Bi-needle technique versus transforaminal endoscopic spine system technique for percutaneous endoscopic lumbar discectomy in treating intervertebral disc calcification: a propensity score matched cohort analysis
| Autor: | Xiao-Dong Wu, Jiancheng Zheng, Bin Sun, Changgui Shi, Huajiang Chen, Huiqiao Wu, Zeng Xu, Ke Zhang, Yun-Hao Wang, Wen Yuan |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Percutaneous Visual analogue scale Lumbar discectomy Cohort Studies 03 medical and health sciences 0302 clinical medicine Lumbar Matched cohort Humans Medicine Diskectomy Percutaneous Intervertebral Disc Propensity Score Retrospective Studies Lumbar Vertebrae business.industry Endoscopy General Medicine Surgery Treatment Outcome Intervertebral disc calcification 030220 oncology & carcinogenesis Cohort Propensity score matching Neurology (clinical) business Intervertebral Disc Displacement 030217 neurology & neurosurgery Diskectomy |
| Zdroj: | British Journal of Neurosurgery. 35:245-250 |
| ISSN: | 1360-046X 0268-8697 |
| DOI: | 10.1080/02688697.2020.1784393 |
| Popis: | OBJECTIVE: The aim of this study was to evaluate the clinical results of a Bi-needle technique and conventional transforaminal endoscopic spine system (TESSYS) technique for percutaneous endoscopic lumbar discectomy (PELD) in treating patients with intervertebral disc calcification (IDC). BACKGROUND: PELD has gained acceptance for treating patients with IDC. The Bi-needle technique was designed to improve the efficiency and safety of PELD. METHOD: Bi-needle and TESSYS group within each cohort were balanced using 1:1 propensity score matching. Finally, 32 patients with IDC treated by Bi-needle technique from December 2015 to September 2017 were enrolled and 25 patients treated by TESSYS technique from the same spine surgery center between January 2013 and October 2017 were enrolled as controls. RESULTS: Propensity score matching generated 22 Bi-needle and 22 TESSYS patients. There were no significant differences in visual analog scale and lumbar Japanese Orthopaedic Association scores between Bi-needle and TESSYS group. Operative time and rate of complications in the Bi-needle was significantly better than the TESSYS group (p < 0.01). CONCLUSIONS: Both surgical methods achieved good clinical outcomes. However, compared with the TESSSY technique, operative time of the Bi-needle technique is shorter, and rate of complications is lower. |
| Databáze: | OpenAIRE |
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