Clinical Outcomes of Interlaminar Percutaneous Endoscopic Decompression for Degenerative Lumbar Spondylolisthesis with Spinal Stenosis
Autor: | Pornpavit Sriphirom, Preewut Chaipanha, Chalit Saepoo, Chaiyaporn Siramanakul |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
musculoskeletal diseases
medicine.medical_specialty Percutaneous Spinal stenosis Decompression Visual analogue scale Radiography degenerative spondylolisthesis interlaminar percutaneous endoscopic decompression spinal stenosis Article Facet joint lcsh:RC321-571 03 medical and health sciences 0302 clinical medicine Medicine 030212 general & internal medicine lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry business.industry General Neuroscience fungi food and beverages medicine.disease musculoskeletal system Surgery Oswestry Disability Index medicine.anatomical_structure Radicular pain business 030217 neurology & neurosurgery |
Zdroj: | Brain Sciences; Volume 11; Issue 1; Pages: 83 Brain Sciences, Vol 11, Iss 83, p 83 (2021) Brain Sciences |
ISSN: | 2076-3425 |
DOI: | 10.3390/brainsci11010083 |
Popis: | The use of traditional open decompression alone in degenerative spondylolisthesis can lead to the development of postoperative spinal instability, whereas percutaneous endoscopic decompression can preserve the attachment of intervertebral muscles, facet joint capsules, and ligaments that stabilize the spine. The study’s aim was to determine clinical as well as radiologic outcomes associated with interlaminar percutaneous endoscopic decompression in patients with stable degenerative spondylolisthesis. For this study, 28 patients with stable degenerative spondylolisthesis who underwent percutaneous endoscopic decompression were enrolled. The clinical outcomes in terms of the visual analogue scale (VAS) and Oswestry disability index (ODI) were evaluated. Radiologic outcomes were determined by measuring the ratio of disc height and the vertebral slippage percentage using lateral standing radiographs. The average follow-up period was 25.24 months. VAS and ODI were significantly improved at the final follow-up. In terms of ratio of disc height and vertebral slippage percentage found no significant difference between the preoperative and postoperative periods. One patient underwent further caudal epidural steroid injection. One patient underwent fusion because their radicular pain did not improve. Interlaminar percutaneous endoscopic decompression is an effective procedure with favorable outcomes in selected patients with stable degenerative spondylolisthesis. |
Databáze: | OpenAIRE |
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