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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 52 - 62 (11page)
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초록· 키워드
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Objective: To analyze long-term clinical outcomes of endoscopic transforaminal foraminoplasty for foraminal stenosis. Methods: Long-term 5-year MacNab outcomes, visual analogue scale (VAS) scores, complications, and unintended aftercare were analyzed in a series of 86 patients who underwent endoscopic transforaminal foraminoplasty for foraminal stenosis. Results: At minimum 5-year follow-up, excellent results according to the MacNab criteria were obtained in 32 patients (37.2%), Good in 40 (46.5%), fair in 11 (12.8%), and poor in 3 (3.5%), respectively. The mean preoperative VAS was 6.15. The mean postoperative and last follow-up VAS was 3.44. Both postoperative VAS and last follow-up VAS were statistically reduced at a significance level of p<0.0001. Postoperative dysesthesia occurred in 9 patients. Another 9 patients had recurrent disc herniations (10.5%). Failure to cure with persistent pain occurred in 3 patients. Two patients developed pain postoperatively stemming from a different level. One patient experienced a postoperative hematoma which ultimately was inconsequential and did not require any additional surgery. Only 3 patients opted for revision endoscopic discectomy and another 2 for revision fusion surgery. Conclusion: Patients with symptomatic foraminal stenosis may be treated successfully with early transforaminal endoscopic decompression while maintaining favorable long-term outcomes without the need for fusion in the vast majority of patients.
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등록된 정보가 없습니다.
참고문헌 (36)
참고문헌 신청
Holm S / 1993 / Pathophysiology of disc degeneration / Acta Orthop Scand Suppl 251:13~15
Rauschning W / 1993 / Pathoanatomy of lumbar disc degeneration and stenosis / Acta Orthop Scand Suppl 251:3~12
Rauschning W / 1987 / Normal and pathologic anatomy of the lumbar root canals / Spine(Phila Pa 1976) 12:1008~1019
Yeung AT / 2016 / Endoscopic decompression, foraminal-plasty and dorsal rhizotomy for foraminal stenosis and lumbar spondylosis : a hybrid procedure in lieu of fusion / J Neurol Disord 4:322
Yeung A / 2017 / Endoscopic identification and treating the pain generators in the lumbar spine that escape detection by traditional imaging studies / J Spine 6:369
Rauschning W / 1993 / Pathoanatomy of lumbar disc degeneration and stenosis / Acta Orthop Scand Suppl 251:3~12
Rauschning W / 1987 / Normal and pathologic anatomy of the lumbar root canals / Spine(Phila Pa 1976) 12:1008~1019
Yeung AT / 2016 / Endoscopic decompression, foraminal-plasty and dorsal rhizotomy for foraminal stenosis and lumbar spondylosis : a hybrid procedure in lieu of fusion / J Neurol Disord 4:322
Yeung A / 2017 / Endoscopic identification and treating the pain generators in the lumbar spine that escape detection by traditional imaging studies / J Spine 6:369
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