Manabe Hiroaki, Yamashita Kazuta, Tezuka Fumitake, Takata Yoichiro, Sakai Toshinori, Maeda Toru, Sairyo Koichi
Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School.
Neurol Med Chir (Tokyo). 2019 Feb 15;59(2):48-53. doi: 10.2176/nmc.oa.2018-0256. Epub 2019 Jan 23.
The purpose of this study was to assess the usefulness of radiofrequency thermal annuloplasty (TA) using percutaneous endoscopic discectomy/TA (PED/TA) in elite athletes with discogenic low back pain. Twelve patients (11 men, 1 woman; mean age 27.9 years) underwent PED/TA under local anesthesia. Clinical data for these patients (17 affected intervertebral discs), including type of sport played, average duration of low back pain, disc level affected, presence or absence of a high signal intensity zone on magnetic resonance imaging, and whether the patient returned to playing competitive sport, were retrospectively reviewed. The most common sport played by the patient was baseball (n = 8), followed by cycling (n = 2), tennis (n = 1), and hammer throw (n = 1). The average duration of low back pain was 24.3 months. The intervertebral disc levels affected were L4/5 (n = 11) and L5/S1 (n = 6). A high signal intensity zone was detected in nine discs. Although two patients required additional surgery, all patients were able to return to their original competitive level of play. Duration for the return to play was 2.8 months after surgery except the two revision cases. PED/TA for discogenic pain enables an early return to competitive sports, and so is particularly useful for elite athletes.
本研究的目的是评估经皮内镜椎间盘切除术/射频热消融术（PED/TA）对精英运动员椎间盘源性下腰痛的有效性。12例患者（11例男性，1例女性；平均年龄27.9岁）在局部麻醉下接受了PED/TA手术。回顾性分析了这些患者（17个受累椎间盘）的临床资料，包括所从事的运动类型、下腰痛的平均持续时间、受累椎间盘节段、磁共振成像上是否存在高信号区以及患者是否恢复参加竞技运动。患者最常从事的运动是棒球（n = 8），其次是自行车运动（n = 2）、网球（n = 1）和链球（n = 1）。下腰痛的平均持续时间为24.3个月。受累椎间盘节段为L4/5（n = 11）和L5/S1（n = 6）。9个椎间盘检测到高信号区。虽然有2例患者需要再次手术，但所有患者均能够恢复到原来的竞技水平。除2例翻修病例外，术后恢复运动的时间为2.8个月。PED/TA治疗椎间盘源性疼痛可使患者早期恢复竞技运动，因此对精英运动员特别有用。
