Yongneng Li, Lihui Fu, Yongqiang Yang, Shuwen Kan, En Song
{"title":"单门非同轴脊柱内窥镜手术联合纤维环缝合技术治疗腰椎间盘突出症:病例系列。","authors":"Yongneng Li, Lihui Fu, Yongqiang Yang, Shuwen Kan, En Song","doi":"10.1177/03000605251351726","DOIUrl":null,"url":null,"abstract":"<p><p>ObjectiveTo investigate the clinical efficacy of uni-portal non-coaxial spinal endoscopic surgery combined with Polysorb 4-0 absorbable sutures for repairing ruptured annulus fibrosus in the treatment of lumbar disc herniation.MethodsWe conducted a retrospective study involving 201 patients who underwent uni-portal non-coaxial spinal endoscopic surgery from May 2023 to August 2024 at our institution. Among these patients, 22 were treated using ligamentum flavum suspension surgery while preserving the ligamentum flavum, combined with the annulus fibrosus suture technique. We analyzed the demographic information, preoperative and postoperative imaging data, and clinical outcomes of these 22 patients.ResultsThese 22 patients were followed for 6-15 months; at the last follow-up, the improvement in postoperative functional evaluations, such as the Oswestry Disability Index, was statistically significant (P < 0.05). There were two cases of epidural fibrosis at grade 1 and one case of epidural fibrosis at grade 2. There was a slight decrease in disk height. There were no instances of postoperative recurrence, although one patient exhibited postoperative dysesthesia.ConclusionUni-portal non-coaxial spinal endoscopic surgery is straightforward, versatile, and flexible. Preservation of the ligamentum flavum significantly helps prevent epidural fibrosis. Employing Polysorb 4-0 absorbable sutures to repair the annulus fibrosus reduces early recurrence risk, providing satisfactory outcomes for patients with herniated discs. This technique offers a novel and effective treatment alternative for lumbar disc herniation.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 6","pages":"3000605251351726"},"PeriodicalIF":1.4000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12205198/pdf/","citationCount":"0","resultStr":"{\"title\":\"Uni-portal non-coaxial spinal endoscopic surgery combined with annulus fibrosus suture technique for lumbar disc herniation: Case series.\",\"authors\":\"Yongneng Li, Lihui Fu, Yongqiang Yang, Shuwen Kan, En Song\",\"doi\":\"10.1177/03000605251351726\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>ObjectiveTo investigate the clinical efficacy of uni-portal non-coaxial spinal endoscopic surgery combined with Polysorb 4-0 absorbable sutures for repairing ruptured annulus fibrosus in the treatment of lumbar disc herniation.MethodsWe conducted a retrospective study involving 201 patients who underwent uni-portal non-coaxial spinal endoscopic surgery from May 2023 to August 2024 at our institution. Among these patients, 22 were treated using ligamentum flavum suspension surgery while preserving the ligamentum flavum, combined with the annulus fibrosus suture technique. We analyzed the demographic information, preoperative and postoperative imaging data, and clinical outcomes of these 22 patients.ResultsThese 22 patients were followed for 6-15 months; at the last follow-up, the improvement in postoperative functional evaluations, such as the Oswestry Disability Index, was statistically significant (P < 0.05). There were two cases of epidural fibrosis at grade 1 and one case of epidural fibrosis at grade 2. There was a slight decrease in disk height. There were no instances of postoperative recurrence, although one patient exhibited postoperative dysesthesia.ConclusionUni-portal non-coaxial spinal endoscopic surgery is straightforward, versatile, and flexible. Preservation of the ligamentum flavum significantly helps prevent epidural fibrosis. Employing Polysorb 4-0 absorbable sutures to repair the annulus fibrosus reduces early recurrence risk, providing satisfactory outcomes for patients with herniated discs. This technique offers a novel and effective treatment alternative for lumbar disc herniation.</p>\",\"PeriodicalId\":16129,\"journal\":{\"name\":\"Journal of International Medical Research\",\"volume\":\"53 6\",\"pages\":\"3000605251351726\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12205198/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of International Medical Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/03000605251351726\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/6/27 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"MEDICINE, RESEARCH & EXPERIMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of International Medical Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/03000605251351726","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/27 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
Uni-portal non-coaxial spinal endoscopic surgery combined with annulus fibrosus suture technique for lumbar disc herniation: Case series.
ObjectiveTo investigate the clinical efficacy of uni-portal non-coaxial spinal endoscopic surgery combined with Polysorb 4-0 absorbable sutures for repairing ruptured annulus fibrosus in the treatment of lumbar disc herniation.MethodsWe conducted a retrospective study involving 201 patients who underwent uni-portal non-coaxial spinal endoscopic surgery from May 2023 to August 2024 at our institution. Among these patients, 22 were treated using ligamentum flavum suspension surgery while preserving the ligamentum flavum, combined with the annulus fibrosus suture technique. We analyzed the demographic information, preoperative and postoperative imaging data, and clinical outcomes of these 22 patients.ResultsThese 22 patients were followed for 6-15 months; at the last follow-up, the improvement in postoperative functional evaluations, such as the Oswestry Disability Index, was statistically significant (P < 0.05). There were two cases of epidural fibrosis at grade 1 and one case of epidural fibrosis at grade 2. There was a slight decrease in disk height. There were no instances of postoperative recurrence, although one patient exhibited postoperative dysesthesia.ConclusionUni-portal non-coaxial spinal endoscopic surgery is straightforward, versatile, and flexible. Preservation of the ligamentum flavum significantly helps prevent epidural fibrosis. Employing Polysorb 4-0 absorbable sutures to repair the annulus fibrosus reduces early recurrence risk, providing satisfactory outcomes for patients with herniated discs. This technique offers a novel and effective treatment alternative for lumbar disc herniation.
期刊介绍:
_Journal of International Medical Research_ is a leading international journal for rapid publication of original medical, pre-clinical and clinical research, reviews, preliminary and pilot studies on a page charge basis.
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Print ISSN: 0300-0605