MED system for lumbar spinal stenosis in elderly patients:Postoperative complications and cause analysis for its dissatisfactory effects
- VernacularTitle:MED系统治疗老年腰椎管狭窄症术后并发症及疗效差的原因分析
- Author:
Chao XU
- Publication Type:Journal Article
- Keywords:
Lumbar spinal stenosis;
Microendoscope;
Complication
- From:
Chinese Journal of Minimally Invasive Surgery
2001;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the measures for the prevention of postoperative complications and dissatisfactory effects of posterior approach microendoscopic discectomy (MED) in the treatment of lumbar spinal stenosis in elderly patients. Methods A retrospective analysis was made on complications and causes of dissatisfactory effects following MED procedure in 62 cases. Results Follow-up observations in all the 62 cases for 3 ～ 40 months (mean,16 months) showed a "good" or "excellent" rate of 87 1% (54/62).Complications occurred in 4 cases (6 45%),including 1 case of interspace infection,1 case of injuries on cauda equine,and 2 cases of symptomatic healthy limbs; there was little symptomatic improvement in 4 cases. Conclusions Strictly-controlled indications for surgery,appropriate treatment of complications,and skillful surgical performance is the key to minimize the complications of MED.
