Philips Giby Abraham Cherry, Oshima Yasushi, Inoue Hirokazu, Kitagawa Tomoaki, Iwai Hiroki, Takano Yuichi, Inanami Hirohiko, Koga Hisashi
Iwai FESS Clinic, Tokyo, Japan.
Department of Orthopaedics, Iwai Orthopaedic Medical Hospital, Tokyo, Japan.
J Spine Surg. 2020 Jun;6(2):466-471. doi: 10.21037/jss.2019.10.11.
Full-endoscopic spine surgery (FESS) is a suitable treatment for lumbar disc herniation (LDH) and foraminal stenosis. Here, we describe the usefulness of FESS for treating radiculopathy after osteoporotic vertebral compression fractures (OVCFs). Between October 2018 and April 2019, three female patients (mean age, 81.7 years) with radiculopathy after OVCFs underwent FESS. Decompression of the corresponding nerve root was achieved using several FESS techniques, including foraminoplasty, discectomy, and removal of osteophyte or cement leakage. The mean operative time was 60.7 min. Preoperative and postoperative statuses were evaluated using numerical rating scale (NRS) scores. The mean pre- and postoperative NRS scores were 9 and 2.3, respectively. We observed no postoperative complications. Our results demonstrate that FESS is a safe and effective minimally invasive treatment for radiculopathy after OVCFs, with the potential to be an alternative to vertebroplasty, balloon kyphoplasty (BKP), or lumbar interbody fusion.
全内镜脊柱手术（FESS）是治疗腰椎间盘突出症（LDH）和椎间孔狭窄的一种合适方法。在此，我们描述FESS在治疗骨质疏松性椎体压缩骨折（OVCFs）后神经根病方面的有效性。2018年10月至2019年4月期间，3例OVCFs后出现神经根病的女性患者（平均年龄81.7岁）接受了FESS。使用多种FESS技术实现了相应神经根的减压，包括椎间孔成形术、椎间盘切除术以及骨赘或骨水泥渗漏清除术。平均手术时间为60.7分钟。采用数字评分量表（NRS）评分对术前和术后状态进行评估。术前和术后NRS评分的平均值分别为9分和2.3分。我们未观察到术后并发症。我们的结果表明，FESS是治疗OVCFs后神经根病的一种安全有效的微创治疗方法，有可能成为椎体成形术、球囊后凸成形术（BKP）或腰椎椎间融合术的替代方法。
