经皮经椎间孔内窥镜减压和无笼型经皮骨移植物经椎间孔腰椎体间融合:可行性研究

A. Krishnan, Manish Barot, B. Dave, Paresh Bang, D. Devanand, Denish Patel, Amit Jain
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引用次数: 8

摘要

引言:为了寻找更好的开放性经椎间孔腰椎融合术(TLIF)替代方案,微创手术TLIF(MIS-TLIF)已经发展起来,西方文献中也报道了经椎间孔内窥镜融合术的可行性研究。然而,仪表化可膨胀笼的成本可能会使其在印度市场上不可行。方法:回顾性研究13例在局麻和硬膜外联合麻醉下单级经皮经孔内窥镜减压和无笼经皮骨移植TLIF经皮椎弓根螺钉固定的患者。通过视觉模拟评分的验证工具测量的所有患者的结果包括背部和腿部、奥斯韦斯特里残疾指数、患者满意度指数和融合。还对手术时间、预计失血量、住院时间和患者对手术的耐受性进行了评分。结果:所有结果指标均具有显著性(P<0.05),平均随访时间为39±6.36个月。手术室时间为250.23±52.90分钟(187–327)。术后LOH住院时间为29.92±4.94小时(24-39)。耐受性得分为2.30±0.85(1-3)。一个浅表骨移植部位感染用抗生素解决。结论:尽管它成本低,并发症可忽略不计,但不适合推荐给普通人群。需要进一步的研究和设计工具来减少操作时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Percutaneous transforaminal endoscopic decompression and cageless percutaneous bone graft transforaminal lumbar interbody fusion: A feasibility study
INTRODUCTION: In the quest for better alternatives for open transforaminal lumbar interbody fusion (TLIF), minimally invasive surgery-TLIF (MIS-TLIF) has evolved, and feasibility studies of transforaminal endoscopic fusion are also getting reported in western literature. However, the cost of instrumented expandable cage may make it non-feasible for Indian setup whenever it will be commercially available. METHODS: This is a retrospective study of 13 patients of single-level percutaneous transforaminal endoscopic decompression and cageless percutaneous bone graft TLIF with percutaneous pedicle screw fixation under combined local with epidural anesthesia. The results of all patients as measured by validated tools of visual analogue score-Back and Leg, Oswestry Disability Index, patient satisfaction index, and fusion. The operating time, Estimated Blood Loss, Length of hospital stay and tolerance of patient for procedure was also scored. RESULTS: All the outcome measures were significant (P < 0.05) and fusion achieved in all with a mean follow-up period was 39 ± 6.36 months. Operating room time was 250.23 ± 52.90 min (187–327). Postoperative LOH hospital stay was 29.92 ± 4.94 h (24–39). The tolerance score was 2.30 ± 0.85 (1–3). One superficial bone graft site infection resolved with antibiotics. CONCLUSION: It not appealing to be recommendable to general population inspite of it being low cost and with negligible complications. Further research and engineered tools are needed to reduce the operating time.
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