The early clinical curative effect of percutaneous transforaminal approach spinal endoscopy for treatment of degenerative lumbar spinal stenosis in elderly patients
eng Dun1, Yan Haibo1, Lin Xianfa1, Chen Liqiu1, Zhang Weikang1, Zhan Gonghao2.
1.Department of Orthopedic,the First People’s Hospital of Wenling, Taizhou, 317500; 2.Department of Pain, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325027
eng Dun,Yan Haibo,Lin Xianfa, et al. The early clinical curative effect of percutaneous transforaminal approach spinal endoscopy for treatment of degenerative lumbar spinal stenosis in elderly patients[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2017, 47(4): 273-276.
Abstract：Objective: To evaluate the early clinical efficacy of minimal invasive transforaminal endoscopic spine system for treatment of single segment degenerative lumbar spinal in elderly patients. Methods: From January 2013 to January 2014, eighty single segment degenerative lumbar spinal elderly patients were randomly divided into two groups according to the random number table (n=40). The research group was undergone percutaneous transforaminal endoscopic discectomy and spine canal enlarged as well as relaxing the nerve. The control group were treated by opening lamina resection decompression as well as spine canal enlarged, interbody fusion and internal fixation. The Mac Nab’s criteria, ODI score, visual analogue scale (VAS), Lehmann low-back rating scale, the Japanese Orthopaedic Association Scores (JOA), the hospital stay time, the intraoperatve blood loss, the surgical complications in the two groups were reviewed and compared between the preoperative and postoperative. Results: The research group was superior than the control group in the Mac Nab’s criteria, ODI score, VAS score, JOA score, the hospital stay time, the intraoperative blood loss, the surgical complications. Their differences were significant (P<0.05). Conclusion: The minimal invasive transforaminal endoscopic spine system for treatment of single segment degenerative lumbar spinal in elderly patients has the advantages of small trauma, earlier rehabilitation and good effects.
