Short-term outcome of percutaneous spinal endoscopic technique of fully visualization foraminoplasty for lumbar disc herniation

Q4 Medicine

中华神经外科杂志 Pub Date : 2020-02-28 DOI:10.3760/CMA.J.ISSN.1001-2346.2020.02.011

Ye Jiang, Fulin Xu, Yongyan Bi, Yuhang Mao, Lutao Yuan, Chen Li, Chongjing Sun, Yong Yu

{"title":"Short-term outcome of percutaneous spinal endoscopic technique of fully visualization foraminoplasty for lumbar disc herniation","authors":"Ye Jiang, Fulin Xu, Yongyan Bi, Yuhang Mao, Lutao Yuan, Chen Li, Chongjing Sun, Yong Yu","doi":"10.3760/CMA.J.ISSN.1001-2346.2020.02.011","DOIUrl":null,"url":null,"abstract":"Objective \nTo explore the clinical early efficacy of fully visualization foraminoplasty in treatment of lumbar disc herniation with percutaneous spinal endoscope. \n \n \nMethods \nA retrospective analysis was conducted on the clinical data of 32 patients who underwent percutaneous spinal endoscopic operation of fully visualization foraminoplasty for lumbar disc herniation at Department of Neurosurgery, Minhang Hospital, Fudan University (18 cases) and Department of Neurosurgery, Zhongshan Hospital, Fudan University (14 cases) from June 2016 to December 2018. Lumbar MRI was reviewed after surgery and visual analog scale (VAS), Japanese Orthopaedic Association (JOA) score and Oswestry disability index (ODI) were employed for outcome evaluation. Outpatient follow-up was conducted for all patients and included the assessment based on VAS, JOA score, ODI and modified MacNab criteria. \n \n \nResults \nAll 32 patients successfully underwent the operation. No postoperative infection, spinal canal hematoma or neurological dysfunction occurred. Postoperative review of lumbar spine MRI showed satisfactory excision of nucleus pulposus. Compared with preoperative conditions, 32 patients′ VAS score (2.21±1.18 points vs. 6.25±1.46 points) and ODI [(30.28±7.42)% vs. (68.63±11.04)%] were decreased 2 days after surgery (both P<0.001), and the JOA score (16.66±1.58 points vs. 12.43±1.85 points) was increased 2 days after surgery (P<0.001). The follow-up duration of 32 patients was 15±5 months (10-20 months). With the increase of follow-up duration, the VAS score of 32 patients showed a downward trend, the JOA score showed an upward trend, and the ODI showed a downward trend (F=187.43, 72.54, and 564.38, all P <0.001). At 12-month follow-up, the outcomes assessed according to modified MacNab criteria were: excellent in 20 patients, good in 9 patients, fair in 2 patients and poor in 1 patient. The rate of excellent and good outcomes was 90.6 % (29/32). \n \n \nConclusions \nPercutaneous spinal endoscopic technique of fully visualization foraminoplasty for lumbar disc herniation could improve pain and nerve function, help patients to resume life and work, and has satisfactory short-term outcome. Its long-term therapeutic effect still needs to be further observed. \n \n \nKey words: \nLumbar vertebrae; Intervertebral disc degeneration; Percutaneous endoscopic; Visualization; Treatment outcome","PeriodicalId":10100,"journal":{"name":"中华神经外科杂志","volume":"36 1","pages":"162-167"},"PeriodicalIF":0.0000,"publicationDate":"2020-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华神经外科杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1001-2346.2020.02.011","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Objective To explore the clinical early efficacy of fully visualization foraminoplasty in treatment of lumbar disc herniation with percutaneous spinal endoscope. Methods A retrospective analysis was conducted on the clinical data of 32 patients who underwent percutaneous spinal endoscopic operation of fully visualization foraminoplasty for lumbar disc herniation at Department of Neurosurgery, Minhang Hospital, Fudan University (18 cases) and Department of Neurosurgery, Zhongshan Hospital, Fudan University (14 cases) from June 2016 to December 2018. Lumbar MRI was reviewed after surgery and visual analog scale (VAS), Japanese Orthopaedic Association (JOA) score and Oswestry disability index (ODI) were employed for outcome evaluation. Outpatient follow-up was conducted for all patients and included the assessment based on VAS, JOA score, ODI and modified MacNab criteria. Results All 32 patients successfully underwent the operation. No postoperative infection, spinal canal hematoma or neurological dysfunction occurred. Postoperative review of lumbar spine MRI showed satisfactory excision of nucleus pulposus. Compared with preoperative conditions, 32 patients′ VAS score (2.21±1.18 points vs. 6.25±1.46 points) and ODI [(30.28±7.42)% vs. (68.63±11.04)%] were decreased 2 days after surgery (both P<0.001), and the JOA score (16.66±1.58 points vs. 12.43±1.85 points) was increased 2 days after surgery (P<0.001). The follow-up duration of 32 patients was 15±5 months (10-20 months). With the increase of follow-up duration, the VAS score of 32 patients showed a downward trend, the JOA score showed an upward trend, and the ODI showed a downward trend (F=187.43, 72.54, and 564.38, all P <0.001). At 12-month follow-up, the outcomes assessed according to modified MacNab criteria were: excellent in 20 patients, good in 9 patients, fair in 2 patients and poor in 1 patient. The rate of excellent and good outcomes was 90.6 % (29/32). Conclusions Percutaneous spinal endoscopic technique of fully visualization foraminoplasty for lumbar disc herniation could improve pain and nerve function, help patients to resume life and work, and has satisfactory short-term outcome. Its long-term therapeutic effect still needs to be further observed. Key words: Lumbar vertebrae; Intervertebral disc degeneration; Percutaneous endoscopic; Visualization; Treatment outcome

