经皮椎间孔镜辅助下治疗腰椎间盘突出症伴椎体后缘离断的近期疗效

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Abstract Objective To investigate the feasibility and clinical effect of percutaneous foraminoscope assisted lower foraminal approach of lumbar disc herniation with posterior vertebral margin disarticulation.Methods A total of 63 patients with lumbar disc herniation with posterior lumbar spine margin dissociation treated by percutaneous transforaminal approach from January 2018 to December 2020, including 21 patients at L_3-4 segment and 42 patients at L_4-5 segment, were retrospectively reviewed. Postoperative follow-up was evaluated according to MacNab scoring standard. The scores of patients' preoperative and final Oswestry disability index (ODI) and visual analog scale (VAS) of lumbar pain were compared.Results Sixty-three patients were followed for 6-14 months with a mean follow-up time of (11.8±1.4) months. The pain VAS score at the last follow-up was 0-2, with a mean of (0.9±0.3) points; the ODI index was 14% - 28% with a mean (19.7±3.8)% of the patients, and all the scores were significantly improved compared with those before operation, with statistical significance (P<0.05). The follow-up effect was evaluated by MacNab scoring standard: excellent in 56 cases, good in 6 cases, poor in 1 case, and the excellent and good rate was 98.4%.Conclusions Percutaneous foraminal approach assisted by endoscope is safe to treat lumbar disc herniation with vertebral posterior margin disconnection, and patients can recover quickly after surgery, which is worthy of further research and promotion.

Key words： lumbar disc herniation vertebral body posterior border disconnection foraminoscopic technique foraminal access removal of nucleus pulposus and isolated bone blocks

Received: 13 September 2022

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	Articles by authors
	HUANG Dianfeng
	YU Liping
	LIN Longquan
	CAO Jie
	ZHAO Feng

Cite this article:

HUANG Dianfeng,YU Liping,LIN Longquan等. Short-term effect of percutaneous foraminal lens assisted treatment of lumbar disc herniation with posterior vertebral margin disarticulation[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2023, 34(5): 417-420.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2023/V34/I5/417

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