A CASE OF NERVE ROOT HEAT INJURY INDUCED BY PERCUTANEOUS LASER DISC DECOMPRESSION PERFORMED AT AN OUTSIDE INSTITUTION: TECHNICAL CASE REPORT

Material type: 文書・図像類

Author: Kobayashi, Shigeruほか

Publisher: Lippincott, Williams & Wilkins

Publication date: 2007-02

Material Format: Digital

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Note (General)：: OBJECTIVE: In recent years, percutaneous laser disc decompression (PLDD) has become a routine surgical procedure because it can be performed under loc...

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Material Type: 文書・図像類
Title: A CASE OF NERVE ROOT HEAT INJURY INDUCED BY PERCUTANEOUS LASER DISC DECOMPRESSION PERFORMED AT AN OUTSIDE INSTITUTION: TECHNICAL CASE REPORT
Author/Editor: Kobayashi, Shigeru
Uchida, Kenzo
Takeno, Kenichi
Yayama, Takafumi
Nakajima, Hideaki
Nomura, Eiki
Hayakawa, Katsuhiko
Meir, Adam
Yonezawa, Takumi
Baba, Hisatoshi
Author Heading: Kobayashi, Shigeru
Uchida, Kenzo
Takeno, Kenichi
Yayama, Takafumi
Nakajima, Hideaki
Nomura, Eiki
Hayakawa, Katsuhiko
Meir, Adam
Yonezawa, Takumi
Baba, Hisatoshi
Publication, Distribution, etc.: Lippincott, Williams & Wilkins
Publication Date: 2007-02
Publication Date (W3CDTF): 2007-02
Periodical title: Neurosurgery
No. or year of volume/issue: 60 2 suppl.1
Volume: 60
Issue: 2 suppl.1
Pages: 171-172
ISSN (Periodical Title): ISSN : 0148-396X
Text Language Code: eng
Subject Heading: Percutaneous laser disc decompression
Nerve root
Heat injury
Disc herniation
Lumbar spine
Target Audience: 一般
Note (General): OBJECTIVE: In recent years, percutaneous laser disc decompression (PLDD) has become a routine surgical procedure because it can be performed under local anesthesia and is minimally invasive. However, there is a risk of nerve root and endplate injury owing to heat generated by laser irradiation during PLDD. We recently performed salvage surgery on a patient with heat injury to the L5 nerve root that developed after PLDD. CLINICAL PRESENTATION: One month before presenting to our hospital, the patient underwent two sessions of PLDD for lumbar vertebral disk herniation at another institution. The patient developed worsening sciatica, as well as bowel and urinary problems after the PLDD. INTERVENTION: We performed salvage surgery after PLDD. The intraoperative findings in the present case included carbon spots in the dura mater of the nerve root and a disc herniation strongly adherent to the nerve roots. These findings indicate that the area adjacent to the nerve roots was damaged by excessive heat during laser irradiation. CONCLUSION: When salvage surgery is performed after a PLDD procedure, disc and nerve root injuries owing to laser heat energy must be considered.
Source: https://u-fukui.repo.nii.ac.jp/?action=repository_action_common_download&item_id=19775&item_no=1&attribute_id=22&file_no=1
https://u-fukui.repo.nii.ac.jp/?action=repository_action_common_download&item_id=19775&item_no=1&attribute_id=22&file_no=1
Access Restrictions: 限定公開
Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）
https://irdb.nii.ac.jp
Original Data Provider (Database): 福井大学 : 福井大学学術機関リポジトリ