医学
外科
面(心理学)
腰椎
Oswestry残疾指数
减压
可视模拟标度
小关节
回顾性队列研究
内窥镜检查
麻醉
腰痛
心理学
社会心理学
替代医学
人格
病理
五大性格特征
作者
Matthew Hagan,Albert E. Telfeian,Rahul A. Sastry,Rohaid Ali,Kai‐Uwe Lewandrowski,Sanjay Konakondla,Sean M. Barber,Kendall Lane,Ziya L. Gokaslan
出处
期刊:Journal of neurosurgery
[Journal of Neurosurgery Publishing Group]
日期:2022-12-01
卷期号:37 (6): 843-850
被引量:7
标识
DOI:10.3171/2022.6.spine22451
摘要
The aim of this study was to describe a minimally invasive transforaminal surgical technique for treating awake patients presenting with lumbar radiculopathy and compressive facet cysts.Awake transforaminal endoscopic decompression surgery was performed in 645 patients over a 6-year period from 2014 to 2020. Transforaminal endoscopic decompression surgery utilizing a high-speed endoscopic drill was performed in 25 patients who had lumbar facet cysts. All surgeries were performed as outpatient procedures in awake patients. Nine of the 25 patients had previously undergone laminectomies at the treated level. A retrospective chart review of patient-reported outcome measures is presented.At the 2-year follow-up, the mean (± standard deviation) preoperative visual analog scale leg score and Oswestry Disability Index improved from 7.6 ± 1.3 to 2.3 ± 1.4 and 39.7% ± 8.1% to 13.0% ± 7.4%, respectively. There were no complications, readmissions, or recurrence of symptoms during the 2-year follow-up period.A minimally invasive awake procedure is presented for the treatment of lumbar facet cysts in patients with lumbar radiculopathy. Approximately one-third of the treated patients (9 of 25) had postlaminectomy facet cysts.
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