دورية أكاديمية
[Percutaneous foraminal endoscopy for the treatment of lumbar lateral recess stenosis in elderly].
| العنوان: | [Percutaneous foraminal endoscopy for the treatment of lumbar lateral recess stenosis in elderly]. |
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| المؤلفون: | Shi FD; The First Department of Spinal Surgery, Wangjing Hospital, Chinese Academy of Traditional Chinese Medicine Sciences, Beijing 100102, China., Zhang SM; The First Department of Spinal Surgery, Wangjing Hospital, Chinese Academy of Traditional Chinese Medicine Sciences, Beijing 100102, China., Jin J; The First Department of Spinal Surgery, Wangjing Hospital, Chinese Academy of Traditional Chinese Medicine Sciences, Beijing 100102, China., Wu GN; The First Department of Spinal Surgery, Wangjing Hospital, Chinese Academy of Traditional Chinese Medicine Sciences, Beijing 100102, China., Ma M; The First Department of Spinal Surgery, Wangjing Hospital, Chinese Academy of Traditional Chinese Medicine Sciences, Beijing 100102, China., Liu YZ; The First Department of Spinal Surgery, Wangjing Hospital, Chinese Academy of Traditional Chinese Medicine Sciences, Beijing 100102, China., Zhang ZJ; The First Department of Spinal Surgery, Wangjing Hospital, Chinese Academy of Traditional Chinese Medicine Sciences, Beijing 100102, China., Mo JX; The First Department of Spinal Surgery, Wangjing Hospital, Chinese Academy of Traditional Chinese Medicine Sciences, Beijing 100102, China. |
| المصدر: | Zhongguo gu shang = China journal of orthopaedics and traumatology [Zhongguo Gu Shang] 2023 Jan 25; Vol. 36 (1), pp. 43-7. |
| نوع المنشور: | English Abstract; Journal Article |
| اللغة: | Chinese |
| بيانات الدورية: | Publisher: |
| أسماء مطبوعة: | Publication: Beijing : "Zhongguo gu shang" bian ji bu Original Publication: Beijing : Zhongguo Zhong yi yan jiu yuan gu shang ke yan jiu suo |
| مواضيع طبية MeSH: | Spinal Stenosis*/surgery, Male ; Female ; Humans ; Aged ; Infant ; Constriction, Pathologic/surgery ; Decompression, Surgical/methods ; Retrospective Studies ; Lumbar Vertebrae/surgery ; Endoscopy/methods ; Treatment Outcome |
| مستخلص: | Objective: To investigate the clinical efficacy and safety of percutaneous foraminal endoscopy in the treatment of lumbar lateral recess stenosis in elderly. Methods: The clinical data of 31 elderly patients with lumbar lateral recess stenosis treated by percutaneous foraminal endoscopic decompression from March 2018 to August 2019 were retrospectively analyzed. Including 16 males and 15 females, aged from 65 to 81 years with an average of (71.13±5.20) years, the course of disease ranged from 3 months to 7 years with an average of (14.36±6.52) months. Visual analogue scale (VAS) and Oswestry disability index (ODI) were used to assess clinical symptom and functional status before operation and 1, 6, 12 months after operation. At the final follow-up, the modified Macnab standard was used to evaluate clinical efficacy. Results: All patients were completed the operation successfully. The operation time was from 75 to 120 min with an average of (97.84±11.22 ) min. All 31 patients were followed up from 12 to 28 months with an average of (17.29±5.56) months. Postoperative lumbago-leg pain VAS and ODI were significantly improved at 1, 6, and 12 months( P <0.01). At the final follow-up, according to the modified Macnab standard to evaluate the effect, 23 got excellent results, 5 good, 3 fair. One patient had severe adhesions between peripheral tissues and nerve root, and postoperative sensory abnormalities in the lower extremities were treated conservatively with traditional Chinese medicine and neurotrophic drugs, which recovered at 2 weeks after surgery. No complications such as nerve root injury and infection occurred. Conclusion: The intervertebral foraminal endoscopy technique, which is performed under local anesthesia for a short period of operation, ensures adequate decompression while minimizing complications, and is a safe and effective surgical procedure for elderly patients with lumbar lateral recess stenosis. |
| فهرسة مساهمة: | Keywords: Aged; Intervertebral foramen approach; Lumbar lateral recess stenosis; Surgical procedures, endoscopic |
| تواريخ الأحداث: | Date Created: 20230118 Date Completed: 20230120 Latest Revision: 20230120 |
| رمز التحديث: | 20240628 |
| DOI: | 10.12200/j.issn.1003-0034.2023.01.008 |
| PMID: | 36653005 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1003-0034 |
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| DOI: | 10.12200/j.issn.1003-0034.2023.01.008 |