Percutaneous endoscopic technique in treatment of elderly multi-segmental lumbar spinal stenosis
10.3760/cma.j.issn.0254-9026.2017.12.017
- VernacularTitle:经皮内窥镜技术治疗老年多节段腰椎管狭窄症
- Author:
Bing YUE
1
;
Zhifang YE
;
Zehao WANG
;
Guoqiang JIANG
;
Bin LU
;
Kefeng LUO
;
Jiye LU
Author Information
1. 315020,宁波大学医学院附属医院脊柱外科
- Keywords:
Percutaneous endoscopic technique;
Multi-segmental;
Lumbar spinal stenosis
- From:
Chinese Journal of Geriatrics
2017;36(12):1349-1352
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and clinical effects of percutaneous endoscopic technique in treating multi-segmental lumbar spinal stenosis in the elderly.Methods Thirty elderly patients with multi-segmental lumbar spinal stenosis and an indefinite positioning of duty segments were retrospectively analyzed.Based on treatment mode of the stenotic segment of lumbar spine,all patients were divided to two groups.The segments of lateral recess or foraminal stenosis were treated with percutaneous endoscopic decompression via the transforaminal approach,while the segments of central stenosis were treated with percutaneous endoscopic decompression via the interlaminar approach.Results Twenty-seven (90％) patients were treated in double segments and three patients (10％) were treated in three segments.There were significant improvements in Visual Analogue Scale,Japanese Orthopaedic Association and Oswestry disability index scores at 3 day and 1 year after therapy as compared with pre-therapy (both P ＜ 0.05).Conclusions Percutaneous endoscopic technique is safe and effective in the treatment of elderly multi-segmental lumbar spinal stenosis.
