Percutaneous Endoscopic Interlaminar Approach: Medial Foraminal Decompression in Treating Lumbar Disc Herniation or Spinal Stenosis
| Autor: | Zhu Teng-Yue, Cui Hong-Peng, Ding Yu, Zhang Jian-Jun, Fu Ben-Sheng, Qiao Jin-Lin |
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| Rok vydání: | 2017 |
| Předmět: |
musculoskeletal diseases
030222 orthopedics medicine.medical_specialty Percutaneous Spinal stenosis Decompression business.industry medicine.medical_treatment Lumbar spinal stenosis Cauda equina medicine.disease Surgery Lateral recess 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Lumbar Discectomy medicine business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Spine. |
| ISSN: | 2165-7939 |
| DOI: | 10.4172/2165-7939.1000375 |
| Popis: | Background: The technique of transforaminal endoscopic spine surgery is being widely used for lumbar degenerative diseases. But the interlaminar endoscopic surgery, which is more familiar and easier to be operated for spine surgeons, is more easily applied by traditionally trained surgeons. Objective: We propose the technique of percutaneous endoscopic medial foraminal decompression through interlaminar approach for the treatment of lumbar disc herniation (LDH) and spinal stenosis (LSS), and to explore the safety and efficacy of using this technique clinically. Methods: Thirty-two LDH and eleven LSS patients received medial foraminal decompression surgery with 22.6 ± 7.9 months follow-up. Through interlaminar space, we are able to perform discectomy and lateral recess decompression to decompress the medial foraminal area. Clinical efficacy was assessed by calculating the scores of VAS, SF-36, and lumbar disease JOA and ODI respectively at preoperative, postoperative and the discharge period, 3-6 months postoperatively and the final follow-up time point when patients were considered having received maximum surgical benefit. Follow-up time period varied because of the patients' follow-up logistics in China serving a large referral area made it difficult for rural patients to return at established intervals for the study. Results: For both LDH and LSS patients, the observational indexes of the follow-up time points showed significant differences compared with those preoperatively (P |
| Databáze: | OpenAIRE |
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