Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhu, Chengyue, Zhou, Xizhuo, Ge, Guofen, Wang, Cuijuan, Zhuang, Xiaoshan, Cheng, Wei, Wang, Dong, Zhu, Hang, Pan, Hao, Zhang, Wei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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
_version_ 1784896684221792256
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
work_keys_str_mv AT zhuchengyue unilateralbiportalendoscopiclaminectomyfortreatingcervicalstenosisatechnicalnoteandpreliminaryresults
AT zhouxizhuo unilateralbiportalendoscopiclaminectomyfortreatingcervicalstenosisatechnicalnoteandpreliminaryresults
AT geguofen unilateralbiportalendoscopiclaminectomyfortreatingcervicalstenosisatechnicalnoteandpreliminaryresults
AT wangcuijuan unilateralbiportalendoscopiclaminectomyfortreatingcervicalstenosisatechnicalnoteandpreliminaryresults
AT zhuangxiaoshan unilateralbiportalendoscopiclaminectomyfortreatingcervicalstenosisatechnicalnoteandpreliminaryresults
AT chengwei unilateralbiportalendoscopiclaminectomyfortreatingcervicalstenosisatechnicalnoteandpreliminaryresults
AT wangdong unilateralbiportalendoscopiclaminectomyfortreatingcervicalstenosisatechnicalnoteandpreliminaryresults
AT zhuhang unilateralbiportalendoscopiclaminectomyfortreatingcervicalstenosisatechnicalnoteandpreliminaryresults
AT panhao unilateralbiportalendoscopiclaminectomyfortreatingcervicalstenosisatechnicalnoteandpreliminaryresults
AT zhangwei unilateralbiportalendoscopiclaminectomyfortreatingcervicalstenosisatechnicalnoteandpreliminaryresults