Percutaneous Endoscopic Lumbar Interbody Fusion: Technical Note and Preliminary Clinical Experience with 2-Year Follow-Up
المؤلفون المشاركون
Zhou, Yue
Ao, Shengxiang
Wu, Junlong
Zhang, Chao
Zheng, Wenjie
Liu, Huan
Li, Changqing
Li, Haiyin
Pan, Yong
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-11-19
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Objective.
Endoscopic surgeries have been attempted in the field of lumbar decompression and fusion surgery in the past decade.
Percutaneous endoscopic lumbar interbody fusion (PELIF) is a new-emerging technique taking advantages of an anatomical (Kambin’s triangle) to achieve simultaneous decompression and fusion under endoscopic visualization.
The purpose of this study is to evaluate the feasibility and safety of PELIF technique with general anesthesia and neuromonitoring.
Methods.
The authors present the details of PELIF technique with general anesthesia and neuromonitoring.
The first 7 consecutive patients treated with minimum of 2 year’s follow-up were included.
Clinical outcomes were assessed by visual analog scale (VAS) for back and leg pain, Oswestry Disability Index (ODI) scores, and the Short Form-36 health survey questionnaire (SF-36) in the immediate preoperative period and during the follow-up period.
Results.
All patients underwent single-level PELIF surgery successfully and without conversion to open surgery.
The average age was 56.0±13.0 years.
All patients had Grade I degenerative/isthmic spondylolisthesis and 4 patients coexisted with disc herniation.
The mean operative time was 167.5±30.9 minutes, and intraoperative blood loss was 70.0±24.5 ml.
Postoperative drainage volume was 24.5±18.3 ml.
The differences in the VAS scores for low back pain and leg pain between preoperative and follow-up were significant (P<0.05).
The SF-36 Physical Component Summary (PCS) improved from 38.83±4.17 to 55.67±2.58 (P<0.001).
The SF-36 Mental Component Summary (MCS) improved from 43.83±3.13 to 57.50±5.36 (P=0.001).
The ODI score improvement rate was 33.7±3.7 %.
All cases demonstrated radiopaque graft in the intervertebral disc space consistent with solid arthrodesis.
Conclusions.
PELIF technique seems to be a promising surgical technique for selected appropriate patients, with the minimal invasive advantages in decreased blood, shortage of ambulation time, and hospital stay, compared with MIS-TLIF.
Because of limited Kambin’s triangle space and the exiting nerve root nearby, PELIF is still a challenging technique.
Future advancement and development in instrument and cage design are vital for application and popularization of this technique.
Prospective, randomized, controlled studies with large sample size on PELIF technique are still needed to prove its safety, efficacy, and minimal invasive advantages.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Wu, Junlong& Liu, Huan& Ao, Shengxiang& Zheng, Wenjie& Li, Changqing& Li, Haiyin…[et al.]. 2018. Percutaneous Endoscopic Lumbar Interbody Fusion: Technical Note and Preliminary Clinical Experience with 2-Year Follow-Up. BioMed Research International،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1127515
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Wu, Junlong…[et al.]. Percutaneous Endoscopic Lumbar Interbody Fusion: Technical Note and Preliminary Clinical Experience with 2-Year Follow-Up. BioMed Research International No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1127515
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Wu, Junlong& Liu, Huan& Ao, Shengxiang& Zheng, Wenjie& Li, Changqing& Li, Haiyin…[et al.]. Percutaneous Endoscopic Lumbar Interbody Fusion: Technical Note and Preliminary Clinical Experience with 2-Year Follow-Up. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1127515
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1127515
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر