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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 172 - 181 (10page)
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초록· 키워드
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To describe the details of the foraminoplastic superior vertebral notch approach (FSVNA) with reamers in percutaneous endoscopic lumbar discectomy (PELD) and to demonstrate the clinical outcomes in limited indications of PELD. Retrospective data were collected from 64 patients who underwent PELD with FSVNA from August 2012 to April 2014. Inclusion criteria were high grade migrated disc, high canal compromised disc, and disc protrusion combined with foraminal stenosis. The clinical outcomes were assessed using by the visual analogue scale (VAS), Oswestry Disability Index (ODI) and modified MacNab criteria. Complications related to the surgery were reviewed. The procedure used a unique approach, using the superior vertebral notch as the target and performing foraminoplasty with only reamers under C-arm control. The mean age of the 55 female and 32 male patients was 52.73 years. The mean F/U period was $12.2{\pm}4.2$ months. Preoperative VAS ($8.24{\pm}1.25$) and ODI ($67.8{\pm}15.4$) score improved significantly at the last follow-up (VAS, $1.93{\pm}1.78$; ODI, $17.14{\pm}15.7$). Based on the modified MacNab criteria, excellent or good results were obtained in 95.3% of the patients. Postoperative transient dysthesia (n=2) and reoperation (n=1) due to recurred disc were reported. PELD with FSVNA could be a good method for treating lumbar disc herniation. This procedure may offer safe and efficacious results, especially in the relatively limited indications for PELD.
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참고문헌 (29)
참고문헌 신청
Ahn Y / 2009 / Transforaminal percutaneous endoscopic lumbar discectomy for upper lumbar disc herniation : clinical outcome, prognostic factors, and technical consideration / Acta Neurochir (Wien) 151:199~206
Ahn Y / 2014 / Percutaneous endoscopic lumbar foraminotomy : an advanced surgical technique and clinical outcomes / Neurosurgery 75:124~133
Birkenmaier C / 2013 / The current state of endoscopic disc surgery : review of controlled studies comparing full-endoscopic procedures for disc herniations to standard procedures / Pain Physician 16:335~344
Ki Hwan Chae / 2009 / Strategies for Noncontained Lumbar Disc Herniation by an Endoscopic Approach : Transforaminal Suprapedicular Approach, Semi-Rigid Flexible Curved Probe, and 3-Dimensional Reconstruction CT with Discogram / 대한신경외과학회지 46(4):312~316
Choi G / 2008 / Percutaneous endoscopic approach for highly migrated intracanal disc herniations by foraminoplastic technique using rigid working channel endoscope / Spine 33:E508~E515
Ahn Y / 2014 / Percutaneous endoscopic lumbar foraminotomy : an advanced surgical technique and clinical outcomes / Neurosurgery 75:124~133
Birkenmaier C / 2013 / The current state of endoscopic disc surgery : review of controlled studies comparing full-endoscopic procedures for disc herniations to standard procedures / Pain Physician 16:335~344
Ki Hwan Chae / 2009 / Strategies for Noncontained Lumbar Disc Herniation by an Endoscopic Approach : Transforaminal Suprapedicular Approach, Semi-Rigid Flexible Curved Probe, and 3-Dimensional Reconstruction CT with Discogram / 대한신경외과학회지 46(4):312~316
Choi G / 2008 / Percutaneous endoscopic approach for highly migrated intracanal disc herniations by foraminoplastic technique using rigid working channel endoscope / Spine 33:E508~E515
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