Percutaneous Transforaminal Endoscopic Decompression for Geriatric Patients with Central Spinal Stenosis and Degenerative Lumbar Spondylolisthesis: A Novel Surgical Technique and Clinical Outcomes

Xiao-Kang Cheng, Bin Chen Orthopaedic Department, Chengde Medical University Affiliated Hospital, Chengde 067000, Hebei, People’s Republic of ChinaCorrespondence: Bin ChenOrthopaedic Department, Chengde Medical University Affiliated Hospital, Chengde 067000, Hebei, People’s Repub...

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Autores principales:	Cheng XK, Chen B
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	percutaneous transforaminal endoscopic decompression degenerative lumbar spondylolisthesis central spinal stenosis geriatric patients Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/67f40747873847589a0cedb5681a2f77
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spelling	oai:doaj.org-article:67f40747873847589a0cedb5681a2f772021-12-02T10:29:51ZPercutaneous Transforaminal Endoscopic Decompression for Geriatric Patients with Central Spinal Stenosis and Degenerative Lumbar Spondylolisthesis: A Novel Surgical Technique and Clinical Outcomes1178-1998https://doaj.org/article/67f40747873847589a0cedb5681a2f772020-07-01T00:00:00Zhttps://www.dovepress.com/percutaneous-transforaminal-endoscopic-decompression-for-geriatric-pat-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Xiao-Kang Cheng, Bin Chen Orthopaedic Department, Chengde Medical University Affiliated Hospital, Chengde 067000, Hebei, People’s Republic of ChinaCorrespondence: Bin ChenOrthopaedic Department, Chengde Medical University Affiliated Hospital, Chengde 067000, Hebei, People’s Republic of ChinaTel +86 15633142760Email drchenbin@vip.sina.comPurpose: Percutaneous transforaminal endoscopic decompression (PTED) is an ultra-minimally invasive surgical option for patients that does not involve the same amount of destabilizing facet joint removal as a traditional laminectomy. The objective of this study was to describe the procedure of PTED under local anesthesia for geriatric patients with central spinal stenosis and degenerative lumbar spondylolisthesis (CSS-DLS).Materials and Methods: From January 2016 to December 2018, 30 consecutive geriatric patients who underwent surgery for single-level CSS-DLS were retrospectively reviewed. All patients were followed for at least 12 months (12– 24 months). The visual analog scale (VAS) scores, Oswestry disability index (ODI) scores and modified MacNab criteria were used to evaluate the clinical results.Results: The mean age was 73.1± 6.0 years. Follow-up ranged from 12 to 36 months. The mean±SD values of the preoperative VAS for leg pain and ODI were 7.4± 1.0 and 67.2± 8.4, respectively. The values improved to 2.2± 1.1 and 19.9± 8.1 at 12 months postoperatively. The outcomes of the modified MacNab criteria showed that 93.3% of patients obtained a good-to-excellent rate. The percent slippage of spondylolisthesis before surgery (13.8± 2.5%) and at the end of follow-up (14.0± 2.5%) was not significantly different.Conclusion: PTED under local anesthesia could be a useful supplement to traditional decompression in geriatric patients with CSS-DLS.Keywords: percutaneous transforaminal endoscopic decompression, degenerative lumbar spondylolisthesis, central spinal stenosis, geriatric patientsCheng XKChen BDove Medical Pressarticlepercutaneous transforaminal endoscopic decompressiondegenerative lumbar spondylolisthesiscentral spinal stenosisgeriatric patientsGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 1213-1219 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	percutaneous transforaminal endoscopic decompression degenerative lumbar spondylolisthesis central spinal stenosis geriatric patients Geriatrics RC952-954.6
spellingShingle	percutaneous transforaminal endoscopic decompression degenerative lumbar spondylolisthesis central spinal stenosis geriatric patients Geriatrics RC952-954.6 Cheng XK Chen B Percutaneous Transforaminal Endoscopic Decompression for Geriatric Patients with Central Spinal Stenosis and Degenerative Lumbar Spondylolisthesis: A Novel Surgical Technique and Clinical Outcomes
