Chen Yufeng, Jiang Weiwei, Ma Xiaoming
Department of Orthopaedic Surgery, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou, China.
Taizhou School of Clinical Medicine, Nanjing Medical University, Taizhou, China.
Medicine (Baltimore). 2025 Jan 17;104(3):e41285. doi: 10.1097/MD.0000000000041285.
Percutaneous endoscopic transforaminal lumbar interbody fusion (PE-TLIF) is a minimally invasive surgical approach for the treatment of lumbar degenerative diseases, Due to the high incidence of surgical complications and long operative time, the cases reported in previous literature were focused on single segment lumbar degenerative diseases. In our study, we present 2 patients who had continuous double-level lumbar degenerated disease.
A 71-year-old man with severe low back pain and right leg pain for 3 months, a 57-year-old woman with severe low back pain and bilateral leg pain for 6 months. Conservative treatment is ineffective for both of them.
Magnetic resonance imaging and physical examination show that the patients had 2 consecutive segments lumbar degenerated disease that required surgical treatment.
Considering the poor efficacy of conservative treatment, We performed PE-TLIF on 2 patients.
Finally, both of 2 patients obtained a satisfactory short-term clinical efficacy, without any complications.What's more, the most crucial thing is that average operative time is only 205 minutes.
The patients of continuous double-level lumbar degenerated disease treated with PE-TLIF may provide significant support in selecting the appropriate treatments for similar cases and increase the surgical indications for PE-TLIF.
经皮内镜下经椎间孔腰椎椎间融合术（PE-TLIF）是治疗腰椎退行性疾病的一种微创手术方法。由于手术并发症发生率高且手术时间长，以往文献报道的病例主要集中在单节段腰椎退行性疾病。在我们的研究中，我们展示了2例患有连续双节段腰椎退变疾病的患者。
一名71岁男性，严重腰痛和右腿疼痛3个月；一名57岁女性，严重腰痛和双侧腿痛6个月。两人的保守治疗均无效。
磁共振成像和体格检查显示，患者患有连续两个节段的腰椎退变疾病，需要手术治疗。
考虑到保守治疗效果不佳，我们对2例患者进行了PE-TLIF手术。
最后，2例患者均获得了满意的短期临床疗效，无任何并发症。更重要的是，平均手术时间仅为205分钟。
采用PE-TLIF治疗连续双节段腰椎退变疾病的患者，可能为类似病例选择合适的治疗方法提供重要支持，并增加PE-TLIF的手术适应症。
