Early Outcomes of Endoscopic Contralateral Foraminal and Lateral Recess Decompression via an Interlaminar Approach in Patients with Unilateral Radiculopathy from Unilateral Foraminal Stenosis

医学 孔切开术 Oswestry残疾指数 侧隐窝 减压 可视模拟标度 外科 磁共振成像 经皮 腰椎 腰椎管狭窄症 狭窄 小关节切除术 腰痛 放射科 脊髓 椎板切除术 替代医学 病理 精神科
作者
Hyeun Sung Kim,Ravish Patel,Byapak Paudel,Jee-Soo Jang,Il‐Tae Jang,Seong-Hoon Oh,Jae Eun Park,Sol Lee
出处
期刊:World Neurosurgery [Elsevier BV]
卷期号:108: 763-773 被引量:61
标识
DOI:10.1016/j.wneu.2017.09.018
摘要

Percutaneous endoscopic contralateral interlaminar lumbar foraminotomy (PECILF) for lumbar degenerative spinal stenosis is an established procedure. Better preservation of contralateral facet joint compared with that of the approach side has been shown with uniportal bilateral decompression. The aim of this retrospective case series was to analyze the early clinical and radiologic outcomes of stand-alone contralateral foraminotomy and lateral recess decompression using PECILF.Twenty-six consecutive patients with unilateral lower limb radiculopathy underwent contralateral foraminotomy and lateral recess decompression using PECILF. Their clinical outcomes were evaluated with visual analog scale leg pain score, Oswestry Disability Index, and the MacNab criteria. Completeness of decompression was documented with a postoperative magnetic resonance imaging.Mean age for the study group was 62.9 ± 9.2 years and the male/female ratio was 4:9. A total of 30 levels were decompressed, with 18 patients (60%) undergoing decompression at L4-L5, 9 at L5-S1 (30%), 2 at L3-L4 (6.7%), and 1 at L2-L3 (3.3%). Mean estimated blood loss was 27 ± 15 mL per level. Mean operative duration was 48 ± 12 minutes/level. Visual analog scale leg score improved from 7.7 ± 1 to 1.8 ± 0.8 (P < 0.0001). Oswestry Disability Index improved from 64.4 ± 5.8 to 21 ± 4.5 (P < 0.0001). Mean follow-up of the study was 13.7 ± 2.7 months. According to the MacNab criteria, 10 patients (38.5%) had good results, 14 patients (53.8%) had excellent results, and 2 patients (7.7%) had fair results. One patient required revision surgery.Facet-preserving contralateral foraminotomy and lateral recess decompression with PECILF is effective for treatment of lateral recess and foraminal stenosis. Thorough decompression with acceptable early clinical outcomes and minimal perioperative morbidity can be obtained with the contralateral endoscopic approach.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
4秒前
兔兔完成签到 ,获得积分10
7秒前
大气小天鹅完成签到 ,获得积分10
16秒前
陈秋完成签到,获得积分10
17秒前
风清扬发布了新的文献求助10
20秒前
发个15分的完成签到 ,获得积分10
22秒前
melody完成签到 ,获得积分10
26秒前
地表飞猪完成签到,获得积分0
26秒前
天将明完成签到 ,获得积分10
27秒前
28秒前
酷酷一笑发布了新的文献求助10
33秒前
cheng完成签到 ,获得积分10
33秒前
yanjiuhuzu完成签到,获得积分10
42秒前
tengyve完成签到,获得积分10
55秒前
酷炫蛋挞完成签到 ,获得积分10
56秒前
candy6663339完成签到,获得积分10
56秒前
回首不再是少年完成签到,获得积分0
58秒前
酷酷一笑完成签到,获得积分10
1分钟前
天天快乐应助科研通管家采纳,获得10
1分钟前
isedu完成签到,获得积分10
1分钟前
U9A完成签到,获得积分10
1分钟前
一亩蔬菜完成签到,获得积分10
1分钟前
Lucas应助科研人一枚采纳,获得10
1分钟前
hi完成签到,获得积分10
1分钟前
快乐的芷巧完成签到,获得积分10
1分钟前
酷酷小子完成签到 ,获得积分10
1分钟前
1分钟前
巴山完成签到,获得积分10
1分钟前
无花果应助ly采纳,获得10
1分钟前
loren313完成签到,获得积分0
1分钟前
玄学小生完成签到 ,获得积分10
1分钟前
小梦完成签到,获得积分10
1分钟前
白桃完成签到 ,获得积分10
1分钟前
王世卉完成签到,获得积分10
1分钟前
湖以完成签到 ,获得积分10
1分钟前
清脆的靖仇完成签到,获得积分10
1分钟前
lixiaoya完成签到,获得积分10
1分钟前
小洪俊熙完成签到,获得积分10
1分钟前
nicolaslcq完成签到,获得积分10
2分钟前
研友_Z119gZ完成签到 ,获得积分10
2分钟前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Cognitive Neuroscience: The Biology of the Mind 1000
Technical Brochure TB 814: LPIT applications in HV gas insulated switchgear 1000
Immigrant Incorporation in East Asian Democracies 600
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
A Preliminary Study on Correlation Between Independent Components of Facial Thermal Images and Subjective Assessment of Chronic Stress 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3968559
求助须知:如何正确求助?哪些是违规求助? 3513358
关于积分的说明 11167340
捐赠科研通 3248714
什么是DOI,文献DOI怎么找? 1794453
邀请新用户注册赠送积分活动 875065
科研通“疑难数据库(出版商)”最低求助积分说明 804664