Sriphirom Pornpavit, Siramanakul Chaiyaporn, Chaipanha Preewut, Saepoo Chalit
Department of Orthopaedic Surgery, Rajavithi Hospital, Rangsit University, Bangkok 10400, Thailand.
Department of Orthopaedic Surgery, Paolo Memorial Hospital Phaholyothin Medical Center, Bangkok 10400, Thailand.
Brain Sci. 2021 Jan 10;11(1):83. doi: 10.3390/brainsci11010083.
The use of traditional open decompression alone in degenerative spondylolisthesis can lead to the development of postoperative spinal instability, whereas percutaneous endoscopic decompression can preserve the attachment of intervertebral muscles, facet joint capsules, and ligaments that stabilize the spine. The study's aim was to determine clinical as well as radiologic outcomes associated with interlaminar percutaneous endoscopic decompression in patients with stable degenerative spondylolisthesis. For this study, 28 patients with stable degenerative spondylolisthesis who underwent percutaneous endoscopic decompression were enrolled. The clinical outcomes in terms of the visual analogue scale (VAS) and Oswestry disability index (ODI) were evaluated. Radiologic outcomes were determined by measuring the ratio of disc height and the vertebral slippage percentage using lateral standing radiographs. The average follow-up period was 25.24 months. VAS and ODI were significantly improved at the final follow-up. In terms of ratio of disc height and vertebral slippage percentage found no significant difference between the preoperative and postoperative periods. One patient underwent further caudal epidural steroid injection. One patient underwent fusion because their radicular pain did not improve. Interlaminar percutaneous endoscopic decompression is an effective procedure with favorable outcomes in selected patients with stable degenerative spondylolisthesis.
在退行性腰椎滑脱症中单纯使用传统的开放减压术可能会导致术后脊柱不稳定的发生，而经皮内镜减压术可以保留稳定脊柱的椎间肌肉、小关节囊和韧带的附着。本研究的目的是确定在稳定的退行性腰椎滑脱症患者中，经皮内镜椎间孔减压术的临床和影像学结果。在本研究中，纳入了28例接受经皮内镜减压术的稳定的退行性腰椎滑脱症患者。评估了视觉模拟量表（VAS）和Oswestry功能障碍指数（ODI）方面的临床结果。通过站立位腰椎侧位X线片测量椎间盘高度比和椎体滑脱百分比来确定影像学结果。平均随访期为25.24个月。在末次随访时，VAS和ODI有显著改善。在椎间盘高度比和椎体滑脱百分比方面，术前和术后无显著差异。1例患者接受了进一步的骶管硬膜外类固醇注射。1例患者因神经根性疼痛未改善而接受了融合手术。经皮内镜椎间孔减压术是一种有效的手术方法，在选择的稳定的退行性腰椎滑脱症患者中具有良好的疗效。
