远外侧经椎间孔单侧双门静脉内镜下腰椎间盘切除术治疗上腰椎间盘突出症。

IF 3.6 2区 医学 Q1 CLINICAL NEUROLOGY
Neurospine Pub Date : 2025-03-01 Epub Date: 2025-03-31 DOI:10.14245/ns.2550058.029
Jin Seop Hwang, Sang Hyub Lee, Dain Jeong, Jae-Won Jang, Yong Eun Cho, Dong-Geun Lee, Choon Keun Park, Chung Kee Chough
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引用次数: 0

摘要

目的:上腰椎区具有独特的解剖特征,这给椎间盘切除术带来了挑战。我们介绍远外侧经椎间孔单侧双门静脉内窥镜(UBE)腰椎间盘切除术中央或中央旁椎间盘突出在上腰椎区域。方法:我们对2018年1月至2024年9月在我院行远外侧经椎间孔UBE腰椎间盘切除术的患者进行回顾性分析。回顾了患者的电子病历、手术记录和放射影像。结果:共有27例患者接受了远外侧经椎间孔UBE腰椎间盘切除术治疗上腰椎区中央或中央旁椎间盘突出。患者平均年龄54.0±13.7岁。L1-2节段3例(11.1%),L2-3节段9例(33.3%),L3-4节段15例(55.6%)。随访时间平均为27.7±19.3个月。Oswestry残疾指数由术前的36.3±6.8降至末次随访时的3.7±3.3 (p < 0.001)。视觉模拟评分(VAS)由术前7.8±0.9降至术后第2天的3.1±0.6 (p < 0.001)。VAS腿评分由术前8.1±0.8降至术后2.3±0.7 (p < 0.001)。结论:远外侧经椎间孔UBE腰椎间盘切除术是治疗上腰椎间盘突出症的一种可行的手术选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Far-Lateral Transforaminal Unilateral Biportal Endoscopic Lumbar Discectomy for Upper Lumbar Disc Herniations.

Objective: The upper lumbar region has distinctive anatomical characteristics that contribute to the challenges of performing discectomy. We introduce far-lateral transforaminal unilateral biportal endoscopic (UBE) lumbar discectomy for central or paracentral disc herniations in the upper lumbar region.

Methods: We conducted retrospective review of the patients who underwent a far-lateral transforaminal UBE lumbar discectomy at our institution from January 2018 to September 2024. The electronic medical records, operative records, and radiologic images of the patients were reviewed.

Results: A total of 27 patients underwent far-lateral transforaminal UBE lumbar discectomy for central or paracentral disc herniations in the upper lumbar region. The patient had a mean age of 54.0 ± 13.7 years. Operation was performed at the L1-2 level in 3 patients (11.1%), L2-3 in 9 patients (33.3%), and L3-4 in 15 patients (55.6%). The patients were followed-up for a mean of 27.7 ± 19.3 months. The Oswestry Disability Index was significantly decreased from 36.3 ± 6.8 preoperatively to 3.7 ± 3.3 at last follow-up (p < 0.001). The visual analogue scale (VAS) back was significantly decreased from 7.8 ± 0.9 preoperatively to 3.1 ± 0.6 postoperative day 2 (p < 0.001). The VAS leg was significantly decreased from 8.1 ± 0.8 preoperatively to 2.3 ± 0.7 postoperative day 2 (p < 0.001).

Conclusion: The far-lateral transforaminal UBE lumbar discectomy would be a viable surgical option for upper lumbar disc herniations.

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来源期刊
Neurospine
Neurospine Multiple-
CiteScore
5.80
自引率
18.80%
发文量
93
审稿时长
10 weeks
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