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The modified transforaminal endoscopic technique in treating intracanalicular combining foraminal and/or extraforaminal lumbar disc herniations.
Zhang, Yong; Pan, Zhimin; Yu, Yanghong; Zhang, Daying; Ha, Yoon; Yi, Seong; Shin, Dong Ah; Sun, Jingyi; Koga, Hisashi; Phan, Kevin; Azimi, Parisa; Huang, Wei; Cao, Kai.
Afiliación
  • Zhang Y; Pain Department, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China.
  • Pan Z; Department of Neurosurgery, Spine and Spinal Cord Institute, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
  • Yu Y; Department of Radiology, Jiangxi Province Children's Hospital, Nanchang 330006, China.
  • Zhang D; Pain Department, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China.
  • Ha Y; Department of Neurosurgery, Spine and Spinal Cord Institute, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
  • Yi S; Department of Neurosurgery, Spine and Spinal Cord Institute, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
  • Shin DA; Department of Neurosurgery, Spine and Spinal Cord Institute, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
  • Sun J; Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Gangwon 220-701, Republic of Korea.
  • Koga H; Department of Orthopaedics, Iwai Orthopaedic Medical Hospital, Tokyo, Japan.
  • Phan K; NeuroSpine Surgery Research Group (NSURG); Prince of Wales Clinical School, University of New South Wales, Randwick, Sydney, Australia.
  • Azimi P; Functional Neurosurgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Huang W; Department of Clinical Laboratory, Jiangxi Province Children's Hospital, Nanchang 330006, China.
  • Cao K; Department of Orthopedics, the Second Affiliated Hospital of Nanchang University, Nanchang 330006, China.
Quant Imaging Med Surg ; 8(9): 936-945, 2018 Oct.
Article en En | MEDLINE | ID: mdl-30505722
BACKGROUND: To develop a modified transforaminal endoscopic spine system (TESSYS®) technique for treating intracanalicular combining foraminal and/or extraforaminal lumbar disc herniation (ICFE-LDH), and evaluate the technical efficacy and safety. METHODS: Twenty-three patients with ICFE-LDH underwent the modified TESSYS technique were enrolled. Magnetic resonance imaging (MRI) was used to verify the reduction of herniated disc. Pre- and post-operative neurological functions were compared by visual analogue scale (VAS) score, Oswestry disability index (ODI) and the modified MacNab criteria. The technical safety was evaluated by surgical complications. RESULTS: MRI demonstrated reductions of disc herniations in 22 patients (95.7%) after surgeries. The VAS scores were significantly improved at 1 year follow-up (low back: P=0.001, lower limbs: P<0.001), as well as ODI scores (P<0.001). 22 patients had achieved excellent and good recovery postoperatively according to the modified MacNab criteria. One patient (4.3%) underwent a reoperation due to postoperative recurrence of disc herniation. Another patient complained postoperative causalgia in 8 weeks, the symptom alleviated after conservative treatment at 1 year follow-up (VAS: back, 3, lower limbs, 0; ODI: 20%). The incidence rate of surgical complication was 8.7%. CONCLUSIONS: The modified TESSYS technique is a minimally-invasive, effective and safe surgery for treating ICFE-LDHs in selected patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Quant Imaging Med Surg Año: 2018 Tipo del documento: Article País de afiliación: China Pais de publicación: China
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Quant Imaging Med Surg Año: 2018 Tipo del documento: Article País de afiliación: China Pais de publicación: China