cancer and a known L3 vertebral body metastasis presented with significant progressive pain of low back and limbs.
Magnetic resonance imaging (MRI) showed the L3 vertebral body had been involved by osteolytic vertebral metastasis, which extended into spinal canal and compressed the dural sac and nerve root.
The patient was treated with percutaneous transforaminal endoscopic decompression and palliative resection of metastases was performed twice on both sides, respectively. After the minimally invasive procedure, the decompression of the dural sac and nerve root was ideal.
No complications during the procedure were reported. The minimally invasive surgery resulted in prompt and permanent pain relief until the patient died 6 months later.
Percutaneous transforaminal endoscopic decompression could be an appropriate treatment option for the patients who suffer neurologic deficits that result from the spinal metastases. |
| doi_str_mv | 10.1097/MD.0000000000014819 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6426505</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2193601833</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3557-a1925825346ef98badecc4969b949549bd4f499991ce185416eff0dbc8f795bd3</originalsourceid><addsrcrecordid>eNpdkUtP3TAQha2KqtwCv6BS5SWbUL8Td1EJXfqSQHQBa8txJlzTJA62A-Lf1-VSKIws2bK_c2bkg9AHSo4o0fWns5Mj8lxUNFS_QSsquaqkVmIHrQhhsqp1LXbR-5SuC8RrJt6hXU6ahinFV8j_guiWbCcIS8I52in1IdrRT3bAMHUhuTB7hztwYZwjpOTDhP2E8wYKDjaPMGUcepzmB80I2aayIH3Gx9iVA44wh5j30dveDgkOHvc9dPnt68X6R3V6_v3n-vi0clzKurJUM9kwyYWCXjetLZ2d0Eq3WmgpdNuJXuhS1AFtpKAF60nXuqavtWw7voe-bH3npR2hc2W8aAczRz_aeG-C9ebly-Q35ircGiWYkkQWg8NHgxhuFkjZjD45GIbtJxlGNVeENpwXlG9RF0NKEfqnNpSYvyGZsxPzOqSi-vj_hE-af6kUQGyBuzBkiOn3sNxBNBuwQ948-Mlas4oRqgmnklTlRtT8D3Gsn6E</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2193601833</pqid></control><display><type>article</type><title>Percutaneous transforaminal endoscopic decompression in the treatment of spinal metastases: A case report</title><source>Wolters Kluwer Open Health</source><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>IngentaConnect Free/Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Gao, Zengxin ; Wu, Zhanpo ; Lin, Yucheng ; Zhang, Pei</creator><creatorcontrib>Gao, Zengxin ; Wu, Zhanpo ; Lin, Yucheng ; Zhang, Pei</creatorcontrib><description>Spinal metastases are always associated with specific pain of back and limbs caused by nerve root compression. Although percutaneous endoscopic lumbar discectomy (PELD) has been widely performed on patients with back and radicular pain originating from lumbar disc herniation, this minimally invasive surgery is rarely used for the treatment of spinal metastases.
A 71-year-old woman with colon cancer and a known L3 vertebral body metastasis presented with significant progressive pain of low back and limbs.
Magnetic resonance imaging (MRI) showed the L3 vertebral body had been involved by osteolytic vertebral metastasis, which extended into spinal canal and compressed the dural sac and nerve root.
The patient was treated with percutaneous transforaminal endoscopic decompression and palliative resection of metastases was performed twice on both sides, respectively. After the minimally invasive procedure, the decompression of the dural sac and nerve root was ideal.
No complications during the procedure were reported. The minimally invasive surgery resulted in prompt and permanent pain relief until the patient died 6 months later.
