经椎间孔内窥镜手术治疗椎板切除术后腰椎神经根病：病例系列研究。
Transforaminal Endoscopic Surgical Treatment for Postlaminectomy Lumbar Radiculopathy: Case Series.
机构信息
Department of Neurosurgery, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Department of Neurosurgery, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
出版信息
World Neurosurg. 2021 Jun;150:e577-e584. doi: 10.1016/j.wneu.2021.03.058. Epub 2021 Mar 19.
OBJECTIVE
To describe outcomes of awake transforaminal endoscopic surgical treatment for patients presenting with lumbar radiculopathy after laminectomy.
METHODS
Awake endoscopic decompression surgery was performed on 538 patients over a 5-year period (2014-2019). Transforaminal endoscopic discectomy and foraminotomy was performed in 128 patients who had previously undergone laminectomy surgery.
RESULTS
At 2-year follow-up, preoperative visual analog scale score for leg pain improved from 7.0 ± 1.4 to 2.0 ± 1.3 and Oswestry Disability Index score improved from 41.4% ± 11.9% to 12.4% ± 11.9% in 118 patients. During the 2-year follow-up period, 10 patients (7.8%) required repeat surgery at the treated level.
CONCLUSIONS
The results of a minimally invasive awake endoscopic procedure are presented for the treatment of lumbar radiculopathy after lumbar laminectomy in a series of patients.
目的
描述清醒状态经皮椎间孔内镜手术治疗腰椎减压术后神经根病患者的结果。
方法
在 5 年期间（2014 年至 2019 年）对 538 例患者进行了清醒内镜减压手术。对 128 例先前接受过椎板切除术的患者进行了经皮椎间孔内镜椎间盘切除术和椎间孔成形术。
结果
在 2 年的随访中，118 例患者的术前腿部疼痛视觉模拟评分从 7.0 ± 1.4 改善至 2.0 ± 1.3，Oswestry 残疾指数评分从 41.4% ± 11.9%改善至 12.4% ± 11.9%。在 2 年的随访期间，10 名患者（7.8%）在治疗水平需要再次手术。
结论
本文介绍了一系列患者腰椎减压术后腰椎减压术后神经根病采用微创清醒内镜手术治疗的结果。
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