Percutaneous transforaminal endoscopic discectomy combined with dynamically assisted visualized intervertebral foraminoplasty for lumbar disc herniation
10.16571/j.cnki.1008-8199.2018.10.009
- VernacularTitle: 动力辅助下经皮全内窥镜结合全可视椎间孔成形术治疗腰椎间盘突出症疗效观察
- Author:
Chun-gang DAI
1
;
Lin XIE
2
;
Ran KANG
2
;
Zhi-peng XI
2
;
Wen-qiang XU
2
;
Shi-bing ZHANG
2
;
Rong-rong DENG
2
;
Xiao-yang ZHOU
2
Author Information
1. Graduate School of Nanjing University of Chinese Medicine,Nanjing 210046, Jiangsu,China
2. Department of Orthopaedics,Affiliated Hospital of Integrated Traditional Chinese and Western Medicine,Nanjing University of Chinese Medicine, Nanjing 210028, Jiangsu,China
- Publication Type:Journal Article
- Keywords:
lumbar disc herniation;
transforaminal endoscopy;
intervertebral access;
intervertebral foraminoplasty
- From:
Journal of Medical Postgraduates
2018;31(10):1050-1053
- CountryChina
- Language:Chinese
-
Abstract:
Objective How to improve the operational safety of foraminoplasty has become a hot spot in present clinical research. This study was to observe the clinical effect of minimally invasive treatment of lumbar disc herniation by percutaneous transforaminal endoscopic discectomy (PTED) combined with dynamically assisted visualized intervertebral foraminoplasty (VIVF).Methods Totally, 61 patients with lumbar disc herniation underwent PTED combined with dynamically assisted VIVF in Jiangsu Provincial Hospital of Integrated Traditional Chinese and Western Medicine from January to November 2017. We evaluated the clinical effects using the Visual Analogue Scale (VAS), Oswestry Disability Index (ODI) and modified Macnab Criteria.Results The VAS scores of the patients were significantly lower at 3 days, 3 months and 6 months after surgery than the baseline (1.10±0.60, 1.03±0.26 and 1.07±0.31 vs 7.64±1.11, P<0.05), and so were the ODIs (2.10±0.54, 1.30±0.49 and 1.23±0.46 vs 34.46±3.57, P<0.05). The excellence rate of treatment 96.72% (59/61). None of the patients experienced such postoperative complications as nerve root injury, spinal injury, and dural matter, and no recurrence was observed.Conclusion PTED combined with dynamically assisted VIVF is safe and effective for the treatment of lumbar disc herniation.
