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Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis

Background: Percutaneous endoscopic decompression (PED) is a minimally invasive surgical technique that is now used for not only disc herniation but also lumbar spinal stenosis (LSS). However, few studies have reported endoscopic surgery for LSS. Therefore, we conducted this study to evaluate the ou...

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Autores principales: Wei, Fei-Long, Du, Ming-Rui, Li, Tian, Zhu, Kai-Long, Zhu, Yi-Li, Yan, Xiao-Dong, Yuan, Yi-Fang, Wu, Sheng-Da, An, Bo, Gao, Hao-Ran, Qian, Ji-Xian, Zhou, Cheng-Pei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8249583/
https://www.ncbi.nlm.nih.gov/pubmed/34222312
http://dx.doi.org/10.3389/fsurg.2021.603589
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author Wei, Fei-Long
Du, Ming-Rui
Li, Tian
Zhu, Kai-Long
Zhu, Yi-Li
Yan, Xiao-Dong
Yuan, Yi-Fang
Wu, Sheng-Da
An, Bo
Gao, Hao-Ran
Qian, Ji-Xian
Zhou, Cheng-Pei
author_facet Wei, Fei-Long
Du, Ming-Rui
Li, Tian
Zhu, Kai-Long
Zhu, Yi-Li
Yan, Xiao-Dong
Yuan, Yi-Fang
Wu, Sheng-Da
An, Bo
Gao, Hao-Ran
Qian, Ji-Xian
Zhou, Cheng-Pei
author_sort Wei, Fei-Long
collection PubMed
description Background: Percutaneous endoscopic decompression (PED) is a minimally invasive surgical technique that is now used for not only disc herniation but also lumbar spinal stenosis (LSS). However, few studies have reported endoscopic surgery for LSS. Therefore, we conducted this study to evaluate the outcomes and safety of large channel endoscopic decompression. Methods: Forty-one patients diagnosed with LSS who underwent PED surgery were included in the study. The estimated blood loss, operative time, length of hospital stay, hospital costs, reoperations, complications, visual analogue scale (VAS) score, Oswestry Disability Index (ODI) score, Japanese Orthopaedic Association (JOA) score and SF-36 physical-component summary scores were assessed. Preoperative and postoperative continuous data were compared through paired-samples t-tests. The significance level for all analyses was defined as p < 0.05. Results: A total of 41 consecutive patients underwent PED, including 21 (51.2%) males and 20 (48.8%) females. The VAS and ODI scores decreased from preoperatively to postoperatively, but the JOA and SF-36 physical component summary scores significantly increased. The VAS (lumbar) score decreased from 5.05 ± 2.33 to 0.45 ± 0.71 (P = 0.000); the VAS (leg) score decreased from 5.51 ± 2.82 to 0.53 ± 0.72 (P = 0.000); the ODI score decreased from 52.80 ± 20.41 to 4.84 ± 3.98 (P = 0.000), and the JOA score increased from 11.73 ± 4.99 to 25.32 ± 2.12 (P = 0.000). Only 1 patient experienced an intraoperative complication (2.4%; dural tear), and 1 patient required reoperation (2.4%). Conclusions: Surgical treatment for LSS is to sufficiently decompress and minimize the trauma and complications caused by surgery. This study did not reveal any obvious shortcomings of PED and suggested PED is a safe and effective treatment for LSS.
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spelling pubmed-82495832021-07-03 Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis Wei, Fei-Long Du, Ming-Rui Li, Tian Zhu, Kai-Long Zhu, Yi-Li Yan, Xiao-Dong Yuan, Yi-Fang Wu, Sheng-Da An, Bo Gao, Hao-Ran Qian, Ji-Xian Zhou, Cheng-Pei Front Surg Surgery Background: Percutaneous endoscopic decompression (PED) is a minimally invasive surgical technique that is now used for not only disc herniation but also lumbar spinal stenosis (LSS). However, few studies have reported endoscopic surgery for LSS. Therefore, we conducted this study to evaluate the outcomes and safety of large channel endoscopic decompression. Methods: Forty-one patients diagnosed with LSS who underwent PED surgery were included in the study. The estimated blood loss, operative time, length of hospital stay, hospital costs, reoperations, complications, visual analogue scale (VAS) score, Oswestry Disability Index (ODI) score, Japanese Orthopaedic Association (JOA) score and SF-36 physical-component summary scores were assessed. Preoperative and postoperative continuous data were compared through paired-samples t-tests. The significance level for all analyses was defined as p < 0.05. Results: A total of 41 consecutive patients underwent PED, including 21 (51.2%) males and 20 (48.8%) females. The VAS and ODI scores decreased from preoperatively to postoperatively, but the JOA and SF-36 physical component summary scores significantly increased. The VAS (lumbar) score decreased from 5.05 ± 2.33 to 0.45 ± 0.71 (P = 0.000); the VAS (leg) score decreased from 5.51 ± 2.82 to 0.53 ± 0.72 (P = 0.000); the ODI score decreased from 52.80 ± 20.41 to 4.84 ± 3.98 (P = 0.000), and the JOA score increased from 11.73 ± 4.99 to 25.32 ± 2.12 (P = 0.000). Only 1 patient experienced an intraoperative complication (2.4%; dural tear), and 1 patient required reoperation (2.4%). Conclusions: Surgical treatment for LSS is to sufficiently decompress and minimize the trauma and complications caused by surgery. This study did not reveal any obvious shortcomings of PED and suggested PED is a safe and effective treatment for LSS. Frontiers Media S.A. 2021-06-18 /pmc/articles/PMC8249583/ /pubmed/34222312 http://dx.doi.org/10.3389/fsurg.2021.603589 Text en Copyright © 2021 Wei, Du, Li, Zhu, Zhu, Yan, Yuan, Wu, An, Gao, Qian and Zhou. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Wei, Fei-Long
Du, Ming-Rui
Li, Tian
Zhu, Kai-Long
Zhu, Yi-Li
Yan, Xiao-Dong
Yuan, Yi-Fang
Wu, Sheng-Da
An, Bo
Gao, Hao-Ran
Qian, Ji-Xian
Zhou, Cheng-Pei
Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis
title Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis
title_full Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis
title_fullStr Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis
title_full_unstemmed Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis
title_short Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis
title_sort therapeutic effect of large channel endoscopic decompression in lumbar spinal stenosis
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8249583/
https://www.ncbi.nlm.nih.gov/pubmed/34222312
http://dx.doi.org/10.3389/fsurg.2021.603589
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