A minimally invasive surgical approach for the treatment of piriformis syndrome: a case series

• 作者: Hogan Elizabeth Sherman Jonathan H. Vora Darshan
• 来源期刊: 中华神经外科杂志（英文）
• 关键词: Piriformis syndrome Sciatic nerve Minimally invasive Neuromonitoring
• 年，卷（期）: 2020,（2）
• 所属期刊栏目: Research
• 页码范围: 76-81
• 页数: 6页
• 语种: 中文
• DOI: 10.1186/s41016-020-00189-y

摘要

Background::Piriformis syndrome accounts for approximately 6% of patients who present with sciatic pain. There are many treatment options ranging from physical therapy, to trigger point injections, to surgical intervention. We discuss a surgical method that represents a minimally invasive technique for the treatment of piriformis syndrome.Methods::We describe a novel operative approach and technique for release of the piriformis muscle in the treatment of piriformis syndrome. Described are the preoperative planning, incision and approach, and technique for identifying and releasing the piriformis muscle.Results::Three patients were treated for piriformis syndrome using the described technique. Each patient displayed successful relief of their symptoms immediately following the surgical procedure and at delayed follow-up.Conclusion::Early experience with our method of piriformis release suggests that it is well suited for the treatment of piriformis syndrome. The novel integration of pre-operative trigger point localization coupled with intraoperative neuromonitoring allows effective pain relief with minimal morbidity.