Original Uniportal Bichannel and Dual-Media Spinal Endoscopy System Assists Elderly Patients with Thoracolumbar Kyphosis Associated with Osteoporosis: Technical Note and Preliminary Clinical Results

IF 1.9 4区医学 Q3 CLINICAL NEUROLOGY

World neurosurgery Pub Date : 2025-03-20 DOI:10.1016/j.wneu.2025.123785

Muhang Tian , Xinbo Wu , Yingchuan Zhao , Yanjie Zhu , Yunshan Fan , Haijian Ni , Fangjing Chen , Shisheng He

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引用次数: 0

Abstract

Background

The uniportal bichannel and dual-media spinal endoscopy (UBD) system is an original endoscopic system developed by the authors. This technical note describes a single-center case series of elderly patients with thoracolumbar kyphosis (TLK) with osteoporosis treated with the assistance of the UBD system.

Methods

This article presents a retrospective case series including 4 patients with TLK with osteoporosis treated with assistance of the UBD system. Demographic, clinical, imaging, and procedure-related data are reported.

Results

All 4 patients achieved satisfactory correction of TLK. The regional kyphosis angle and TLK improved significantly in the patients, correcting from 24.73 ± 6.51° to 5.46 ± 2.16° (P < 0.001) and 29.28 ± 4.02° to 6.33 ± 3.13° (P < 0.001). The patients showed an improvement in visual analog scale and Oswestry Disability Index scores postoperatively (P < 0.001). No complications were observed.

Conclusions

This study suggests that use of the UBD system to assist in treatment of elderly patients with rigid TLK with osteoporosis is a safe and effective approach.

查看原文本刊更多论文

独创的单门双通道双介质脊柱内窥镜（UBD）系统帮助老年胸腰椎后凸伴骨质疏松症患者：技术说明和初步临床结果。

背景：单门双通道双介质脊柱内窥镜系统（UBD）是一种新颖而有价值的内窥镜系统。本技术说明的目的是描述一个单中心病例系列，在UBD系统的帮助下治疗胸腰椎后凸伴骨质疏松症的老年患者。方法：本文提出了一个回顾性描述的病例系列，包括四名患者的这种情况。报告了人口统计学、临床、影像学和手术相关数据。结果：4例患者均获得满意的胸腰椎后凸矫正效果。患者的RKA和TLK分别由24.73±6.51和29.28±4.02分别改善至5.46±2.16 （P < 0.001）和6.33±3.13 （P < 0.001）。患者术后VAS和ODI评分均有改善（P < 0.001）。无并发症发生。结论：UBD系统辅助治疗老年硬TLK合并骨质疏松是一种安全有效的方法。

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

World neurosurgery CLINICAL NEUROLOGY-SURGERY

CiteScore

3.90

自引率

15.00%

发文量

1765

审稿时长

47 days

期刊介绍： World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal''s mission is to: -To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care. -To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide. -To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients. Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS