Published online Jan 14, 2022. doi: 10.12998/wjcc.v10.i2.656
Peer-review started: June 14, 2021
First decision: October 16, 2021
Revised: October 22, 2021
Accepted: December 8, 2021
Article in press: December 8, 2021
Published online: January 14, 2022
Few reports have described lumbar foraminal stenosis-induced radiculopathy after treatment by full-endoscopic spine surgery (FESS) combined with percutaneous vertebroplasty (PVP) in patients with vertebral compression fractures. We herein report such a case, including the patient’s treatment process and doctor’s surgical experience.
A 79-year-old man presented with symptoms of radiculopathy after sustaining L4 vertebral compression fractures. Imaging and physical examination revealed L4 vertebral compression fractures combined with L3/4 Lumbar foraminal stenosis (LFS). The patient’s symptoms were low back pain with pain in the lateral left leg. Although many reports have described radiculopathy induced by osteoporotic vertebral compression fractures, the use of FESS combined with PVP has rarely been reported. This case report indicates that the combination of FESS and PVP is a safe and effective approach for the treatment of LFS-induced radiculopathy after vertebral compression fractures. This minimally invasive technique has great potential to replace traditional lumbar fixation and decompression surgery. Thus, we suggest the continued accumulation of similar cases to discuss the wider application of FESS.
For patients with osteoporotic vertebral compression fracture (OVCF) and LFS, PVP and FESS can be used to restore the vertebral height and reduce the pressure around the intervertebral foramen. Additionally, the combination of FESS and PVP can treat the pain or numbness of the low back and lower limbs and allow for recovery in a short time with excellent postoperative effects. In general, FESS is a good treatment for radiculopathy caused by foraminal stenosis after OVCF.
Core Tip: Clinically, the number of patients with osteoporotic vertebral compression fractures combined with nerve root entrapment symptoms is gradually increasing. Percutaneous vertebroplasty alone can not completely relieve the clinical symptoms of patients. We found that the choice of total spinal endoscopic surgery combined with percutaneous vertebroplasty can be a good treatment for such patients, suggesting that combined with minimally invasive technology is a positive and effective surgical treatment.