Abstract | STUDY DESIGN: OBJECTIVES: SUMMARY OF BACKGROUND DATA: Automated laser discectomy represents a minimally invasive technique to treat herniated intervertebral discs. By using small, automated probes placed in the disc under local anesthesia and fluoroscopic guidance, disc material can be removed percutaneously, eliminating the need for lumbar laminectomy with its attendant morbidity. Some complications have been reported. This case report presents a complication not previously described. METHODS: A 39-year-old woman underwent L4-L5 automated laser discectomy; an attempt was made to lase the L5-S1 disc, but the procedure was aborted because of severe pain and discomfort. The patient had pain in the left lower extremity in the L5 and S1 distribution, including the foot. There was evidence of allodynia and hyperesthesia with some dystrophic changes in the foot. A diagnosis of complex regional pain syndrome Type 2 ( causalgia) was made. RESULTS: CONCLUSIONS:
Complex regional pain syndrome Type 2 with sympathetically maintained pain is a condition that can result in serious disability and can be associated with a number of spinal procedures, including automated laser percutaneous discectomy. Early intervention is recommended to provide long-term resolution of the condition.
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Authors | R Plancarte, O Calvillo |
Journal | Spine
(Spine (Phila Pa 1976))
Vol. 22
Issue 4
Pg. 459-61; discussion 461-2
(Feb 15 1997)
ISSN: 0362-2436 [Print] United States |
PMID | 9055376
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adult
- Automation
- Causalgia
(etiology, therapy)
- Diskectomy
(adverse effects)
- Female
- Humans
- Laser Therapy
(adverse effects)
- Lumbar Vertebrae
(surgery)
- Sympathectomy, Chemical
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