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Percutaneous transforaminal endoscopic discectomy for adjoining phase illness after lumbar fusion in aged sufferers over 65 years outdated.
World Neurosurg. 2018 Feb 02;:
Authors: Gu G, Wang C, Gu X, Zhang H, Zhao Y, He S
Summary
PURPOSE: The intention of the examine was to judge the short-term efficacy and security of percutaneous transforaminal endoscopic discectomy (PTED) within the remedy of symptomatic ASD after lumbar fusion in aged sufferers over 65 years outdated.
METHODS: We carried out a retrospective examine of aged sufferers over 65 years outdated, who underwent PTED for ASD after lumbar fusion from January 2013 to September 2016. Demographics and perioperative medical information have been collected from medical information. Moreover, MacNab classification, visible analog scale (VAS), Oswestry Incapacity Index (ODI) and Japanese Orthopaedics Affiliation Scores (JOA) in addition to short-form-36 scoring scale (SF-36) have been utilized to evaluate the efficacy of PTED.
RESULTS: A complete of 25 consecutive aged ASD sufferers over 65 years outdated (11 male, 14 feminine; imply age 74.65±9.61 years) have been evaluated. The imply observe up time was 37.14±11.60 months. 84.zero% of the sufferers (21/25) confirmed glorious or good medical outcomes, 12.zero% (three/25) honest and four.zero% (1/25) poor. As for problems, there have been 1 case of dural laceration, 1 case of postoperative dysesthesia (POD) and 1 case of recurrence. With respect to patient-reported outcomes, vital enhancements have been noticed postoperatively when put next preoperatively in VAS (P<zero.05), ODI (P<zero.05) and JOA (P<zero.05) in addition to SF-36(P<zero.05).
CONCLUSION: PTED confirmed passable short-term efficacy and security within the administration of ASD after lumbar fusion in aged sufferers over 65 years outdated. Subsequently, PTED is likely to be another choice for aged sufferers with ASD after lumbar fusion.
PMID: 29408425 [PubMed – as supplied by publisher]