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Adhesive Arachnoiditis of the Lumbar Spine after Endoscopic Discectomy - A Case Report -

  • Journal of Korean Society of Spine Surgery
  • Abbr : J Kor Spine Sur
  • 2020, 27(2), pp.84-88
  • Publisher : Korean Society Of Spine Surgery
  • Research Area : Medicine and Pharmacy > Orthopedic Surgery
  • Received : June 30, 2020
  • Accepted : June 30, 2020
  • Published : June 30, 2020

Dae Ho Ha 1 Sung Kyun Oh 2 Baek Kyu Kim 2

1원광대학교 의과대학 산본병원 정형외과
2원광대학교 의과대학 산본병원정형외과

Accredited

ABSTRACT

Study Design: Case report. Objective: We present a rare case of adhesive arachnoiditis that occurred after percutaneous endoscopic discectomy. Summary of Literature Review: Adhesive arachnoiditis can be caused by infection, trauma, surgery, and other iatrogenic injuries. Material and Methods: A 60-year-old man presented with acute onset of lower back pain, radiating to the right leg. His symptoms had developed 10 days previously without any trauma. He had a history of L4-5 percutaneous endoscopic discectomy 10 months ago. There was no evidence of infection in an examination of cerebrospinal fluid obtained from a spinal tap. However, magnetic resonance imaging showed peridural fibrosis, clumping of the nerve roots of the cauda equina with the pia mater, and dural enhancement at the L4-5 level. Results: His symptoms disappeared after steroid pulse therapy. Conclusions: Even minimally invasive surgery, such as endoscopic discectomy, can lead to adhesive arachnoiditis of the lumbar spine.

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