Full Endoscopic Posterior Cervical Foraminotomy in Management of Foraminal Disc Herniation and Foraminal Stenosis.

IF 1.7 Q2 ORTHOPEDICS

Orthopedic Research and Reviews Pub Date : 2022-01-17 eCollection Date: 2022-01-01 DOI:10.2147/ORR.S349701

Asrafi Rizki Gatam, Luthfi Gatam, Phedy, Harmantya Mahadhipta, Omar Luthfi, Ajiantoro, Syafrudin Husin, Dina Aprilya

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引用次数: 5

Abstract

Background: The development of full endoscopic procedures enables surgeons to visualize the operative field very clearly. Posterior foraminotomy using endoscopy was developed as a minimally invasive procedure to reduce the complication of the anterior cervical approach and to preserve the segmental motion without decreasing the effectiveness of nerve decompression. Our aim is to evaluate the result of full endoscopic posterior cervical foraminotomy in our center.

Methods: This is a prospective single-arm study of 65 foraminal disc herniation and foraminal stenosis patients that underwent full endoscopic posterior foraminotomy procedures. All patients were routinely observed for 12-months duration to evaluate Visual Analog Score (VAS) of the neck, arm, and modified Macnab criteria.

Results: Arm pain VAS decreased significantly compared with the pre-operation state (p < 0.001, 0.034, 0.001 on immediate post-operative, 6-months follow-up, and 12-months follow-up, respectively) even though 6.15% of patients had hypesthesia on follow-up. There was no neck pain observed during 1 year follow-up, and modified Macnab criteria showed a good outcome following full endoscopic posterior foraminotomy.

Conclusion: Full endoscopic posterior foraminotomy provides good nerve decompression with all the benefits of endoscopic spine procedure.

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全内窥镜颈椎后椎间孔切开术治疗椎间孔椎间盘突出和椎间孔狭窄。

背景:全面内窥镜手术的发展使外科医生能够非常清楚地看到手术视野。内窥镜下后路椎间孔切开术是一种微创手术，可减少颈椎前路入路的并发症，并在不降低神经减压效果的情况下保持节段运动。我们的目的是评估全内窥镜下颈椎后椎间孔切开术的结果。方法:这是一项前瞻性单臂研究，65例椎间孔椎间盘突出和椎间孔狭窄患者接受了完整的内窥镜后路椎间孔切开术。所有患者进行为期12个月的常规观察，以评估颈部、手臂的视觉模拟评分(VAS)和修改的Macnab标准。结果:尽管6.15%的患者在随访中出现感觉减退，但与术前相比，手臂疼痛VAS评分明显下降(术后立即、随访6个月、随访12个月分别p < 0.001、0.034、0.001)。在1年的随访中没有观察到颈部疼痛，改进的Macnab标准显示全内窥镜后路椎间孔切开术后预后良好。结论:充分的内窥镜后椎间孔切开术提供了良好的神经减压和内窥镜脊柱手术的所有好处。

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

Orthopedic Research and Reviews Medicine-Orthopedics and Sports Medicine

CiteScore

2.80

自引率

0.00%

发文量

审稿时长

16 weeks

期刊介绍： Orthopedic Research and Reviews is an international, peer-reviewed, open-access journal focusing on the patho-physiology of the musculoskeletal system, trauma, surgery and other corrective interventions to restore mobility and function. Advances in new technologies, materials, techniques and pharmacological agents will be particularly welcome. Specific topics covered in the journal include: Patho-physiology and bioengineering, Technologies and materials science, Surgical techniques, including robotics, Trauma management and care, Treatment including pharmacological and non-pharmacological, Rehabilitation and Multidisciplinarian care approaches, Patient quality of life, satisfaction and preference, Health economic evaluations. The journal welcomes submitted papers covering original research, basic science and technology, clinical studies, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.