Lumbar Canal Stenosis Caused by Marked Bone Overgrowth after Decompression Surgery
Narrowing of the lumbar canal due to bone regrowth after lumbar decompression surgery generally occurs at the facet joint; it is exceedingly rare for this phenomenon to occur at the laminar arch. Herein, we describe a case of restenosis caused by marked bone overgrowth at the facet joints and lamina...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2022/9462399 |
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| author | Hiroya Shimauchi-Ohtaki Manabu Minami Toshiyuki Takahashi Ryo Kanematsu Fumiaki Honda Junya Hanakita |
| author_facet | Hiroya Shimauchi-Ohtaki Manabu Minami Toshiyuki Takahashi Ryo Kanematsu Fumiaki Honda Junya Hanakita |
| author_sort | Hiroya Shimauchi-Ohtaki |
| collection | DOAJ |
| description | Narrowing of the lumbar canal due to bone regrowth after lumbar decompression surgery generally occurs at the facet joint; it is exceedingly rare for this phenomenon to occur at the laminar arch. Herein, we describe a case of restenosis caused by marked bone overgrowth at the facet joints and laminar arch after lumbar decompression surgery. A 64-year-old man underwent partial hemilaminectomy for lumbar canal stenosis at the L3/L4 level 12 years ago. His symptoms recurred 7 years after the first surgery. Overgrowth of the laminar arch and facet joints was observed at the decompression site. Thus, partial laminectomy of L3 and L4 was performed as a second surgery. Four years after the second surgery, a laminectomy of L3-L4 was performed for bone restenosis and disc herniation. The underlying mechanism of the remarkable overgrowth of the removed lamina remains unclear. Endochondral ossification signals and mechanosignals should be comprehensively examined. |
| format | Article |
| id | doaj-art-f5f6683dfbc644be8185747b34ae0900 |
| institution | Kabale University |
| issn | 2090-6757 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-f5f6683dfbc644be8185747b34ae09002025-02-03T05:53:29ZengWileyCase Reports in Orthopedics2090-67572022-01-01202210.1155/2022/9462399Lumbar Canal Stenosis Caused by Marked Bone Overgrowth after Decompression SurgeryHiroya Shimauchi-Ohtaki0Manabu Minami1Toshiyuki Takahashi2Ryo Kanematsu3Fumiaki Honda4Junya Hanakita5Spinal Disorders CenterSpinal Disorders CenterSpinal Disorders CenterSpinal Disorders CenterDepartment of NeurosurgerySpinal Disorders CenterNarrowing of the lumbar canal due to bone regrowth after lumbar decompression surgery generally occurs at the facet joint; it is exceedingly rare for this phenomenon to occur at the laminar arch. Herein, we describe a case of restenosis caused by marked bone overgrowth at the facet joints and laminar arch after lumbar decompression surgery. A 64-year-old man underwent partial hemilaminectomy for lumbar canal stenosis at the L3/L4 level 12 years ago. His symptoms recurred 7 years after the first surgery. Overgrowth of the laminar arch and facet joints was observed at the decompression site. Thus, partial laminectomy of L3 and L4 was performed as a second surgery. Four years after the second surgery, a laminectomy of L3-L4 was performed for bone restenosis and disc herniation. The underlying mechanism of the remarkable overgrowth of the removed lamina remains unclear. Endochondral ossification signals and mechanosignals should be comprehensively examined.http://dx.doi.org/10.1155/2022/9462399 |
| spellingShingle | Hiroya Shimauchi-Ohtaki Manabu Minami Toshiyuki Takahashi Ryo Kanematsu Fumiaki Honda Junya Hanakita Lumbar Canal Stenosis Caused by Marked Bone Overgrowth after Decompression Surgery Case Reports in Orthopedics |
| title | Lumbar Canal Stenosis Caused by Marked Bone Overgrowth after Decompression Surgery |
| title_full | Lumbar Canal Stenosis Caused by Marked Bone Overgrowth after Decompression Surgery |
| title_fullStr | Lumbar Canal Stenosis Caused by Marked Bone Overgrowth after Decompression Surgery |
| title_full_unstemmed | Lumbar Canal Stenosis Caused by Marked Bone Overgrowth after Decompression Surgery |
| title_short | Lumbar Canal Stenosis Caused by Marked Bone Overgrowth after Decompression Surgery |
| title_sort | lumbar canal stenosis caused by marked bone overgrowth after decompression surgery |
| url | http://dx.doi.org/10.1155/2022/9462399 |
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