AI Article Synopsis
- Neurogenic claudication due to lumbar stenosis is common, and the mild (minimally invasive lumbar decompression) procedure is emerging as a safe alternative to traditional treatments, though complications are infrequently documented.
- A case is presented where a patient experienced a cerebrospinal fluid leak after the mild procedure, leading to unsuccessful lumbar drainage and the need for two additional surgeries.
- This highlights that even minor procedures can lead to serious complications, necessitating education for all healthcare providers involved on the associated risks and optimal management strategies.
Article Abstract
Background: Neurogenic claudication caused by lumbar stenosis is a prevalent disorder of the spinal canal for which many treatment options exist. The mild (minimally invasive lumbar decompression) procedure has recently been introduced as a safe and effective alternative to medical management in the treatment of lumbar stenosis. However, data on complications are rarely reported, and the incidence of complications, when reported, is frequently assessed at 0% in the literature.
Observations: The case of a patient with a cerebrospinal fluid leak following a mild procedure performed at an outpatient facility who presented to an inpatient emergency department is discussed. After lumbar drainage failed, the patient required 2 operative procedures to rectify the leak.
Lessons: A seemingly innocuous procedure may have highly morbid complications requiring a lengthy inpatient stay and return trips to the operating room. The physicians and surgeons who manage these complications are frequently not those who performed the index procedure; they should be educated on the risks of the procedure and best practices for definitive management. https://thejns.org/doi/10.3171/CASE24497.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11633019 | PMC |
| http://dx.doi.org/10.3171/CASE24497 | DOI Listing |
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