Comparison of the Clinical Efficacy of Transforaminal Endoscopy and Microtubular Technology for the Treatment of Lumbar Dumbbell-Shaped Tumors
Objective To analyze differences in feasibility and efficacy between the paravertebral approach and microtubular tumorectomy (PAMT) or percutaneous transforaminal endoscopic tumorectomy (PTET) for the treatment of lumbar dumbbell-shaped tumors. Methods Clinical data of dumbbell-shaped lumbar tumors...
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| Format: | Article |
| Language: | English |
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Korean Spinal Neurosurgery Society
2022-09-01
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| Series: | Neurospine |
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| Online Access: | http://e-neurospine.org/upload/pdf/ns-2244152-076.pdf |
| _version_ | 1827365261045399552 |
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| author | Rui Wang Ze Yan Liang Yan Chen Chun Mei Chen |
| author_facet | Rui Wang Ze Yan Liang Yan Chen Chun Mei Chen |
| author_sort | Rui Wang |
| collection | DOAJ |
| description | Objective To analyze differences in feasibility and efficacy between the paravertebral approach and microtubular tumorectomy (PAMT) or percutaneous transforaminal endoscopic tumorectomy (PTET) for the treatment of lumbar dumbbell-shaped tumors. Methods Clinical data of dumbbell-shaped lumbar tumors in patients treated with PAMT or PTET in our hospital between June 2015 and November 2020 were retrospectively analyzed. The gross total resection (GTR) rate, operation time, estimated blood loss, postoperative hospital stay (PHS), postoperative neurological function, and spinal stability were compared between the 2 surgical methods. Neurological improvement was assessed using the pain visual analogue scale (VAS) and the Japanese Orthopaedic Association (JOA) score. Results Fifteen cases of GTR (93.8%) and 1 case of subtotal resection were included in the PTET group, whilst all 18 patients in the PAMT group achieved GTR. There was no significant difference in the GTR rate, operation time, and PHS between the PAMT and PTET groups. The estimated blood loss was significantly lower in the PTET group than in the PAMT group. At the last follow-up, there was no significant difference in the VAS or JOA scores between PTET and PAMT. No tumor recurrence or spinal instability was observed in either group during the follow-up period. Conclusion Both PAMT and PTET can achieve Eden type III-IV lumbar 1-stage tumor resection without additional spinal internal fixation due to reduced muscle, ligament, and facet joint damage. No lumbar instability and tumor recurrence occurred, and neurological function was improved. |
| first_indexed | 2024-03-08T08:25:44Z |
| format | Article |
| id | doaj.art-ac89e7a3a9ac40aaa56da8a5a4f28edf |
| institution | Directory Open Access Journal |
| issn | 2586-6583 2586-6591 |
| language | English |
| last_indexed | 2024-03-08T08:25:44Z |
| publishDate | 2022-09-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj.art-ac89e7a3a9ac40aaa56da8a5a4f28edf2024-02-02T04:45:26ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912022-09-0119351352310.14245/ns.2244152.0761271Comparison of the Clinical Efficacy of Transforaminal Endoscopy and Microtubular Technology for the Treatment of Lumbar Dumbbell-Shaped TumorsRui Wang0Ze Yan Liang1Yan Chen2Chun Mei Chen3 Department of Neurosurgery, Fujian Medical University Union Hospital, Fuzhou, China Department of Neurosurgery, Fujian Medical University Union Hospital, Fuzhou, China Department of Neurosurgery, Fujian Medical University Union Hospital, Fuzhou, China Department of Neurosurgery, Fujian Medical University Union Hospital, Fuzhou, ChinaObjective To analyze differences in feasibility and efficacy between the paravertebral approach and microtubular tumorectomy (PAMT) or percutaneous transforaminal endoscopic tumorectomy (PTET) for the treatment of lumbar dumbbell-shaped tumors. Methods Clinical data of dumbbell-shaped lumbar tumors in patients treated with PAMT or PTET in our hospital between June 2015 and November 2020 were retrospectively analyzed. The gross total resection (GTR) rate, operation time, estimated blood loss, postoperative hospital stay (PHS), postoperative neurological function, and spinal stability were compared between the 2 surgical methods. Neurological improvement was assessed using the pain visual analogue scale (VAS) and the Japanese Orthopaedic Association (JOA) score. Results Fifteen cases of GTR (93.8%) and 1 case of subtotal resection were included in the PTET group, whilst all 18 patients in the PAMT group achieved GTR. There was no significant difference in the GTR rate, operation time, and PHS between the PAMT and PTET groups. The estimated blood loss was significantly lower in the PTET group than in the PAMT group. At the last follow-up, there was no significant difference in the VAS or JOA scores between PTET and PAMT. No tumor recurrence or spinal instability was observed in either group during the follow-up period. Conclusion Both PAMT and PTET can achieve Eden type III-IV lumbar 1-stage tumor resection without additional spinal internal fixation due to reduced muscle, ligament, and facet joint damage. No lumbar instability and tumor recurrence occurred, and neurological function was improved.http://e-neurospine.org/upload/pdf/ns-2244152-076.pdflumbar spinedumbbell-shaped tumoreden grademicrotubular techniquespinal endoscopygross total resection |
| spellingShingle | Rui Wang Ze Yan Liang Yan Chen Chun Mei Chen Comparison of the Clinical Efficacy of Transforaminal Endoscopy and Microtubular Technology for the Treatment of Lumbar Dumbbell-Shaped Tumors Neurospine lumbar spine dumbbell-shaped tumor eden grade microtubular technique spinal endoscopy gross total resection |
| title | Comparison of the Clinical Efficacy of Transforaminal Endoscopy and Microtubular Technology for the Treatment of Lumbar Dumbbell-Shaped Tumors |
| title_full | Comparison of the Clinical Efficacy of Transforaminal Endoscopy and Microtubular Technology for the Treatment of Lumbar Dumbbell-Shaped Tumors |
| title_fullStr | Comparison of the Clinical Efficacy of Transforaminal Endoscopy and Microtubular Technology for the Treatment of Lumbar Dumbbell-Shaped Tumors |
| title_full_unstemmed | Comparison of the Clinical Efficacy of Transforaminal Endoscopy and Microtubular Technology for the Treatment of Lumbar Dumbbell-Shaped Tumors |
| title_short | Comparison of the Clinical Efficacy of Transforaminal Endoscopy and Microtubular Technology for the Treatment of Lumbar Dumbbell-Shaped Tumors |
| title_sort | comparison of the clinical efficacy of transforaminal endoscopy and microtubular technology for the treatment of lumbar dumbbell shaped tumors |
| topic | lumbar spine dumbbell-shaped tumor eden grade microtubular technique spinal endoscopy gross total resection |
| url | http://e-neurospine.org/upload/pdf/ns-2244152-076.pdf |
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