BACKGROUND Few reports have described lumbar foraminal stenosis-induced radiculopathy after treatment by full-endoscopic spine surgery(FESS)combined with percutaneous vertebroplasty(PVP)in patients with vertebral comp...BACKGROUND Few reports have described lumbar foraminal stenosis-induced radiculopathy after treatment by full-endoscopic spine surgery(FESS)combined with percutaneous vertebroplasty(PVP)in patients with vertebral compression fractures.We herein report such a case,including the patient’s treatment process and doctor’s surgical experience.CASE SUMMARY A 79-year-old man presented with symptoms of radiculopathy after sustaining L4 vertebral compression fractures.Imaging and physical examination revealed L4 vertebral compression fractures combined with L3/4 Lumbar foraminal stenosis(LFS).The patient’s symptoms were low back pain with pain in the lateral left leg.Although many reports have described radiculopathy induced by osteoporotic vertebral compression fractures,the use of FESS combined with PVP has rarely been reported.This case report indicates that the combination of FESS and PVP is a safe and effective approach for the treatment of LFS-induced radiculopathy after vertebral compression fractures.This minimally invasive technique has great potential to replace traditional lumbar fixation and decompression surgery.Thus,we suggest the continued accumulation of similar cases to discuss the wider application of FESS.CONCLUSION For patients with osteoporotic vertebral compression fracture(OVCF)and LFS,PVP and FESS can be used to restore the vertebral height and reduce the pressure around the intervertebral foramen.Additionally,the combination of FESS and PVP can treat the pain or numbness of the low back and lower limbs and allow for recovery in a short time with excellent postoperative effects.In general,FESS is a good treatment for radiculopathy caused by foraminal stenosis after OVCF.展开更多
Objective:Objective to explore the curative effect of transforaminal endoscopic surgery in the treatment of lumbar disc herniation.Methods:From October 2018 to October 2020,36 patients with lumbar disc herniation were...Objective:Objective to explore the curative effect of transforaminal endoscopic surgery in the treatment of lumbar disc herniation.Methods:From October 2018 to October 2020,36 patients with lumbar disc herniation were randomly divided into group A and group B.the curative effect,pain,lumbar function and quality of life were analyzed.Results:The curative effect of group A was 94.44%,better than that of group B 61.11%,P<0.05;The visual analogue scale(VAS)of group A was lower than that of group B on 3D,5D and 7d after operation(P<0.05);The KSS of group A was higher than that of group B(P<0.05);The score of quality of life in group A was better than that in group B(P<0.05).Conclusion:Lumbar disc herniation patients underwent transforaminal endoscopic surgery,the effect is good,can improve lumbar function,relieve pain,improve the quality of life of patients.展开更多
Objective: to compare and analyze the efficacy and complication rate of transforaminal endoscopic discectomy and laminectomy in the treatment of lumbar disc herniation. Methods: 92 patients with lumbar disc herniation...Objective: to compare and analyze the efficacy and complication rate of transforaminal endoscopic discectomy and laminectomy in the treatment of lumbar disc herniation. Methods: 92 patients with lumbar disc herniation in our hospital from January 2019 to January 2020 were selected to carry out clinical exploration. All patients were randomly divided into observation group and control group, 46 cases in each group. The control group was treated with laminectomy, while the observation group was treated with percutaneous transforaminal endoscopic discectomy. The postoperative symptoms, clinical signs, MRI examination of nerve root compression relief and other therapeutic indicators were evaluated, and the incidence of complications such as positioning error, nerve root injury, Dural sac injury, nucleus pulposus residue, intervertebral space infection and so on were counted. The curative effect and complication rate of the two groups were compared and analyzed. Results: after the treatment of the two groups of patients with intervertebral foramen endoscopic nucleus pulposus removal and laminectomy, the treatment effectiveness of the two groups of patients with postoperative symptoms, clinical signs and MRI examination of nerve root compression relief, and the incidence of complications such as positioning error, nerve root injury, Dural sac injury, nucleus pulposus residue, intervertebral space infection were compared. Statistical analysis found that the total effective rate of the observation group was higher than that of the control group (P < 0.05), and the incidence of complications was lower than that of the control group (P < 0.05). Conclusion: the application of transforaminal endoscopic discectomy and lamina fenestration discectomy in the treatment of lumbar disc herniation can effectively relieve the symptoms of patients, improve the clinical signs, improve the quality of life of patients and MRI examination of nerve root compression relief. The two groups can obtain satisfactory results.展开更多
Objective: to analyze the effect of detail nursing in operation room for patients with intervertebral disc herniation who underwent foraminal nucleus pulposus excision. Methods: a total of 100 patients with disc herni...Objective: to analyze the effect of detail nursing in operation room for patients with intervertebral disc herniation who underwent foraminal nucleus pulposus excision. Methods: a total of 100 patients with disc herniation who underwent foraminal nucleus pulporesis extraction were enrolled in the department of our hospital from January 2019 to December 2020. They were randomly divided into groups. Patients in the control group were given routine nursing, and the observation group was given detail nursing in the operating room. Conclusion: the clinical effect of detail nursing of lumbar intervertebral disc herniation in operating room is exact, it can relieve the trauma, relieve the pain, reduce the complications and accelerate the recovery.展开更多
In this editorial,the authors of this paper comment on the article by Bokov et al published in the recent issue of World Journal of Orthopedics.We reviewed a general overview of oblique lumbar interbody fusions(OLIF)a...In this editorial,the authors of this paper comment on the article by Bokov et al published in the recent issue of World Journal of Orthopedics.We reviewed a general overview of oblique lumbar interbody fusions(OLIF)and lateral lumbar interbody fusions(LLIF),their indications and complications as an increasingly popular minimally invasive technique to address several lumbar pathologies.This editorial thoroughly discusses and reviews the literature regarding factors affecting outcomes of indirect decompression utilized through OLIF and LLIF procedures.Several parameters play a critical role in patient outcomes including restoration of disc height,foraminal height,central canal squared,and foraminal area.The indirect decompression allows for unbuckling of the ligamentum flavum which can significantly decompress the neural elements as well as aid in reduction of spondylolisthesis.However,the authors further highlight the limitations of indirect decompression and factors that may predict unsuccessful outcomes including bony foraminal stenosis,severe central canal stenosis,and osteoporosis.As a result,failure of indirect decompression can lead to persistent pain,radiculopathy and unsatisfied patients.Spinal surgeons may be left to reimage patients and consider additional procedures with direct decompression.展开更多
基金Supported by National Natural Science Foundation of China,No.81972108.
文摘BACKGROUND Few reports have described lumbar foraminal stenosis-induced radiculopathy after treatment by full-endoscopic spine surgery(FESS)combined with percutaneous vertebroplasty(PVP)in patients with vertebral compression fractures.We herein report such a case,including the patient’s treatment process and doctor’s surgical experience.CASE SUMMARY A 79-year-old man presented with symptoms of radiculopathy after sustaining L4 vertebral compression fractures.Imaging and physical examination revealed L4 vertebral compression fractures combined with L3/4 Lumbar foraminal stenosis(LFS).The patient’s symptoms were low back pain with pain in the lateral left leg.Although many reports have described radiculopathy induced by osteoporotic vertebral compression fractures,the use of FESS combined with PVP has rarely been reported.This case report indicates that the combination of FESS and PVP is a safe and effective approach for the treatment of LFS-induced radiculopathy after vertebral compression fractures.This minimally invasive technique has great potential to replace traditional lumbar fixation and decompression surgery.Thus,we suggest the continued accumulation of similar cases to discuss the wider application of FESS.CONCLUSION For patients with osteoporotic vertebral compression fracture(OVCF)and LFS,PVP and FESS can be used to restore the vertebral height and reduce the pressure around the intervertebral foramen.Additionally,the combination of FESS and PVP can treat the pain or numbness of the low back and lower limbs and allow for recovery in a short time with excellent postoperative effects.In general,FESS is a good treatment for radiculopathy caused by foraminal stenosis after OVCF.
