Correlation Between Postoperative Imaging Parameters and Clinical Outcomes of Percutaneous Endoscopic Transforaminal Decompression for Lumbar Spinal Foraminal and Lateral Recess Stenosis
Qichao Wu,* Shuo Yuan,* Lei Zang, Tianyi Wang, Xuanyu Lu, Aobo Wang, Fangda Si, Ning Fan, Peng Du Department of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing, People’s Republic of China*These authors contributed equally to this workCorrespondence...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2023-03-01
|
| Series: | Journal of Pain Research |
| Subjects: | |
| Online Access: | https://www.dovepress.com/correlation-between-postoperative-imaging-parameters-and-clinical-outc-peer-reviewed-fulltext-article-JPR |
| _version_ | 1797854200148787200 |
|---|---|
| author | Wu Q Yuan S Zang L Wang T Lu X Wang A Si F Fan N Du P |
| author_facet | Wu Q Yuan S Zang L Wang T Lu X Wang A Si F Fan N Du P |
| author_sort | Wu Q |
| collection | DOAJ |
| description | Qichao Wu,* Shuo Yuan,* Lei Zang, Tianyi Wang, Xuanyu Lu, Aobo Wang, Fangda Si, Ning Fan, Peng Du Department of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing, People’s Republic of China*These authors contributed equally to this workCorrespondence: Lei Zang, Department of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing, People’s Republic of China, Email zanglei@ccmu.edu.cnObjective: To investigate the correlation between postoperative imaging parameters and clinical outcomes in patients with foraminal stenosis (FS) and lateral recess stenosis (LRS) who underwent percutaneous endoscopic transforaminal decompression (PETD).Methods: The study included 104 eligible patients who underwent PETD, and the mean follow-up time was 2.4 years (range 2.2– 3.6 years). Visual Analog Scale (VAS) scores, Oswestry Disability Index (ODI) scores, and the modified MacNab criteria were used to evaluate the clinical outcomes. The related parameters of the FS and LRS based on computed tomography and magnetic resonance imaging were measured before and after surgery. Correlations between the imaging parameters and clinical outcomes were investigated.Results: The proportion of excellent and good results following MacNab evaluation was 82.6%. In the treatment of LRS, VAS-back, VAS-leg, and ODI at the 2-year follow-up were negatively correlated with postoperative facet joint length based on computed tomography. In the treatment of FS, the above clinical results were positively correlated with the variation of foraminal width and nerve root-facet distance before and after surgery based on magnetic resonance imaging.Conclusion: PETD can achieve good clinical outcomes in the treatment of patients with LRS or FS. Postoperative facet joint length was negatively correlated with clinical outcomes of LRS patients. In FS patients, the variation in foraminal width and nerve root-facet distance before and after surgery were positively correlated with their clinical outcomes. These findings may help surgeons optimize treatment strategies and selection of surgical candidates.Keywords: lumbar spinal stenosis, clinical outcomes, percutaneous endoscopic transforaminal decompression, microsurgery, spinal endoscopy |
| first_indexed | 2024-04-09T20:03:20Z |
| format | Article |
| id | doaj.art-5ddb9d6ebdb9466a90b4efa192a61b10 |
| institution | Directory Open Access Journal |
| issn | 1178-7090 |
| language | English |
| last_indexed | 2024-04-09T20:03:20Z |
| publishDate | 2023-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Pain Research |
| spelling | doaj.art-5ddb9d6ebdb9466a90b4efa192a61b102023-04-02T19:44:15ZengDove Medical PressJournal of Pain Research1178-70902023-03-01Volume 161149115782688Correlation Between Postoperative Imaging Parameters and Clinical Outcomes of Percutaneous Endoscopic Transforaminal Decompression for Lumbar Spinal Foraminal and Lateral Recess StenosisWu QYuan SZang LWang TLu XWang ASi FFan NDu PQichao Wu,* Shuo Yuan,* Lei Zang, Tianyi Wang, Xuanyu Lu, Aobo Wang, Fangda Si, Ning Fan, Peng Du Department of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing, People’s Republic of China*These authors contributed equally to this workCorrespondence: Lei Zang, Department of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing, People’s Republic of China, Email zanglei@ccmu.edu.cnObjective: To investigate the correlation between postoperative imaging parameters and clinical outcomes in patients with foraminal stenosis (FS) and lateral recess stenosis (LRS) who underwent percutaneous endoscopic transforaminal decompression (PETD).Methods: The study included 104 eligible patients who underwent PETD, and the mean follow-up time was 2.4 years (range 2.2– 3.6 years). Visual Analog Scale (VAS) scores, Oswestry Disability Index (ODI) scores, and the modified MacNab criteria were used to evaluate the clinical outcomes. The related parameters of the FS and LRS based on computed tomography and magnetic resonance imaging were