查看原文本刊更多论文

经皮脊柱内窥镜全可视化椎间孔成形术治疗腰椎间盘突出症的近期疗效

目的探讨经皮脊柱内窥镜下全视孔成形术治疗腰椎间盘突出症的临床早期疗效。方法回顾性分析2016年6月至2018年12月在复旦大学闵行医院神经外科（18例）和复旦大学中山医院神经外科（14例）接受经皮脊柱内窥镜全视孔成形术治疗腰椎间盘突出症的32例患者的临床资料。术后复查腰椎MRI，并采用视觉模拟评分（VAS）、日本骨科协会（JOA）评分和奥斯韦斯特里残疾指数（ODI）进行结果评估。对所有患者进行门诊随访，包括基于VAS、JOA评分、ODI和改良MacNab标准的评估。结果32例患者均顺利完成手术。无术后感染、椎管内血肿或神经功能障碍发生。术后复查腰椎MRI显示髓核切除效果良好。与术前相比，32例患者术后2天VAS评分（2.21±1.18分vs.6.25±1.46分）和ODI[（30.28±7.42）%vs.（68.63±11.04）%]下降（均P<0.001），JOA评分（16.66±1.58分vs.12.43±1.85分）上升（P<0.001）。32例患者随访时间为15±5个月（10-20个月）。随着随访时间的增加，32名患者的VAS评分呈下降趋势，JOA评分呈上升趋势，ODI呈下降趋势（F=187.43、72.54和564.38，均P＜0.001）。在12个月的随访中，根据改良的MacNab标准评估的结果为：20名患者为优，9名患者为良，2名患者为尚可，1名患者为差。优良率为90.6%（29/32）。结论经皮脊柱内窥镜全视孔成形术治疗腰椎间盘突出症，可改善患者的疼痛和神经功能，有助于患者恢复生活和工作，近期疗效满意。其长期治疗效果仍有待进一步观察。关键词：腰椎；椎间盘退变；经皮内镜；可视化；治疗结果

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

中华神经外科杂志 Medicine-Surgery

CiteScore

0.10

自引率

0.00%

发文量

10706

期刊介绍： Chinese Journal of Neurosurgery is one of the series of journals organized by the Chinese Medical Association under the supervision of the China Association for Science and Technology. The journal is aimed at neurosurgeons and related researchers, and reports on the leading scientific research results and clinical experience in the field of neurosurgery, as well as the basic theoretical research closely related to neurosurgery.Chinese Journal of Neurosurgery has been included in many famous domestic search organizations, such as China Knowledge Resources Database, China Biomedical Journal Citation Database, Chinese Biomedical Journal Literature Database, China Science Citation Database, China Biomedical Literature Database, China Science and Technology Paper Citation Statistical Analysis Database, and China Science and Technology Journal Full Text Database, Wanfang Data Database of Medical Journals, etc.