Transforaminal Endoscopic Decompression for Lumbar Spinal Stenosis: A Novel Surgical Method and Scientific Outcomes.
World Neurosurg. 2018 Mar 23;:
Authors: Shin SH, Bae JS, Lee SH, Keum HJ, Kim HJ, Jang WS
OBJECTIVE: Transforaminal endoscopic remedy has been reported to be an efficient remedy possibility in sufferers with lumbar disc herniation. Nonetheless, it’s hardly ever carried out for spinal stenosis due to the limitation of endoscopic working mobility brought on by the exiting nerve root and foraminous bony construction. The target of this research was to explain a novel transforaminal endoscopic decompression method for spinal stenosis and report the scientific outcomes.
METHODS: From October 2015 to October 2016, 30 consecutive instances have been recognized as lateral recess stenosis in our establishment and underwent transforaminal endoscopic decompression. Visible analog scale (VAS) of again and leg ache and the Oswestry Incapacity Index (ODI) have been measured preoperatively and at follow-up.
RESULTS: The imply ± SD worth of preoperative VAS leg ache rating was 7.6 ± 1.17. The rating improved to 2.2 ± 1.11 at 1 week postoperatively, 1.73 ± zero.96 at four weeks postoperatively, and 1.63 ± zero.95 at 26 weeks postoperatively (P < zero.01). The imply ± SD worth of the preoperative ODI rating was 65.69 ± 14.22. The rating improved to 24.29 ± 11.89 at 1 week postoperatively, 21.25 ± 9.25 at four weeks postoperatively, and 15.62 ± 10.49 at 26 weeks postoperatively (P < zero.01). There have been no sufferers with postoperative an infection, dural tear, delayed neurologic deterioration, or conversion to open surgical procedure.
CONCLUSIONS: Transforaminal endoscopic decompression beneath native anesthesia may very well be an efficient remedy technique for the chosen group of sufferers with spinal stenosis.
PMID: 29581017 [PubMed – as supplied by publisher]