Duckbill release technique for the outside-in method in full-endoscopic spine surgery via transforaminal approach: A technical note.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-11-04 DOI:10.1016/j.wneu.2024.10.120

Daisuke Ukeba, Ken Nagahama, Katsuhisa Yamada, Yuichiro Abe, Yoshinori Hyugaji, Yuto Horita, Tsutomu Endo, Takashi Ohnishi, Hiroyuki Tachi, Yuichi Hasegawa, Hideki Sudo, Norimasa Iwasaki

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引用次数: 0

Abstract

Introduction: In full-endoscopic spine surgery via trans-foraminal approach (FESS-TF), the outside-in method facilitates treatment for various cases; however, the technique is difficult to perform. To facilitate this procedure, we developed a duckbill release technique. In this paper, we aimed to introduce the details of this technique and investigate its effectiveness.

Materials and methods: Fifty patients who underwent FESS-TF for intervertebral disc herniation were divided into two groups: the conventional technique and the duckbill release technique groups. The time from the initiation of surgery to exposure of the bone outside the superior articular process was measured in both groups. The visual analog scale (VAS) score for leg pain and the Japanese Orthopaedic Association (JOA) score before and after surgery were compared in terms of clinical outcomes.

Results: No significant differences were observed between the two groups in terms of patient background. The approach time was 252 ± 86 s in the conventional group, while it was 105 ± 26 s in the duckbill release group, which was significantly shorter (p < 0.001). In terms of clinical outcomes, the two groups did not significantly differ in all endpoints of the VAS score for leg pain or the JOA score.

Conclusions: The duckbill release technique for the outside-in method in FESS-TF could be efficient because it is a simple and time-saving approach.

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经椎间孔全腔镜脊柱手术外入法鸭嘴状松解技术：技术说明。

简介在经腔镜全内窥镜脊柱手术（FESS-TF）中，外入式方法有助于治疗各种病例，但该技术难以操作。为了方便这种手术，我们开发了一种鸭嘴松解技术。本文旨在介绍该技术的细节并研究其有效性：将 50 名接受 FESS-TF 治疗的椎间盘突出症患者分为两组：传统技术组和鸭嘴松解技术组。测量两组患者从开始手术到上关节突外骨质暴露的时间。在临床结果方面，比较了手术前后腿部疼痛的视觉模拟量表（VAS）评分和日本骨科协会（JOA）评分：两组患者的背景无明显差异。传统组的手术时间为 252 ± 86 秒，而鸭嘴松解组的手术时间为 105 ± 26 秒，明显缩短（P < 0.001）。在临床结果方面，两组在腿部疼痛 VAS 评分或 JOA 评分的所有终点方面均无明显差异：结论：在 FESS-TF 手术中，外入法鸭嘴松解技术是一种简单省时的高效方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.