文摘Objective:Objective to explore the curative effect of transforaminal endoscopic surgery in the treatment of lumbar disc herniation.Methods:From October 2018 to October 2020,36 patients with lumbar disc herniation were randomly divided into group A and group B.the curative effect,pain,lumbar function and quality of life were analyzed.Results:The curative effect of group A was 94.44%,better than that of group B 61.11%,P<0.05;The visual analogue scale(VAS)of group A was lower than that of group B on 3D,5D and 7d after operation(P<0.05);The KSS of group A was higher than that of group B(P<0.05);The score of quality of life in group A was better than that in group B(P<0.05).Conclusion:Lumbar disc herniation patients underwent transforaminal endoscopic surgery,the effect is good,can improve lumbar function,relieve pain,improve the quality of life of patients.
文摘Objective: to compare and analyze the efficacy and complication rate of transforaminal endoscopic discectomy and laminectomy in the treatment of lumbar disc herniation. Methods: 92 patients with lumbar disc herniation in our hospital from January 2019 to January 2020 were selected to carry out clinical exploration. All patients were randomly divided into observation group and control group, 46 cases in each group. The control group was treated with laminectomy, while the observation group was treated with percutaneous transforaminal endoscopic discectomy. The postoperative symptoms, clinical signs, MRI examination of nerve root compression relief and other therapeutic indicators were evaluated, and the incidence of complications such as positioning error, nerve root injury, Dural sac injury, nucleus pulposus residue, intervertebral space infection and so on were counted. The curative effect and complication rate of the two groups were compared and analyzed. Results: after the treatment of the two groups of patients with intervertebral foramen endoscopic nucleus pulposus removal and laminectomy, the treatment effectiveness of the two groups of patients with postoperative symptoms, clinical signs and MRI examination of nerve root compression relief, and the incidence of complications such as positioning error, nerve root injury, Dural sac injury, nucleus pulposus residue, intervertebral space infection were compared. Statistical analysis found that the total effective rate of the observation group was higher than that of the control group (P < 0.05), and the incidence of complications was lower than that of the control group (P < 0.05). Conclusion: the application of transforaminal endoscopic discectomy and lamina fenestration discectomy in the treatment of lumbar disc herniation can effectively relieve the symptoms of patients, improve the clinical signs, improve the quality of life of patients and MRI examination of nerve root compression relief. The two groups can obtain satisfactory results.
文摘Objective: to analyze the effect of detail nursing in operation room for patients with intervertebral disc herniation who underwent foraminal nucleus pulposus excision. Methods: a total of 100 patients with disc herniation who underwent foraminal nucleus pulporesis extraction were enrolled in the department of our hospital from January 2019 to December 2020. They were randomly divided into groups. Patients in the control group were given routine nursing, and the observation group was given detail nursing in the operating room. Conclusion: the clinical effect of detail nursing of lumbar intervertebral disc herniation in operating room is exact, it can relieve the trauma, relieve the pain, reduce the complications and accelerate the recovery.
文摘In this editorial,the authors of this paper comment on the article by Bokov et al published in the recent issue of World Journal of Orthopedics.We reviewed a general overview of oblique lumbar interbody fusions(OLIF)and lateral lumbar interbody fusions(LLIF),their indications and complications as an increasingly popular minimally invasive technique to address several lumbar pathologies.This editorial thoroughly discusses and reviews the literature regarding factors affecting outcomes of indirect decompression utilized through OLIF and LLIF procedures.Several parameters play a critical role in patient outcomes including restoration of disc height,foraminal height,central canal squared,and foraminal area.The indirect decompression allows for unbuckling of the ligamentum flavum which can significantly decompress the neural elements as well as aid in reduction of spondylolisthesis.However,the authors further highlight the limitations of indirect decompression and factors that may predict unsuccessful outcomes including bony foraminal stenosis,severe central canal stenosis,and osteoporosis.As a result,failure of indirect decompression can lead to persistent pain,radiculopathy and unsatisfied patients.Spinal surgeons may be left to reimage patients and consider additional procedures with direct decompression.
