| Surgical Management of Concurrent Tumor and Degenerative
Disc Diseases of the Lumbar Spine in Elderly Patients.
Lessons Learned from Complications |
|
Hyeong-Joong Yi , Seong-Hoon Oh |
|
Department of Neurosurgery, Hanyang University Medical Center, Seoul, Korea |
|
|
| Abstract |
|
Two cases of concurrent spinal intradural tumors and degenerative lumbar disc diseases are presented. Both
patients showed recently developed thigh or leg pain, that were superimposed on the pre-existing lower back pain.
Because of the ignorance of important physical examination denoting L3-4 root involvement and overconfidence
of electromyographic results, the first patient suffered reoperation. In the second patient, omission of past history
of long-term herbal medication resulted in accumulation of postoperative epidural bleeds. In this case report, we
highlight the easily overlooked traditional way of history taking and physical examination for patient who await
operative intervention. One-stage operation is mandated to attain satisfactory result and to avoid unneccessary
reoperation, if possible. |
| Key Words:
Degenerative disc diseaseㆍIntradural tumorㆍLumbar spineㆍOne-stage operationㆍPhysical examination |
|
PDF Links
Download Citation
