Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis
Background: Percutaneous endoscopic decompression (PED) is a minimally invasive surgical technique that is now used for not only disc herniation but also lumbar spinal stenosis (LSS). However, few studies have reported endoscopic surgery for LSS. Therefore, we conducted this study to evaluate the ou...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-06-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2021.603589/full |
| _version_ | 1819098434120974336 |
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| author | Fei-Long Wei Ming-Rui Du Tian Li Kai-Long Zhu Yi-Li Zhu Xiao-Dong Yan Yi-Fang Yuan Sheng-Da Wu Bo An Hao-Ran Gao Ji-Xian Qian Cheng-Pei Zhou |
| author_facet | Fei-Long Wei Ming-Rui Du Tian Li Kai-Long Zhu Yi-Li Zhu Xiao-Dong Yan Yi-Fang Yuan Sheng-Da Wu Bo An Hao-Ran Gao Ji-Xian Qian Cheng-Pei Zhou |
| author_sort | Fei-Long Wei |
| collection | DOAJ |
| description | Background: Percutaneous endoscopic decompression (PED) is a minimally invasive surgical technique that is now used for not only disc herniation but also lumbar spinal stenosis (LSS). However, few studies have reported endoscopic surgery for LSS. Therefore, we conducted this study to evaluate the outcomes and safety of large channel endoscopic decompression.Methods: Forty-one patients diagnosed with LSS who underwent PED surgery were included in the study. The estimated blood loss, operative time, length of hospital stay, hospital costs, reoperations, complications, visual analogue scale (VAS) score, Oswestry Disability Index (ODI) score, Japanese Orthopaedic Association (JOA) score and SF-36 physical-component summary scores were assessed. Preoperative and postoperative continuous data were compared through paired-samples t-tests. The significance level for all analyses was defined as p < 0.05.Results: A total of 41 consecutive patients underwent PED, including 21 (51.2%) males and 20 (48.8%) females. The VAS and ODI scores decreased from preoperatively to postoperatively, but the JOA and SF-36 physical component summary scores significantly increased. The VAS (lumbar) score decreased from 5.05 ± 2.33 to 0.45 ± 0.71 (P = 0.000); the VAS (leg) score decreased from 5.51 ± 2.82 to 0.53 ± 0.72 (P = 0.000); the ODI score decreased from 52.80 ± 20.41 to 4.84 ± 3.98 (P = 0.000), and the JOA score increased from 11.73 ± 4.99 to 25.32 ± 2.12 (P = 0.000). Only 1 patient experienced an intraoperative complication (2.4%; dural tear), and 1 patient required reoperation (2.4%).Conclusions: Surgical treatment for LSS is to sufficiently decompress and minimize the trauma and complications caused by surgery. This study did not reveal any obvious shortcomings of PED and suggested PED is a safe and effective treatment for LSS. |
| first_indexed | 2024-12-22T00:30:55Z |
| format | Article |
| id | doaj.art-5280d7b71c7a446d8afe388932f955fe |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-22T00:30:55Z |
| publishDate | 2021-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-5280d7b71c7a446d8afe388932f955fe2022-12-21T18:44:56ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2021-06-01810.3389/fsurg.2021.603589603589Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal StenosisFei-Long Wei0Ming-Rui Du1Tian Li2Kai-Long Zhu3Yi-Li Zhu4Xiao-Dong Yan5Yi-Fang Yuan6Sheng-Da Wu7Bo An8Hao-Ran Gao9Ji-Xian Qian10Cheng-Pei Zhou11Department of Orthopedics, Tangdu Hospital, Fourth Military Medical University, Xi'an, ChinaDepartment of Orthopedics, Tangdu Hospital, Fourth Military Medical University, Xi'an, ChinaSchool of Basic Medicine, Fourth Military Medical University, Xi'an, ChinaDepartment of Orthopedics, Tangdu Hospital, Fourth Military Medical University, Xi'an, ChinaSchool of Basic Medicine, Fourth Military Medical University, Xi'an, ChinaDepartment of Orthopedics, Tangdu Hospital, Fourth Military Medical University, Xi'an, ChinaDepartment of Orthopedics, Tangdu Hospital, Fourth Military Medical University, Xi'an, ChinaDepartment of Orthopedics, Tangdu Hospital, Fourth Military Medical University, Xi'an, ChinaDepartment of Orthopedics, Tangdu Hospital, Fourth Military Medical University, Xi'an, ChinaDepartment of Orthopedics, Tangdu Hospital, Fourth Military Medical University, Xi'an, ChinaDepartment of Orthopedics, Tangdu Hospital, Fourth Military Medical University, Xi'an, ChinaDepartment of Orthopedics, Tangdu Hospital, Fourth Military Medical University, Xi'an, ChinaBackground: Percutaneous endoscopic decompression (PED) is a minimally invasive surgical technique that is now used for not only disc herniation but also lumbar spinal stenosis (LSS). However, few studies have reported endoscopic surgery for LSS. Therefore, we conducted this study to evaluate the outcomes and safety of large channel endoscopic decompression.Methods: Forty-one patients diagnosed with LSS who underwent PED surgery were included in the study. The estimated blood loss, operative time, length of hospital stay, hospital costs, reoperations, complications, visual analogue scale (VAS) score, Oswestry Disability Index (ODI) score, Japanese Orthopaedic Association (JOA) score and SF-36 physical-component summary scores were assessed. Preoperative and postoperative continuous data were compared through paired-samples t-tests. The significance level for all analyses was defined as p < 0.05.Results: A total of 41 consecutive patients underwent PED, including 21 (51.2%) males and 20 (48.8%) females. The VAS and ODI scores decreased from preoperatively to postoperatively, but the JOA and SF-36 physical component summary scores significantly increased. The VAS (lumbar) score decreased from 5.05 ± 2.33 to 0.45 ± 0.71 (P = 0.000); the VAS (leg) score decreased from 5.51 ± 2.82 to 0.53 ± 0.72 (P = 0.000); the ODI score decreased from 52.80 ± 20.41 to 4.84 ± 3.98 (P = 0.000), and the JOA score increased from 11.73 ± 4.99 to 25.32 ± 2.12 (P = 0.000). Only 1 patient experienced an intraoperative complication (2.4%; dural tear), and 1 patient required reoperation (2.4%).Conclusions: Surgical treatment for LSS is to sufficiently decompress and minimize the trauma and complications caused by surgery. This study did not reveal any obvious shortcomings of PED and suggested PED is a safe and effective treatment for LSS.https://www.frontiersin.org/articles/10.3389/fsurg.2021.603589/fulllumbar spinal stenosisoutcomessafetylarge channelendoscopic decompression |
| spellingShingle | Fei-Long Wei Ming-Rui Du Tian Li Kai-Long Zhu Yi-Li Zhu Xiao-Dong Yan Yi-Fang Yuan Sheng-Da Wu Bo An Hao-Ran Gao Ji-Xian Qian Cheng-Pei Zhou Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis Frontiers in Surgery lumbar spinal stenosis outcomes safety large channel endoscopic decompression |
| title | Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis |
| title_full | Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis |
| title_fullStr | Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis |
| title_full_unstemmed | Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis |
| title_short | Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis |
| title_sort | therapeutic effect of large channel endoscopic decompression in lumbar spinal stenosis |
| topic | lumbar spinal stenosis outcomes safety large channel endoscopic decompression |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2021.603589/full |
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