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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
- 2023.3
- 수록면
- 150 - 157 (8page)
- DOI
- 10.14245/ns.2346076.038
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초록· 키워드
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Objective: To present an innovative, modified endoscopic approach for foraminal/extrafo raminal pathologies, to reduce postoperative dysesthesia (POD) following the conventional transforaminal endoscopic approach (the access angle more than 45° from the midline), since POD is one of the major documented disadvantages that may compromise patient sat isfaction.
Methods: We introduce a modified posterolateral technique, termed the intertransverse ap proach, utilizing a steeper access angle less than 25° through the intertransversarii muscle and the intertransverse space with expanding Kambin triangle via lateral facetectomy/fo raminoplasty, to reduce dorsal root ganglion/exiting nerve root irritation under direct visu alization and lower the incidence of POD. Consecutive patients undergoing endoscopic spine surgery via the intertransverse approach for foraminal and/or extraforaminal disc hernia tions or bony stenosis were retrospectively reviewed. Clinical outcomes were reviewed with the primary outcome being POD.
Results: Twenty-two patients were included in the review. Patients showed significantly im proved clinical outcomes (visual analogue scale leg and back pain and Oswestry Disability Index) postoperatively. There was a low rate of dorsal root ganglion (DRG)-related POD (9.1%, 2 of 22) that was minimal and resolved soon.
Conclusion: The inter-transverse endoscopic approach is feasible for lumbosacral foraminal and extraforaminal decompression with significantly improved clinical outcomes and the added advantage of a low rate of DRG-related POD compared to traditionally reported rates in the literature for the conventional transforaminal approach.
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