Clinical Outcomes of Interlaminar Percutaneous Endoscopic Decompression for Degenerative Lumbar Spondylolisthesis with Spinal Stenosis
The use of traditional open decompression alone in degenerative spondylolisthesis can lead to the development of postoperative spinal instability, whereas percutaneous endoscopic decompression can preserve the attachment of intervertebral muscles, facet joint capsules, and ligaments that stabilize t...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-01-01
|
| Series: | Brain Sciences |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2076-3425/11/1/83 |
| _version_ | 1797413714667765760 |
|---|---|
| author | Pornpavit Sriphirom Chaiyaporn Siramanakul Preewut Chaipanha Chalit Saepoo |
| author_facet | Pornpavit Sriphirom Chaiyaporn Siramanakul Preewut Chaipanha Chalit Saepoo |
| author_sort | Pornpavit Sriphirom |
| collection | DOAJ |
| description | The use of traditional open decompression alone in degenerative spondylolisthesis can lead to the development of postoperative spinal instability, whereas percutaneous endoscopic decompression can preserve the attachment of intervertebral muscles, facet joint capsules, and ligaments that stabilize the spine. The study’s aim was to determine clinical as well as radiologic outcomes associated with interlaminar percutaneous endoscopic decompression in patients with stable degenerative spondylolisthesis. For this study, 28 patients with stable degenerative spondylolisthesis who underwent percutaneous endoscopic decompression were enrolled. The clinical outcomes in terms of the visual analogue scale (VAS) and Oswestry disability index (ODI) were evaluated. Radiologic outcomes were determined by measuring the ratio of disc height and the vertebral slippage percentage using lateral standing radiographs. The average follow-up period was 25.24 months. VAS and ODI were significantly improved at the final follow-up. In terms of ratio of disc height and vertebral slippage percentage found no significant difference between the preoperative and postoperative periods. One patient underwent further caudal epidural steroid injection. One patient underwent fusion because their radicular pain did not improve. Interlaminar percutaneous endoscopic decompression is an effective procedure with favorable outcomes in selected patients with stable degenerative spondylolisthesis. |
| first_indexed | 2024-03-09T05:22:06Z |
| format | Article |
| id | doaj.art-583241a53feb4ac3be14379bb0076573 |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-09T05:22:06Z |
| publishDate | 2021-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-583241a53feb4ac3be14379bb00765732023-12-03T12:39:34ZengMDPI AGBrain Sciences2076-34252021-01-011118310.3390/brainsci11010083Clinical Outcomes of Interlaminar Percutaneous Endoscopic Decompression for Degenerative Lumbar Spondylolisthesis with Spinal StenosisPornpavit Sriphirom0Chaiyaporn Siramanakul1Preewut Chaipanha2Chalit Saepoo3Department of Orthopaedic Surgery, Rajavithi Hospital, Rangsit University, Bangkok 10400, ThailandDepartment of Orthopaedic Surgery, Paolo Memorial Hospital Phaholyothin Medical Center, Bangkok 10400, ThailandDepartment of Orthopaedic Surgery, Rajavithi Hospital, Rangsit University, Bangkok 10400, ThailandDepartment of Orthopaedic Surgery, Rajavithi Hospital, Rangsit University, Bangkok 10400, ThailandThe use of traditional open decompression alone in degenerative spondylolisthesis can lead to the development of postoperative spinal instability, whereas percutaneous endoscopic decompression can preserve the attachment of intervertebral muscles, facet joint capsules, and ligaments that stabilize the spine. The study’s aim was to determine clinical as well as radiologic outcomes associated with interlaminar percutaneous endoscopic decompression in patients with stable degenerative spondylolisthesis. For this study, 28 patients with stable degenerative spondylolisthesis who underwent percutaneous endoscopic decompression were enrolled. The clinical outcomes in terms of the visual analogue scale (VAS) and Oswestry disability index (ODI) were evaluated. Radiologic outcomes were determined by measuring the ratio of disc height and the vertebral slippage percentage using lateral standing radiographs. The average follow-up period was 25.24 months. VAS and ODI were significantly improved at the final follow-up. In terms of ratio of disc height and vertebral slippage percentage found no significant difference between the preoperative and postoperative periods. One patient underwent further caudal epidural steroid injection. One patient underwent fusion because their radicular pain did not improve. Interlaminar percutaneous endoscopic decompression is an effective procedure with favorable outcomes in selected patients with stable degenerative spondylolisthesis.https://www.mdpi.com/2076-3425/11/1/83degenerative spondylolisthesisinterlaminar percutaneous endoscopic decompressionspinal stenosis |
| spellingShingle | Pornpavit Sriphirom Chaiyaporn Siramanakul Preewut Chaipanha Chalit Saepoo Clinical Outcomes of Interlaminar Percutaneous Endoscopic Decompression for Degenerative Lumbar Spondylolisthesis with Spinal Stenosis Brain Sciences degenerative spondylolisthesis interlaminar percutaneous endoscopic decompression spinal stenosis |
| title | Clinical Outcomes of Interlaminar Percutaneous Endoscopic Decompression for Degenerative Lumbar Spondylolisthesis with Spinal Stenosis |
| title_full | Clinical Outcomes of Interlaminar Percutaneous Endoscopic Decompression for Degenerative Lumbar Spondylolisthesis with Spinal Stenosis |
| title_fullStr | Clinical Outcomes of Interlaminar Percutaneous Endoscopic Decompression for Degenerative Lumbar Spondylolisthesis with Spinal Stenosis |
| title_full_unstemmed | Clinical Outcomes of Interlaminar Percutaneous Endoscopic Decompression for Degenerative Lumbar Spondylolisthesis with Spinal Stenosis |
| title_short | Clinical Outcomes of Interlaminar Percutaneous Endoscopic Decompression for Degenerative Lumbar Spondylolisthesis with Spinal Stenosis |
| title_sort | clinical outcomes of interlaminar percutaneous endoscopic decompression for degenerative lumbar spondylolisthesis with spinal stenosis |
| topic | degenerative spondylolisthesis interlaminar percutaneous endoscopic decompression spinal stenosis |
| url | https://www.mdpi.com/2076-3425/11/1/83 |
| work_keys_str_mv | AT pornpavitsriphirom clinicaloutcomesofinterlaminarpercutaneousendoscopicdecompressionfordegenerativelumbarspondylolisthesiswithspinalstenosis AT chaiyapornsiramanakul clinicaloutcomesofinterlaminarpercutaneousendoscopicdecompressionfordegenerativelumbarspondylolisthesiswithspinalstenosis AT preewutchaipanha clinicaloutcomesofinterlaminarpercutaneousendoscopicdecompressionfordegenerativelumbarspondylolisthesiswithspinalstenosis AT chalitsaepoo clinicaloutcomesofinterlaminarpercutaneousendoscopicdecompressionfordegenerativelumbarspondylolisthesiswithspinalstenosis |