Motor Weakness of Right Ankle Dorsiflexion Caused by Increasing Size of Sacroiliac Joint Cyst after Posterior Lumbar Interbody Fusion in a Patient with Spinal Stenosis: A Case Report
Journal of Korean Society of Spine Surgery
;
: 178-182, 2015.
Article
Dans Coréen
| WPRIM
| ID: wpr-118123
ABSTRACT
STUDY DESIGN:
Case reportOBJECTIVES:
To report a case of motor weakness caused by the increasing size of a sacroiliac joint cyst after spinal fusion. SUMMARY OF LITERATURE REVIEW There have been no reports on the increased size of a sacroiliac joint cyst and motor weakness after spinal fusion. MATERIALS ANDMETHODS:
A 63-year-old female was admitted with low back pain and right sciatica. Magnetic resonance imaging (MRI) findings showed the spinal canal narrowing at L4-5 and a cystic lesion on the right sacroiliac joint. After surgery, the symptoms were relieved.RESULTS:
One month after the operation, motor function had worsened to grade 4. Follow-up MRI revealed an increase in the size of the cystic lesion. Selective nerve root blocks were performed. There was gradual improvement, and the motor grade reached grade 5 seven months after the operation.CONCLUSIONS:
We recommend that surgeons evaluate the adjacent segmental lesion by MRI before performing spinal fusion.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Articulation sacro-iliaque
/
Sciatalgie
/
Canal vertébral
/
Arthrodèse vertébrale
/
Sténose du canal vertébral
/
Imagerie par résonance magnétique
/
Études de suivi
/
Lombalgie
/
Faiblesse musculaire
/
Cheville
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Femelle
/
Humains
langue:
Coréen
Texte intégral:
Journal of Korean Society of Spine Surgery
Année:
2015
Type:
Article
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