measured before and after surgery. Correlations between the imaging parameters and clinical outcomes were investigated.Results: The proportion of excellent and good results following MacNab evaluation was 82.6%. In the treatment of LRS, VAS-back, VAS-leg, and ODI at the 2-year follow-up were negatively correlated with postoperative facet joint length based on computed tomography. In the treatment of FS, the above clinical results were positively correlated with the variation of foraminal width and nerve root-facet distance before and after surgery based on magnetic resonance imaging.Conclusion: PETD can achieve good clinical outcomes in the treatment of patients with LRS or FS. Postoperative facet joint length was negatively correlated with clinical outcomes of LRS patients. In FS patients, the variation in foraminal width and nerve root-facet distance before and after surgery were positively correlated with their clinical outcomes. These findings may help surgeons optimize treatment strategies and selection of surgical candidates.Keywords: lumbar spinal stenosis, clinical outcomes, percutaneous endoscopic transforaminal decompression, microsurgery, spinal endoscopyhttps://www.dovepress.com/correlation-between-postoperative-imaging-parameters-and-clinical-outc-peer-reviewed-fulltext-article-JPRlumbar spinal stenosisclinical outcomespercutaneous endoscopic transforaminal decompressionmicrosurgeryspinal endoscopy |
| spellingShingle | Wu Q Yuan S Zang L Wang T Lu X Wang A Si F Fan N Du P Correlation Between Postoperative Imaging Parameters and Clinical Outcomes of Percutaneous Endoscopic Transforaminal Decompression for Lumbar Spinal Foraminal and Lateral Recess Stenosis Journal of Pain Research lumbar spinal stenosis clinical outcomes percutaneous endoscopic transforaminal decompression microsurgery spinal endoscopy |
| title | Correlation Between Postoperative Imaging Parameters and Clinical Outcomes of Percutaneous Endoscopic Transforaminal Decompression for Lumbar Spinal Foraminal and Lateral Recess Stenosis |
| title_full | Correlation Between Postoperative Imaging Parameters and Clinical Outcomes of Percutaneous Endoscopic Transforaminal Decompression for Lumbar Spinal Foraminal and Lateral Recess Stenosis |
| title_fullStr | Correlation Between Postoperative Imaging Parameters and Clinical Outcomes of Percutaneous Endoscopic Transforaminal Decompression for Lumbar Spinal Foraminal and Lateral Recess Stenosis |
| title_full_unstemmed | Correlation Between Postoperative Imaging Parameters and Clinical Outcomes of Percutaneous Endoscopic Transforaminal Decompression for Lumbar Spinal Foraminal and Lateral Recess Stenosis |
| title_short | Correlation Between Postoperative Imaging Parameters and Clinical Outcomes of Percutaneous Endoscopic Transforaminal Decompression for Lumbar Spinal Foraminal and Lateral Recess Stenosis |
| title_sort | correlation between postoperative imaging parameters and clinical outcomes of percutaneous endoscopic transforaminal decompression for lumbar spinal foraminal and lateral recess stenosis |
| topic | lumbar spinal stenosis clinical outcomes percutaneous endoscopic transforaminal decompression microsurgery spinal endoscopy |
| url | https://www.dovepress.com/correlation-between-postoperative-imaging-parameters-and-clinical-outc-peer-reviewed-fulltext-article-JPR |
| work_keys_str_mv | AT wuq correlationbetweenpostoperativeimagingparametersandclinicaloutcomesofpercutaneousendoscopictransforaminaldecompressionforlumbarspinalforaminalandlateralrecessstenosis AT yuans correlationbetweenpostoperativeimagingparametersandclinicaloutcomesofpercutaneousendoscopictransforaminaldecompressionforlumbarspinalforaminalandlateralrecessstenosis AT zangl correlationbetweenpostoperativeimagingparametersandclinicaloutcomesofpercutaneousendoscopictransforaminaldecompressionforlumbarspinalforaminalandlateralrecessstenosis AT wangt correlationbetweenpostoperativeimagingparametersandclinicaloutcomesofpercutaneousendoscopictransforaminaldecompressionforlumbarspinalforaminalandlateralrecessstenosis AT lux correlationbetweenpostoperativeimagingparametersandclinicaloutcomesofpercutaneousendoscopictransforaminaldecompressionforlumbarspinalforaminalandlateralrecessstenosis AT wanga correlationbetweenpostoperativeimagingparametersandclinicaloutcomesofpercutaneousendoscopictransforaminaldecompressionforlumbarspinalforaminalandlateralrecessstenosis AT sif correlationbetweenpostoperativeimagingparametersandclinicaloutcomesofpercutaneousendoscopictransforaminaldecompressionforlumbarspinalforaminalandlateralrecessstenosis AT fann correlationbetweenpostoperativeimagingparametersandclinicaloutcomesofpercutaneousendoscopictransforaminaldecompressionforlumbarspinalforaminalandlateralrecessstenosis AT dup correlationbetweenpostoperativeimagingparametersandclinicaloutcomesofpercutaneousendoscopictransforaminaldecompressionforlumbarspinalforaminalandlateralrecessstenosis |