Percutaneous transforaminal endoscopic decompression could be an appropriate treatment option for the patients who suffer neurologic deficits that result from the spinal metastases.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000014819</identifier><identifier>PMID: 30882663</identifier><language>eng</language><publisher>United States: the Author(s). Published by Wolters Kluwer Health, Inc</publisher><subject>Aged ; Clinical Case Report ; Colonic Neoplasms - pathology ; Decompression, Surgical - methods ; Diskectomy, Percutaneous - methods ; Endoscopy - methods ; Female ; Humans ; Intervertebral Disc Displacement - diagnosis ; Intervertebral Disc Displacement - pathology ; Intervertebral Disc Displacement - surgery ; Low Back Pain - diagnosis ; Low Back Pain - etiology ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - pathology ; Magnetic Resonance Imaging - methods ; Minimally Invasive Surgical Procedures - methods ; Neoplasm Staging ; Spinal Neoplasms - diagnosis ; Spinal Neoplasms - pathology ; Spinal Neoplasms - secondary ; Treatment Outcome</subject><ispartof>Medicine (Baltimore), 2019-03, Vol.98 (11), p.e14819-e14819</ispartof><rights>the Author(s). Published by Wolters Kluwer Health, Inc.</rights><rights>Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3557-a1925825346ef98badecc4969b949549bd4f499991ce185416eff0dbc8f795bd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426505/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426505/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30882663$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gao, Zengxin</creatorcontrib><creatorcontrib>Wu, Zhanpo</creatorcontrib><creatorcontrib>Lin, Yucheng</creatorcontrib><creatorcontrib>Zhang, Pei</creatorcontrib><title>Percutaneous transforaminal endoscopic decompression in the treatment of spinal metastases: A case report</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>Spinal metastases are always associated with specific pain of back and limbs caused by nerve root compression. Although percutaneous endoscopic lumbar discectomy (PELD) has been widely performed on patients with back and radicular pain originating from lumbar disc herniation, this minimally invasive surgery is rarely used for the treatment of spinal metastases.
A 71-year-old woman with colon cancer and a known L3 vertebral body metastasis presented with significant progressive pain of low back and limbs.
Magnetic resonance imaging (MRI) showed the L3 vertebral body had been involved by osteolytic vertebral metastasis, which extended into spinal canal and compressed the dural sac and nerve root.
The patient was treated with percutaneous transforaminal endoscopic decompression and palliative resection of metastases was performed twice on both sides, respectively. After the minimally invasive procedure, the decompression of the dural sac and nerve root was ideal.
No complications during the procedure were reported. The minimally invasive surgery resulted in prompt and permanent pain relief until the patient died 6 months later.
Percutaneous transforaminal endoscopic decompression could be an appropriate treatment option for the patients who suffer neurologic deficits that result from the spinal metastases.</description><subject>Aged</subject><subject>Clinical Case Report</subject><subject>Colonic Neoplasms - pathology</subject><subject>Decompression, Surgical - methods</subject><subject>Diskectomy, Percutaneous - methods</subject><subject>Endoscopy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Intervertebral Disc Displacement - diagnosis</subject><subject>Intervertebral Disc Displacement - pathology</subject><subject>Intervertebral Disc Displacement - surgery</subject><subject>Low Back Pain - diagnosis</subject><subject>Low Back Pain - etiology</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Neoplasm Staging</subject><subject>Spinal Neoplasms - diagnosis</subject><subject>Spinal Neoplasms - pathology</subject><subject>Spinal Neoplasms - secondary</subject><subject>Treatment Outcome</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkUtP3TAQha2KqtwCv6BS5SWbUL8Td1EJXfqSQHQBa8txJlzTJA62A-Lf1-VSKIws2bK_c2bkg9AHSo4o0fWns5Mj8lxUNFS_QSsquaqkVmIHrQhhsqp1LXbR-5SuC8RrJt6hXU6ahinFV8j_guiWbCcIS8I52in1IdrRT3bAMHUhuTB7hztwYZwjpOTDhP2E8wYKDjaPMGUcepzmB80I2aayIH3Gx9iVA44wh5j30dveDgkOHvc9dPnt68X6R3V6_v3n-vi0clzKurJUM9kwyYWCXjetLZ2d0Eq3WmgpdNuJXuhS1AFtpKAF60nXuqavtWw7voe-bH3npR2hc2W8aAczRz_aeG-C9ebly-Q35ircGiWYkkQWg8NHgxhuFkjZjD45GIbtJxlGNVeENpwXlG9RF0NKEfqnNpSYvyGZsxPzOqSi-vj_hE-af6kUQGyBuzBkiOn3sNxBNBuwQ948-Mlas4oRqgmnklTlRtT8D3Gsn6E</recordid><startdate>20190301</startdate><enddate>20190301</enddate><creator>Gao, Zengxin</creator><creator>Wu, Zhanpo</creator><creator>Lin, Yucheng</creator><creator>Zhang, Pei</creator><general>the Author(s). Published by Wolters Kluwer Health, Inc</general><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190301</creationdate><title>Percutaneous transforaminal endoscopic decompression in