지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 41 - 51 (11page)
이용수
초록· 키워드
오류제보하기
Objective: Spinal stenosis is increasingly common due to population aging. In elderly patients with lumbar central canal stenosis (LCCS), minimizing muscle damage and bone resection is particularly important. We performed a step-by-step operation with a newly designed spinal endoscope to obtain adequate decompression in patients with spinal stenosis. Methods: From April 2015 to August 2016, 78 patients (48 males, 30 females) with LCCS (91 segments) underwent endoscopic decompression using a newly designed endoscope system. The inclusion criteria were: (1) neurogenic intermittent claudication with or without radiculopathy, (2) LCCS, and (3) having exhausted conservative treatment (>3 months). The exclusion criteria were: (1) >10° of instability, (2) spondylolisthesis grade II or greater according to the Meyerding criteria, (3) foraminal stenosis, (4) vascular intermittent claudication, (5) infection, and (6) stenosis combined with malignancy. We performed a step-by-step procedure using a newly designed endoscope system for unilateral-approach bilateral decompression. We used the same incision for 2–3 segments, only moving the skin. Results: The mean follow-up was 2.3±1.3 years. Excellent or good results were found according to the MacNab criteria in 85.9% of cases (67 of 78). The visual analogue scale, Japanese Orthopedic Association score, and Oswestry Disability Index showed significant decreases at 1 month, persisting until the 2-year follow-up. Dural tear occurred in 4 cases (5.1%), and patch repair was performed under endoscopy. No patients experienced aggravated instability requiring surgery. Conclusion: We obtained good results with endoscopic decompression surgery using a newly designed instrument that minimized muscle and bone damage in elderly patients with spinal stenosis.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Minamide A / 2013 / Endoscope-assisted spinal decompression surgery for lumbar spinal stenosis / J Neurosurg Spine 19:664~671
Enyo Y / 2014 / Microendoscopic lateral decompression for lumbar foraminal stenosis: a biomechanical study / J Spinal Disord Tech 27:257~262
Khoo LT / 2002 / Microendoscopic decompressive laminotomy for the treatment of lumbar stenosis / Neurosurgery 51(5 Suppl):S146~S154
Nomura K / 2012 / Microendoscopic decompression surgery for lumbar spinal canal stenosis via the paramedian approach : preliminary results / Global Spine J 2:87~94
Pao JL / 2009 / Clinical outcomes of microendoscopic decompressive laminotomy for degenerative lumbar spinal stenosis / Eur Spine J 18:672~678
Enyo Y / 2014 / Microendoscopic lateral decompression for lumbar foraminal stenosis: a biomechanical study / J Spinal Disord Tech 27:257~262
Khoo LT / 2002 / Microendoscopic decompressive laminotomy for the treatment of lumbar stenosis / Neurosurgery 51(5 Suppl):S146~S154
Nomura K / 2012 / Microendoscopic decompression surgery for lumbar spinal canal stenosis via the paramedian approach : preliminary results / Global Spine J 2:87~94
Pao JL / 2009 / Clinical outcomes of microendoscopic decompressive laminotomy for degenerative lumbar spinal stenosis / Eur Spine J 18:672~678
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Two Portal Percutaneous Endoscopic Decompression for Lumbar Spinal Stenosis: Preliminary Study
Asian Spine Journal
2016 .01
-
Lumbar Spinal Stenosis: Pathophysiology and Treatment Principle: A Narrative Review
Asian Spine Journal
2020 .01
-
Lumbar Stenosis: A Recent Update by Review of Literature
Asian Spine Journal
2015 .01
-
Limited Unilateral Decompression and Pedicle Screw Fixation with Fusion for Lumbar Spinal Stenosis with Unilateral Radiculopathy : A Retrospective Analysis of 25 Cases
대한신경외과학회지
2015 .01
-
Unilateral Bi-portal Endoscopic Decompression via the Contralateral Approach in Asymmetric Spinal Stenosis: A Technical Note
Asian Spine Journal
2021 .10
-
Treatment Concept and Technical Considerations of Biportal Endoscopic Spine Surgery for Lumbar Spinal Stenosis
Asian Spine Journal
2024 .04
-
Unplanned Second-Stage Decompression for Neurological Deterioration Caused by Central Canal Stenosis after Indirect Lumbar Decompression Surgery
Asian Spine Journal
2019 .01
-
Outcome and Complications in Surgical Treatment of Lumbar Stenosis or Spondylolisthesis in Geriatric Patients
Yonsei Medical Journal
2015 .01
-
Therapeutic Feasibility of Full Endoscopic Decompression in One- to Three-Level Lumbar Canal Stenosis via a Single Skin Port Using a New Endoscopic System, Percutaneous Stenoscopic Lumbar Decompression
Asian Spine Journal
2019 .01
-
Treatment of Soft Tissue and Bony Spinal Stenosis by a Visualized Endoscopic Transforaminal Technique Under Local Anesthesia
Neurospine
2019 .01
-
Spinal Stenosis Presenting with Scrotal and Perianal Claudication
Asian Spine Journal
2015 .02
-
Dynamic Cervical Spinal Canal Stenosis: Identifying Imaging Risk Factors in Extended Positions
Asian Spine Journal
2024 .04
-
Comparison of Unilateral Biportal Endoscopy Decompression and Microscopic Decompression Effectiveness in Lumbar Spinal Stenosis Treatment: A Systematic Review and Meta-analysis
Asian Spine Journal
2023 .04
-
Decompression Surgery versus Interspinous Devices for Lumbar Spinal Stenosis: A Systematic Review of the Literature
Asian Spine Journal
2020 .01
-
Diffusion Tensor Imaging of the Spinal Canal in Quantitative Assessment of Patients with Lumbar Spinal Canal Stenosis
Asian Spine Journal
2021 .01
-
Clinical and Radiological Outcomes after Microscopic Bilateral Decompression via a Unilateral Approach for Degenerative Lumbar Disease: Minimum 5-Year Follow-Up
Asian Spine Journal
2017 .01
-
Minimally Invasive Surgery without Decompression for Hepatocellular Carcinoma Spinal Metastasis with Epidural Spinal Cord Compression Grade 2
대한신경외과학회지
2019 .01
-
Unilateral Biportal Endoscopy for Decompression of Extraforaminal Stenosis at the Lumbosacral Junction: Surgical Techniques and Clinical Outcomes
Neurospine
2021 .12
-
Percutaneous Endoscopic Decompression in Lumbar Canal and Lateral Recess Stenosis – The Surgical Learning Curve
Neurospine
2019 .01
-
Lumbar Endoscopic Bony and Soft Tissue Decompression With the Hybridized Inside-Out Approach: A Review And Technical Note
Neurospine
2020 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0