Department of Spine, The Second Xiangya Hospital of Central South University, Changsha, Hunan China.
Pain Physician. 2018 Jan;21(1):E63-E70.
Full-endoscopic interlaminar discectomy (FEID) has achieved satisfactory outcome in adolescent lumbar disc herniation (ALDH). Sciatic scoliosis is found to be a common presentation in ALDH. However, few reports are focused on the influences of sciatic scoliosis on ALDH and the prognosis of sciatic scoliosis after FEID.
This study aims to evaluate the clinical and radiological results of FEID in the treatment of ALDH with sciatic scoliosis and to identify the effects of sciatic scoliosis on complication and recurrence.
A retrospective study.
An inpatient surgery center.
A series of cases of patients under age 20 with single-level ALDH that underwent FEID between January 2010 and December 2014 were retrospectively analyzed. The patients were divided into 2 groups according to if they had scoliosis or not. Clinical outcomes were evaluated using a visual analog scale (VAS) for low back and leg pain, Oswestry Disability Index (ODI) for the functional assessment, and modified Macnab criteria for the patient satisfaction. Radiological parameters of the scoliosis group such as Cobb angle, CVSL-max, and CVSL-C7 were statistically analyzed.
No significant differences were found between both groups in terms of the mean operative time, the mean length of hospital stay, complications, and recurrences (P > 0.05). VAS and ODI scores were significantly improved in both groups (P < 0.05). However, there were no statistically significant differences between the 2 groups in VAS, ODI, and modified MacNab criteria (P > 0.05). For the scoliosis group, significant improvements were observed in the postoperative sagittal and coronal alignment parameters (P < 0.05).
This was a retrospective study with a relatively small sample size. Additionally, the length of follow-up was short.
The application of FEID in the treatment of ALDH could achieve satisfactory clinical and radiological outcomes. Sciatic scoliosis was corrected spontaneously without increasing the risk of complication and recurrence.
Adolescent lumbar disc herniation, full-endoscopic interlaminar discectomy, sciatic scoliosis, recurrence.
全内镜下经椎板间椎间盘切除术（FEID）在青少年腰椎间盘突出症（ALDH）的治疗中取得了满意的效果。在 ALDH 中发现坐骨脊柱侧凸是一种常见的表现。然而，很少有报道关注坐骨脊柱侧凸对 ALDH 的影响以及 FEID 后坐骨脊柱侧凸的预后。
本研究旨在评估 FEID 治疗伴有坐骨脊柱侧凸的 ALDH 的临床和影像学结果，并确定坐骨脊柱侧凸对并发症和复发的影响。
回顾性研究。
住院手术中心。
回顾性分析 2010 年 1 月至 2014 年 12 月期间接受 FEID 治疗的 20 岁以下单节段 ALDH 患者的一系列病例。根据是否存在脊柱侧凸，将患者分为两组。使用视觉模拟评分（VAS）评估腰痛和腿痛、Oswestry 残疾指数（ODI）评估功能评估以及改良 Macnab 标准评估患者满意度来评估临床结果。对脊柱侧凸组的脊柱侧凸等放射学参数，如 Cobb 角、CVSL-max 和 CVSL-C7 进行统计学分析。
两组在手术时间、平均住院时间、并发症和复发方面无显著差异（P > 0.05）。两组 VAS 和 ODI 评分均显著改善（P < 0.05）。然而，两组在 VAS、ODI 和改良 MacNab 标准之间无统计学差异（P > 0.05）。对于脊柱侧凸组，术后矢状面和冠状面排列参数有显著改善（P < 0.05）。
这是一项回顾性研究，样本量相对较小。此外，随访时间较短。
FEID 应用于治疗 ALDH 可获得满意的临床和影像学结果。坐骨脊柱侧凸自发矫正，不会增加并发症和复发的风险。
青少年腰椎间盘突出症，全内镜下经椎板间椎间盘切除术，坐骨脊柱侧凸，复发。