the treatment of spinal metastases: A case report</title><author>Gao, Zengxin ; Wu, Zhanpo ; Lin, Yucheng ; Zhang, Pei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3557-a1925825346ef98badecc4969b949549bd4f499991ce185416eff0dbc8f795bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Clinical Case Report</topic><topic>Colonic Neoplasms - pathology</topic><topic>Decompression, Surgical - methods</topic><topic>Diskectomy, Percutaneous - methods</topic><topic>Endoscopy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Intervertebral Disc Displacement - diagnosis</topic><topic>Intervertebral Disc Displacement - pathology</topic><topic>Intervertebral Disc Displacement - surgery</topic><topic>Low Back Pain - diagnosis</topic><topic>Low Back Pain - etiology</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - pathology</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Neoplasm Staging</topic><topic>Spinal Neoplasms - diagnosis</topic><topic>Spinal Neoplasms - pathology</topic><topic>Spinal Neoplasms - secondary</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gao, Zengxin</creatorcontrib><creatorcontrib>Wu, Zhanpo</creatorcontrib><creatorcontrib>Lin, Yucheng</creatorcontrib><creatorcontrib>Zhang, Pei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gao, Zengxin</au><au>Wu, Zhanpo</au><au>Lin, Yucheng</au><au>Zhang, Pei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percutaneous transforaminal endoscopic decompression in the treatment of spinal metastases: A case report</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2019-03-01</date><risdate>2019</risdate><volume>98</volume><issue>11</issue><spage>e14819</spage><epage>e14819</epage><pages>e14819-e14819</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>Spinal metastases are always associated with specific pain of back and limbs caused by nerve root compression. Although percutaneous endoscopic lumbar discectomy (PELD) has been widely performed on patients with back and radicular pain originating from lumbar disc herniation, this minimally invasive surgery is rarely used for the treatment of spinal metastases.
A 71-year-old woman with colon cancer and a known L3 vertebral body metastasis presented with significant progressive pain of low back and limbs.
Magnetic resonance imaging (MRI) showed the L3 vertebral body had been involved by osteolytic vertebral metastasis, which extended into spinal canal and compressed the dural sac and nerve root.
The patient was treated with percutaneous transforaminal endoscopic decompression and palliative resection of metastases was performed twice on both sides, respectively. After the minimally invasive procedure, the decompression of the dural sac and nerve root was ideal.
No complications during the procedure were reported. The minimally invasive surgery resulted in prompt and permanent pain relief until the patient died 6 months later.
Percutaneous transforaminal endoscopic decompression could be an appropriate treatment option for the patients who suffer neurologic deficits that result from the spinal metastases.</abstract><cop>United States</cop><pub>the Author(s). Published by Wolters Kluwer Health, Inc</pub><pmid>30882663</pmid><doi>10.1097/MD.0000000000014819</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0025-7974 |
| ispartof | Medicine (Baltimore), 2019-03, Vol.98 (11), p.e14819-e14819 |
| issn | 0025-7974 1536-5964 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6426505 |
| source | Wolters Kluwer Open Health; MEDLINE; DOAJ Directory of Open Access Journals; IngentaConnect Free/Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Aged Clinical Case Report Colonic Neoplasms - pathology Decompression, Surgical - methods Diskectomy, Percutaneous - methods Endoscopy - methods Female Humans Intervertebral Disc Displacement - diagnosis Intervertebral Disc Displacement - pathology Intervertebral Disc Displacement - surgery Low Back Pain - diagnosis Low Back Pain - etiology Lumbar Vertebrae - diagnostic imaging Lumbar Vertebrae - pathology Magnetic Resonance Imaging - methods Minimally Invasive Surgical Procedures - methods Neoplasm Staging Spinal Neoplasms - diagnosis Spinal Neoplasms - pathology Spinal Neoplasms - secondary Treatment Outcome |
| title | Percutaneous transforaminal endoscopic decompression in the treatment of spinal metastases: A case report |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T15%3A09%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Percutaneous%20transforaminal%20endoscopic%20decompression%20in%20the%20treatment%20of%20spinal%20metastases:%20A%20case%20report&rft.jtitle=Medicine%20(Baltimore)&rft.au=Gao,%20Zengxin&rft.date=2019-03-01&rft.volume=98&rft.issue=11&rft.spage=e14819&rft.epage=e14819&rft.pages=e14819-e14819&rft.issn=0025-7974&rft.eissn=1536-5964&rft_id=info:doi/10.1097/MD.0000000000014819&rft_dat=%3Cproquest_pubme%3E2193601833%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2193601833&rft_id=info:pmid/30882663&rfr_iscdi=true |