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Unilateral Biportal Endoscopic Laminectomy for Treating Cervical Stenosis: A Technical Note and Preliminary Results
Objective: The objective of this study was to introduce a surgical technique for the percutaneous decompression of cervical stenosis (CS) using a unilateral biportal endoscopic approach and characterize its early clinical and radiographic results. Materials and Methods: Nineteen consecutive patients...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9965142/ https://www.ncbi.nlm.nih.gov/pubmed/36837505 http://dx.doi.org/10.3390/medicina59020305 |
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author | Zhu, Chengyue Zhou, Xizhuo Ge, Guofen Wang, Cuijuan Zhuang, Xiaoshan Cheng, Wei Wang, Dong Zhu, Hang Pan, Hao Zhang, Wei |
author_facet | Zhu, Chengyue Zhou, Xizhuo Ge, Guofen Wang, Cuijuan Zhuang, Xiaoshan Cheng, Wei Wang, Dong Zhu, Hang Pan, Hao Zhang, Wei |
author_sort | Zhu, Chengyue |
collection | PubMed |
description | Objective: The objective of this study was to introduce a surgical technique for the percutaneous decompression of cervical stenosis (CS) using a unilateral biportal endoscopic approach and characterize its early clinical and radiographic results. Materials and Methods: Nineteen consecutive patients with CS who needed surgical intervention were recruited. All enrolled patients underwent unilateral biportal endoscopic laminectomy (UBEL). All patients were followed postoperatively for >1 year. The preoperative and final follow-up evaluations included the Japanese Orthopedic Association (JOA) score for neurological assessment, visual analogue scale (VAS) for axial pain and C2–C7 Cobb angle for cervical sagittal alignment. The postoperative complications were analyzed. Results: Thirteen males and six females were included in the analysis. The mean follow-up period was 16.3 ± 2.6 months. The mean operative time was 82.6 ± 18.4 min. Postoperative MRI and CT revealed ideal neural decompression of the treated segments in all patients. Preoperative VAS and JOA scores improved significantly after the surgery, and cervical lordosis was preserved on the postoperative images. Conclusions: UBEL was an effective surgical method for CS, which may also minimize iatrogenic damage to the posterior tension band (PTB) and help to maximize the preservation of the cervical lordosis. |
format | Online Article Text |
id | pubmed-9965142 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99651422023-02-26 Unilateral Biportal Endoscopic Laminectomy for Treating Cervical Stenosis: A Technical Note and Preliminary Results Zhu, Chengyue Zhou, Xizhuo Ge, Guofen Wang, Cuijuan Zhuang, Xiaoshan Cheng, Wei Wang, Dong Zhu, Hang Pan, Hao Zhang, Wei Medicina (Kaunas) Technical Note Objective: The objective of this study was to introduce a surgical technique for the percutaneous decompression of cervical stenosis (CS) using a unilateral biportal endoscopic approach and characterize its early clinical and radiographic results. Materials and Methods: Nineteen consecutive patients with CS who needed surgical intervention were recruited. All enrolled patients underwent unilateral biportal endoscopic laminectomy (UBEL). All patients were followed postoperatively for >1 year. The preoperative and final follow-up evaluations included the Japanese Orthopedic Association (JOA) score for neurological assessment, visual analogue scale (VAS) for axial pain and C2–C7 Cobb angle for cervical sagittal alignment. The postoperative complications were analyzed. Results: Thirteen males and six females were included in the analysis. The mean follow-up period was 16.3 ± 2.6 months. The mean operative time was 82.6 ± 18.4 min. Postoperative MRI and CT revealed ideal neural decompression of the treated segments in all patients. Preoperative VAS and JOA scores improved significantly after the surgery, and cervical lordosis was preserved on the postoperative images. Conclusions: UBEL was an effective surgical method for CS, which may also minimize iatrogenic damage to the posterior tension band (PTB) and help to maximize the preservation of the cervical lordosis. MDPI 2023-02-07 /pmc/articles/PMC9965142/ /pubmed/36837505 http://dx.doi.org/10.3390/medicina59020305 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Technical Note Zhu, Chengyue Zhou, Xizhuo Ge, Guofen Wang, Cuijuan Zhuang, Xiaoshan Cheng, Wei Wang, Dong Zhu, Hang Pan, Hao Zhang, Wei Unilateral Biportal Endoscopic Laminectomy for Treating Cervical Stenosis: A Technical Note and Preliminary Results |
title | Unilateral Biportal Endoscopic Laminectomy for Treating Cervical Stenosis: A Technical Note and Preliminary Results |
title_full | Unilateral Biportal Endoscopic Laminectomy for Treating Cervical Stenosis: A Technical Note and Preliminary Results |
title_fullStr | Unilateral Biportal Endoscopic Laminectomy for Treating Cervical Stenosis: A Technical Note and Preliminary Results |
title_full_unstemmed | Unilateral Biportal Endoscopic Laminectomy for Treating Cervical Stenosis: A Technical Note and Preliminary Results |
title_short | Unilateral Biportal Endoscopic Laminectomy for Treating Cervical Stenosis: A Technical Note and Preliminary Results |
title_sort | unilateral biportal endoscopic laminectomy for treating cervical stenosis: a technical note and preliminary results |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9965142/ https://www.ncbi.nlm.nih.gov/pubmed/36837505 http://dx.doi.org/10.3390/medicina59020305 |
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