Department of Orthopedics, Tokushima University Graduate School, Tokushima, Tokushima, Japan.
Neurol Med Chir (Tokyo). 2021 Feb 15;61(2):144-151. doi: 10.2176/nmc.oa.2020-0204. Epub 2020 Dec 30.
Transforaminal full-endoscopic spine (TF-FES) surgery is minimally invasive and can be performed under local anesthesia. Thus, it is expected that the patient can return to work (RTW) quickly. However, information in the literature regarding this is sparse. The purpose of this study is to review the timing of RTW after TF-FES surgery. This study involved 50 patients (14 women, 36 men; mean age 44.5 years, age range: 20-65 years) who underwent TF-FES surgery between January 2016 and April 2018. All the patients were active workers. Occupations varied widely (e.g., physician, nurse, helper, clerk, construction worker, chef, and schoolteacher). There were no surgery-related complications. Median time to RTW was 21 days. More than half of the patients could RTW within 21 days. In all, 12 cases (24%) could have RTW within 7 days. Occupations of 12 patients who achieved RTW within 7 days included physician, company owner, and restaurant owner, with 11 in the Light work, 1 was in the Medium work, and none in the Heavy work. All 12 had a quick RTW because their work was Light and they could not take prolonged sick leave. Prompt RTW is possible with TF-FES surgery. The biggest merit of TF-FES surgery is minimal invasiveness to the muscles of the back. Also, it can be performed under local anesthesia. Our findings reveal quicker RTW after surgery, depending on occupational type.
经椎间孔全内镜脊柱(TF-FES)手术具有微创性,可以在局部麻醉下进行。因此,预计患者可以快速返回工作岗位(RTW)。然而,文献中关于这方面的信息很少。本研究旨在回顾 TF-FES 手术后 RTW 的时间。这项研究涉及 50 名患者(14 名女性,36 名男性;平均年龄 44.5 岁,年龄范围:20-65 岁),他们于 2016 年 1 月至 2018 年 4 月期间接受了 TF-FES 手术。所有患者均为活跃的劳动者。职业差异很大(如医生、护士、助手、文员、建筑工人、厨师和教师)。没有与手术相关的并发症。RTW 的中位数时间为 21 天。超过一半的患者可以在 21 天内 RTW。总共 12 例(24%)可以在 7 天内 RTW。在 7 天内 RTW 的 12 例患者的职业包括医生、公司老板和餐馆老板,其中 11 人从事轻工作,1 人从事中工作,没有人从事重工作。所有 12 人都能快速 RTW,因为他们的工作很轻松,不能请长时间病假。经椎间孔全内镜脊柱(TF-FES)手术可以实现快速 RTW。TF-FES 手术的最大优点是对背部肌肉的微创性。此外,它可以在局部麻醉下进行。我们的研究结果表明,根据职业类型,手术后 RTW 更快。