Tornatore Ignazio, Basile Attilio, Aureli Alessandro, Tarantino Alessio, Orlando Giuseppe, Buharaja Rodrigo
Ospedale Policlinico Casilino, 00169 Rome, Italy.
Diagnostics (Basel). 2025 Apr 17;15(8):1021. doi: 10.3390/diagnostics15081021.
: Transforaminal spinal endoscopy is a minimally invasive technique used to treat several spinal conditions. Thanks to its minimally invasive approach, it offers numerous advantages over traditional open surgery, including reduced blood loss, faster post-operative hospital discharge, quicker recovery, and lower complications. This study aims to evaluate the efficacy and safety of transforaminal spinal endoscopy on a large cohort of patients. : We conducted a retrospective study of 1000 patients who underwent transforaminal spinal endoscopy between January 2015 and December 2023. All patients were treated by a single surgeon in a single hospital. The patients presented with persistent symptoms of radicular pain, neurological deficits related to herniated discs, and foraminal stenosis. All patients underwent transforaminal spinal endoscopy using a transforaminal approach. Clinical outcomes were evaluated using the VAS (Visual Analogue Scale) for pain, the ODI (Oswestry Disability Index) for functional disability, and patient satisfaction. Perioperative complications were recorded and analyzed. : Reduction in Pain The mean VAS score decreased significantly from 8.2 ± 1.3 pre-operatively to 2.1 ± 1.5 at 12 months post-operatively ( < 0.001). Functional Improvement: The mean ODI improved from 56% ± 12% pre-operatively to 18% ± 9% at 12 months post-operatively ( < 0.001) Patient Satisfaction: 92% of patients reported a high level of satisfaction with their treatment results. Complications: Perioperative complications were minimal, with an overall common complication rate of 4%. No major complications or functional impairments were observed. : Transforaminal spinal endoscopy is associated with good clinical outcomes and a low complication rate in patients with spinal pathologies. This study supports the adoption of this technique as a first-line treatment for selected patients, offering a less invasive and equally effective option compared to traditional surgery.
经椎间孔脊柱内镜检查是一种用于治疗多种脊柱疾病的微创技术。由于其微创方法，它比传统开放手术具有许多优势，包括减少失血、术后更快出院、更快康复和更低的并发症发生率。本研究旨在评估经椎间孔脊柱内镜检查对大量患者的疗效和安全性。
我们对2015年1月至2023年12月期间接受经椎间孔脊柱内镜检查的1000例患者进行了回顾性研究。所有患者均在一家医院由同一位外科医生进行治疗。患者表现为持续的神经根性疼痛症状、与椎间盘突出相关的神经功能缺损以及椎间孔狭窄。所有患者均采用经椎间孔入路进行经椎间孔脊柱内镜检查。使用视觉模拟量表（VAS）评估疼痛、使用奥斯维辛残疾指数（ODI）评估功能残疾情况以及患者满意度。记录并分析围手术期并发症。
平均VAS评分从术前的8.2±1.3显著降至术后12个月时的2.1±1.5（<0.001）。
平均ODI从术前的56%±12%改善至术后12个月时的18%±9%（<0.001）。
92%的患者对治疗结果表示高度满意。
围手术期并发症极少，总体常见并发症发生率为4%。未观察到重大并发症或功能障碍。
经椎间孔脊柱内镜检查与脊柱疾病患者良好的临床结果和低并发症发生率相关。本研究支持将该技术作为选定患者的一线治疗方法，与传统手术相比，它提供了一种侵入性较小且同样有效的选择。
