دورية أكاديمية

Transforaminal endoscopic treatment of lumbar radiculopathy after instrumented lumbar spine fusion.

التفاصيل البيبلوغرافية
العنوان: Transforaminal endoscopic treatment of lumbar radiculopathy after instrumented lumbar spine fusion.
المؤلفون: Telfeian AE; Brown University, Dept. of Neurosurgery, Center for Pain Control, Brick, NJ., Jasper GP, Francisco GM
المصدر: Pain physician [Pain Physician] 2015 Mar-Apr; Vol. 18 (2), pp. 179-84.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: American Society of Interventional Pain Physicians Country of Publication: United States NLM ID: 100954394 Publication Model: Print Cited Medium: Internet ISSN: 2150-1149 (Electronic) Linking ISSN: 15333159 NLM ISO Abbreviation: Pain Physician Subsets: MEDLINE
أسماء مطبوعة: Publication: Paducah, Ky. : American Society of Interventional Pain Physicians
Original Publication: Paducah, Ky. : Association of Pain Management Anesthesiologists
مواضيع طبية MeSH: Endoscopy/*methods , Lumbar Vertebrae/*diagnostic imaging , Lumbar Vertebrae/*surgery , Radiculopathy/*diagnostic imaging , Radiculopathy/*surgery , Spinal Fusion/*methods, Adult ; Aged ; Aged, 80 and over ; Endoscopy/instrumentation ; Female ; Follow-Up Studies ; Foraminotomy/instrumentation ; Foraminotomy/methods ; Humans ; Male ; Middle Aged ; Radiography ; Retrospective Studies ; Spinal Fusion/instrumentation ; Surveys and Questionnaires
مستخلص: Background: Transforaminal endoscopic discectomy and foraminotomy is a well-described minimally invasive technique for surgically treating lumbar radiculopathy caused by a herniated disc and foraminal narrowing.
Objective: To describe the technique and feasibility of transforaminal foraminoplasty for the treatment of lumbar radiculopathy in patients who have already undergone instrumented spinal fusion.
Study Design: Retrospective study.
Setting: Hospital and ambulatory surgery center
Methods: After Institutional Review Board approval, charts from 18 consecutive patients with lumbar radiculopathy and instrumented spinal fusions who underwent endoscopic procedures between 2008 and 2013 were reviewed.
Results: The average pain relief one year postoperatively was reported to be 67.0%, good results as defined by MacNab. The average preoperative VAS score was 9.14, indicated in our questionnaire as severe and constant pain. The average one year postoperative VAS score was 3.00, indicated in our questionnaire as mild and intermittent pain.
Limitations: This is a retrospective study and only offers one year follow-up data for patients with instrumented fusions who have undergone endoscopic spine surgery.
Conclusion: Transforaminal endoscopic discectomy and foraminotomy could be used as a safe, yet, minimally invasive and innovative technique for the treatment of lumbar radiculopathy in the setting of previous instrumented lumbar fusion. IRB approval: Meridian Health: IRB Study # 201206071J
تواريخ الأحداث: Date Created: 20150321 Date Completed: 20151026 Latest Revision: 20220317
رمز التحديث: 20240628
PMID: 25794204
قاعدة البيانات: MEDLINE