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Volume 58
Issue 3
10.3390/medicina58030371
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Case Report

Six Revision Surgeries for Massive Epidural Fibrosis with Recurrent Pain and Weakness in the Left Lower Extremity

by
Ho Yong Choi
* and
Dae Jean Jo
Department of Neurosurgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University of Medicine, Seoul 05278, Korea
*
Author to whom correspondence should be addressed.
Medicina 2022, 58(3), 371; https://doi.org/10.3390/medicina58030371
Submission received: 25 January 2022 / Revised: 19 February 2022 / Accepted: 28 February 2022 / Published: 2 March 2022
(This article belongs to the Topic Orthopaedic Diseases and Innovative Intervention Strategies)
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Abstract

Epidural fibrosis is a common cause of pain after lumbar surgeries. There are no previous reports documenting profound limb weakness associated with epidural fibrosis. A 43-year-old woman uneventfully underwent microscopic discectomy. However, six additional surgeries were needed due to recurrent pain and weakness episodes, several days after the surgery. Operative findings were severe epidural fibrosis around the thecal sac and nerve roots. Epidural fibrosis excision did not prevent recurrent fibrosis; therefore, we performed a lordotic fusion with posterior column shortening to reduce neural tension and nerve-root stretching. Eventually, she became free from recurrent episodes of deteriorations and repetitive surgeries.
Keywords: epidural fibrosis; discectomy; failed back surgery syndrome; intervertebral disc epidural fibrosis; discectomy; failed back surgery syndrome; intervertebral disc

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MDPI and ACS Style

Choi, H.Y.; Jo, D.J. Six Revision Surgeries for Massive Epidural Fibrosis with Recurrent Pain and Weakness in the Left Lower Extremity. Medicina 2022, 58, 371. https://doi.org/10.3390/medicina58030371

AMA Style

Choi HY, Jo DJ. Six Revision Surgeries for Massive Epidural Fibrosis with Recurrent Pain and Weakness in the Left Lower Extremity. Medicina. 2022; 58(3):371. https://doi.org/10.3390/medicina58030371

Chicago/Turabian Style

Choi, Ho Yong, and Dae Jean Jo. 2022. "Six Revision Surgeries for Massive Epidural Fibrosis with Recurrent Pain and Weakness in the Left Lower Extremity" Medicina 58, no. 3: 371. https://doi.org/10.3390/medicina58030371

APA Style

Choi, H. Y., & Jo, D. J. (2022). Six Revision Surgeries for Massive Epidural Fibrosis with Recurrent Pain and Weakness in the Left Lower Extremity. Medicina, 58(3), 371. https://doi.org/10.3390/medicina58030371

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