잠시만 기다려 주세요. 로딩중입니다.

Endoscopic Resection of Symptomatic Degenerative Repetitive Stress Related Fracture of the Tip of Superior Articular Process. An Unusual Cause of Severe Back Pain: Report of 2 Cases and Technical Note

김현성, Wu Pang Hung, Raorane Harshavardhan Dilip, 허동화, 이연진, 양경훈, 장일태,
소속 상세정보
김현성 ( Kim Hyeun-Sung ) - Nanoori Gangnam Hospital Department of Neurosurgery
 ( Wu Pang Hung ) - Nanoori Gangnam Hospital Department of Neurosurgery
 ( Raorane Harshavardhan Dilip ) - Nanoori Gangnam Hospital Department of Neurosurgery
허동화 ( Heo Dong-Hwa ) - Nanoori Gangnam Hospital Department of Neurosurgery
이연진 ( Lee Yeon-Jin ) - Nanoori Gangnam Hospital Department of Neurosurgery
양경훈 ( Yang Kyung-Hoon ) - Nanoori Gangnam Hospital Department of Neurosurgery
장일태 ( Jang Il-Tae ) - Nanoori Gangnam Hospital Department of Neurosurgery

Abstract


Neglected stress related fracture of superior articular process fracture leading to disability is not commonly reported. Intravertebral foraminal ligament attachment to superior articular process is well described but its repetitive stress related avulsion injury was not reported. The presence of abundant sensory and nociceptive nerve endings around the facet joint can cause significant symptoms in this uncommon condition. We hereby present 2 cases of superior articular process tip fracture. First case is a 53 years old business who presented with intractable chronic back and right gluteal pain for many years worsened with golf games with the diagnosis of nonunion of right L2 superior articular facet and second case is a 74 years old lady who had intractable left buttock and left calf radicular pain with neglected left L5 superior articular facet tip fracture after vertebroplasty treatment on L4 compression fracture; both underwent uniportal endoscopic contralateral approach for decompression and resection of the Superior Articular Process, SAP tip fragment with its attached foraminal ligament with good symptoms relief on one year follow up. Consideration can be made for endoscopic decompression SAP tip fracture in comparison to open decompression or fusion surgery in these symptomatic patients.

키워드

Spine fracture; Endoscopic spine surgery; Sports injury; Superior articular process; Foraminal ligament; Repetitive stress fracture; Lumbar endoscopic unilateral laminotomy for bilateral decompression

원문 및 링크아웃 정보

 

등재저널 정보