Percutaneous Endoscopic Decompression for Adjacent Segment Diseases After Lumbar Fusion
10.3969/j.issn.1009-6604.2024.04.004
- VernacularTitle:经皮内镜减压治疗腰椎融合术后邻近节段疾病
- Author:
Shuwen ZHANG
1
;
Aikeremu DILIMULATI
;
Hao WANG
Author Information
1. 新疆维吾尔自治区人民医院脊柱外科,乌鲁木齐 830000
- Keywords:
Percutaneous endoscopy;
Adjacent segment degeneration;
Adjacent segment disease
- From:
Chinese Journal of Minimally Invasive Surgery
2024;24(4):255-260
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical efficacy of percutaneous endoscopic decompression for adjacent segment diseases after lumbar fusion surgery.Methods A total of 26 patients with adjacent segment diseases after lumbar fusion surgery undergoing percutaneous endoscopy decompression in our hospital from January 2020 to June 2022 were retrospectively analyzed.The patients were operated through transforaminal approach in 11 cases and translaminar approach in 15 cases.There were 21 cases of unilateral decompression and 5 cases bilateral decompression.The clinical efficacy were evaluated by using the Visual Analogue Scale(VAS),Oswestry Disability Index(ODI),Japanese Orthopedic Association(JOA)scores,and modified MacNab criteria.Results All the operations were completed successfully without serious complications.The operative time was(85.4±21.7)min,the blood loss was(19.8±5.9)ml,and the number of intraoperative fluoroscopy was(7.7±2.4)times.The VAS scores of lower limb pain were significantly decreased immediately after operation(P=0.000).The patients were followed up for 10-24 months postoperatively,with an average of(16.0±3.7)months.At 3 months after operation and at the last follow-up,the VAS scores and ODI were significantly reduced compared to before surgery(F=105.444,P=0.000;F=852.714,P=0.000),while the JOA scores were significantly increased(F=256.222,P=0.000).At the last follow-up,the efficacy was excellent in 18 cases(69.2％),good in 5 cases(19.2％),and fair in 3 cases(11.5％),with an overall excellent and good rate of 88.5％(23/26).Conclusion Percutaneous endoscopic treatment of adjacent segment diseases after lumbar fusion can achieve good clinical efficacy.