description	Xiao-Kang Cheng, Bin Chen Orthopaedic Department, Chengde Medical University Affiliated Hospital, Chengde 067000, Hebei, People’s Republic of ChinaCorrespondence: Bin ChenOrthopaedic Department, Chengde Medical University Affiliated Hospital, Chengde 067000, Hebei, People’s Republic of ChinaTel +86 15633142760Email drchenbin@vip.sina.comPurpose: Percutaneous transforaminal endoscopic decompression (PTED) is an ultra-minimally invasive surgical option for patients that does not involve the same amount of destabilizing facet joint removal as a traditional laminectomy. The objective of this study was to describe the procedure of PTED under local anesthesia for geriatric patients with central spinal stenosis and degenerative lumbar spondylolisthesis (CSS-DLS).Materials and Methods: From January 2016 to December 2018, 30 consecutive geriatric patients who underwent surgery for single-level CSS-DLS were retrospectively reviewed. All patients were followed for at least 12 months (12– 24 months). The visual analog scale (VAS) scores, Oswestry disability index (ODI) scores and modified MacNab criteria were used to evaluate the clinical results.Results: The mean age was 73.1± 6.0 years. Follow-up ranged from 12 to 36 months. The mean±SD values of the preoperative VAS for leg pain and ODI were 7.4± 1.0 and 67.2± 8.4, respectively. The values improved to 2.2± 1.1 and 19.9± 8.1 at 12 months postoperatively. The outcomes of the modified MacNab criteria showed that 93.3% of patients obtained a good-to-excellent rate. The percent slippage of spondylolisthesis before surgery (13.8± 2.5%) and at the end of follow-up (14.0± 2.5%) was not significantly different.Conclusion: PTED under local anesthesia could be a useful supplement to traditional decompression in geriatric patients with CSS-DLS.Keywords: percutaneous transforaminal endoscopic decompression, degenerative lumbar spondylolisthesis, central spinal stenosis, geriatric patients
format	article
author	Cheng XK Chen B
author_facet	Cheng XK Chen B
author_sort	Cheng XK
title	Percutaneous Transforaminal Endoscopic Decompression for Geriatric Patients with Central Spinal Stenosis and Degenerative Lumbar Spondylolisthesis: A Novel Surgical Technique and Clinical Outcomes
title_short	Percutaneous Transforaminal Endoscopic Decompression for Geriatric Patients with Central Spinal Stenosis and Degenerative Lumbar Spondylolisthesis: A Novel Surgical Technique and Clinical Outcomes
title_full	Percutaneous Transforaminal Endoscopic Decompression for Geriatric Patients with Central Spinal Stenosis and Degenerative Lumbar Spondylolisthesis: A Novel Surgical Technique and Clinical Outcomes
title_fullStr	Percutaneous Transforaminal Endoscopic Decompression for Geriatric Patients with Central Spinal Stenosis and Degenerative Lumbar Spondylolisthesis: A Novel Surgical Technique and Clinical Outcomes
title_full_unstemmed	Percutaneous Transforaminal Endoscopic Decompression for Geriatric Patients with Central Spinal Stenosis and Degenerative Lumbar Spondylolisthesis: A Novel Surgical Technique and Clinical Outcomes
title_sort	percutaneous transforaminal endoscopic decompression for geriatric patients with central spinal stenosis and degenerative lumbar spondylolisthesis: a novel surgical technique and clinical outcomes
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/67f40747873847589a0cedb5681a2f77
work_keys_str_mv	AT chengxk percutaneoustransforaminalendoscopicdecompressionforgeriatricpatientswithcentralspinalstenosisanddegenerativelumbarspondylolisthesisanovelsurgicaltechniqueandclinicaloutcomes AT chenb percutaneoustransforaminalendoscopicdecompressionforgeriatricpatientswithcentralspinalstenosisanddegenerativelumbarspondylolisthesisanovelsurgicaltechniqueandclinicaloutcomes
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Percutaneous Transforaminal Endoscopic Decompression for Geriatric Patients with Central Spinal Stenosis and Degenerative Lumbar Spondylolisthesis: A Novel Surgical Technique and Clinical Outcomes

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