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The posterior approach operation to treat thoracolumbar disc herniation: A minimal 2-year follow-up study

Thoracolumbar disc herniation (TLDH) is a rare and progressively disabling disorder; surgical procedures predispose the subjects to high incidence of complications including recurrence, neurological aggravation, and adjacent segment degeneration. Ten patients with TLDH underwent posterior approach o...

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Detalles Bibliográficos
Autores principales: Kang, Jian, Chang, ZhengQi, Huang, Weimin, Yu, Xiuchun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5916692/
https://www.ncbi.nlm.nih.gov/pubmed/29668617
http://dx.doi.org/10.1097/MD.0000000000010458
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author Kang, Jian
Chang, ZhengQi
Huang, Weimin
Yu, Xiuchun
author_facet Kang, Jian
Chang, ZhengQi
Huang, Weimin
Yu, Xiuchun
author_sort Kang, Jian
collection PubMed
description Thoracolumbar disc herniation (TLDH) is a rare and progressively disabling disorder; surgical procedures predispose the subjects to high incidence of complications including recurrence, neurological aggravation, and adjacent segment degeneration. Ten patients with TLDH underwent posterior approach operation in our institution from January, 2006 to December, 2015. The mean preoperative duration of clinical symptoms was 16.5 months. The clinical data including operative time, blood loss, and hospitalization duration were investigated. Furthermore, pre and postoperative neurological status was evaluated by the modified Japanese Orthopedic Association (JOA) scoring system and pain by visual analog scale (VAS) scoring system. The mean operative time was 176.50 ± 20.55 minutes, the mean blood loss was 435.00 ± 89.58 mL, and the mean hospitalization length was 13.30 ± 2.97 days. All patients were followed with a mean period of 35.1 months. The mean JOA score of all patients before operation, at discharge, 3 months after operation, and at last follow-up was 6.50 ± 1.28, 7.60 ± 1.22, 8.90 ± 0.99, and 9.00 ± 0.92, respectively. The differences between the pre and postoperative JOA and VAS scores were significant (P < .05). However, the differences of JOA and VAS scores at postoperative 3 months and final follow-up were not statistically significant. Posterior approach operation is an ideal surgical technique for treatment of TLDH; the operative time, blood loss, hospitalization duration, and symptomatic improvement are favorable.
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spelling pubmed-59166922018-05-01 The posterior approach operation to treat thoracolumbar disc herniation: A minimal 2-year follow-up study Kang, Jian Chang, ZhengQi Huang, Weimin Yu, Xiuchun Medicine (Baltimore) 3700 Thoracolumbar disc herniation (TLDH) is a rare and progressively disabling disorder; surgical procedures predispose the subjects to high incidence of complications including recurrence, neurological aggravation, and adjacent segment degeneration. Ten patients with TLDH underwent posterior approach operation in our institution from January, 2006 to December, 2015. The mean preoperative duration of clinical symptoms was 16.5 months. The clinical data including operative time, blood loss, and hospitalization duration were investigated. Furthermore, pre and postoperative neurological status was evaluated by the modified Japanese Orthopedic Association (JOA) scoring system and pain by visual analog scale (VAS) scoring system. The mean operative time was 176.50 ± 20.55 minutes, the mean blood loss was 435.00 ± 89.58 mL, and the mean hospitalization length was 13.30 ± 2.97 days. All patients were followed with a mean period of 35.1 months. The mean JOA score of all patients before operation, at discharge, 3 months after operation, and at last follow-up was 6.50 ± 1.28, 7.60 ± 1.22, 8.90 ± 0.99, and 9.00 ± 0.92, respectively. The differences between the pre and postoperative JOA and VAS scores were significant (P < .05). However, the differences of JOA and VAS scores at postoperative 3 months and final follow-up were not statistically significant. Posterior approach operation is an ideal surgical technique for treatment of TLDH; the operative time, blood loss, hospitalization duration, and symptomatic improvement are favorable. Wolters Kluwer Health 2018-04-20 /pmc/articles/PMC5916692/ /pubmed/29668617 http://dx.doi.org/10.1097/MD.0000000000010458 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 3700
Kang, Jian
Chang, ZhengQi
Huang, Weimin
Yu, Xiuchun
The posterior approach operation to treat thoracolumbar disc herniation: A minimal 2-year follow-up study
title The posterior approach operation to treat thoracolumbar disc herniation: A minimal 2-year follow-up study
title_full The posterior approach operation to treat thoracolumbar disc herniation: A minimal 2-year follow-up study
title_fullStr The posterior approach operation to treat thoracolumbar disc herniation: A minimal 2-year follow-up study
title_full_unstemmed The posterior approach operation to treat thoracolumbar disc herniation: A minimal 2-year follow-up study
title_short The posterior approach operation to treat thoracolumbar disc herniation: A minimal 2-year follow-up study
title_sort posterior approach operation to treat thoracolumbar disc herniation: a minimal 2-year follow-up study
topic 3700
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5916692/
https://www.ncbi.nlm.nih.gov/pubmed/29668617
http://dx.doi.org/10.1097/MD.0000000000010458
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