Innovative Percutaneous Endoscopic Transforaminal Lumbar Interbody Fusion of Lumbar Spinal Stenosis with Degenerative Instability: A Non-Randomized Clinical Trial

Peng Yin,* Yi Ding,* Lijin Zhou, Chunyang Xu, Haifeng Gao, Daming Pang, Yong Hai, Jincai Yang Department of Orthopaedics, Beijing Chao-Yang Hospital, China Capital Medical University, Beijing, People’s Republic of China*These authors contributed equally to this workCorrespondence: Jincai Y...

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Autores principales:	Yin P, Ding Y, Zhou L, Xu C, Gao H, Pang D, Hai Y, Yang J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	pain minimally invasive surgery percutaneous spinal endoscope transforaminal lumbar interbody fusion lumbar spinal stenosis Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/6da451f54ee7435ea094a522a2d6a5f3
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spelling	oai:doaj.org-article:6da451f54ee7435ea094a522a2d6a5f32021-12-02T19:17:36ZInnovative Percutaneous Endoscopic Transforaminal Lumbar Interbody Fusion of Lumbar Spinal Stenosis with Degenerative Instability: A Non-Randomized Clinical Trial1178-7090https://doaj.org/article/6da451f54ee7435ea094a522a2d6a5f32021-12-01T00:00:00Zhttps://www.dovepress.com/innovative-percutaneous-endoscopic-transforaminal-lumbar-interbody-fus-peer-reviewed-fulltext-article-JPRhttps://doaj.org/toc/1178-7090Peng Yin,* Yi Ding,* Lijin Zhou, Chunyang Xu, Haifeng Gao, Daming Pang, Yong Hai, Jincai Yang Department of Orthopaedics, Beijing Chao-Yang Hospital, China Capital Medical University, Beijing, People’s Republic of China*These authors contributed equally to this workCorrespondence: Jincai Yang; Yong Hai Tel +86 1001085231327; +86 1001085231326Fax +86 10 85231229; +86 10 85231360Email jcyang2018@126.com; yonghaispine@126.comPurpose: Lumbar spinal stenosis (LSS) with instability is most common lumbar degenerative diseases for people with low back pain. The objective of this study was to compared the clinical effects for the treatment of lumbar spinal stenosis (LSS) with degenerative instability between the innovative percutaneous endoscopic transforaminal lumbar interbody fusion (PE-TLIF) technique and posterior lumbar interbody fusion (PLIF) technique.Patients and Methods: Between April 2019 and April 2020, 114 patients with single-segment LSS were prospectively included in our study (ChiCTR1900022492). Visual Analogue Scale (VAS) on lumbar and leg pain (VAS-LBP, VAS-LP), Oswestry Disability Index (ODI), serum creatine kinase (CK), the maximal cross-sectional area of multifidus muscle (Max-CSA) and the peak intensity of sulphur hexafluoride microbubble contrast agent (PI) around the surgical incision by contrast-enhanced ultrasonography were evaluated preoperatively, post-operatively and at regular follow-up.Results: All patients were followed up. The VAS-LBP, VAS-LP, ODI after operation were improved significantly compared to these data before operation in all the patients (P< 0.05). The VAS-LBP at 1 weeks, 3 months after operation in PE-TLIF group were significantly lower than these in PLIF group (P< 0.05). The injury degree of multifidus muscle evaluated by MAX-CSA and PI was significantly less in PE-TLIF group after operation (P< 0.05). There was no significant difference on the complication rate between these two groups (P> 0.05).Conclusion: Our results presented PE-TLIF technique could obtain comparable effective outcomes as conventional PLIF for the treatment of LSS with degenerative instability. The patients with PE-TLIF had less muscle injury, less pain and quicker postoperative rehabilitation.Keywords: pain, minimally invasive surgery, percutaneous, spinal endoscope, transforaminal lumbar interbody fusion, lumbar spinal stenosisYin PDing YZhou LXu CGao HPang DHai YYang JDove Medical Pressarticlepainminimally invasive surgerypercutaneousspinal endoscopetransforaminal lumbar interbody fusionlumbar spinal stenosisMedicine (General)R5-920ENJournal of Pain Research, Vol Volume 14, Pp 3685-3693 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pain minimally invasive surgery percutaneous spinal endoscope transforaminal lumbar interbody fusion lumbar spinal stenosis Medicine (General) R5-920
spellingShingle	pain minimally invasive surgery percutaneous spinal endoscope transforaminal lumbar interbody fusion lumbar spinal stenosis Medicine (General) R5-920 Yin P Ding Y Zhou L Xu C Gao H Pang D Hai Y Yang J Innovative Percutaneous Endoscopic Transforaminal Lumbar Interbody Fusion of Lumbar Spinal Stenosis with Degenerative Instability: A Non-Randomized Clinical Trial
description	Peng Yin,* Yi Ding,* Lijin Zhou, Chunyang Xu, Haifeng Gao, Daming Pang, Yong Hai, Jincai Yang Department of Orthopaedics, Beijing Chao-Yang Hospital, China Capital Medical University, Beijing, People’s Republic of China*These authors contributed equally to this workCorrespondence: Jincai Yang; Yong Hai Tel +86 1001085231327; +86 1001085231326Fax +86 10 85231229; +86 10 85231360Email jcyang2018@126.com; yonghaispine@126.comPurpose: Lumbar spinal stenosis (LSS) with instability is most common lumbar degenerative diseases for people with low back pain. The objective of this study was to compared the clinical effects for the treatment of lumbar spinal stenosis (LSS) with degenerative instability between the innovative percutaneous endoscopic transforaminal lumbar interbody fusion (PE-TLIF) technique and posterior lumbar interbody fusion (PLIF) technique.Patients and Methods: Between April 2019 and April 2020, 114 patients with single-segment LSS were prospectively included in our study (ChiCTR1900022492). Visual Analogue Scale (VAS) on lumbar and leg pain (VAS-LBP, VAS-LP), Oswestry Disability Index (ODI), serum creatine kinase (CK), the maximal cross-sectional area of multifidus muscle (Max-CSA) and the peak intensity of sulphur hexafluoride microbubble contrast agent (PI) around the surgical incision by contrast-enhanced ultrasonography were evaluated preoperatively, post-operatively and at regular follow-up.Results: All patients were followed up. The VAS-LBP, VAS-LP, ODI after operation were improved significantly compared to these data before operation in all the patients (P< 0.05). The VAS-LBP at 1 weeks, 3 months after operation in PE-TLIF group were significantly lower than these in PLIF group (P< 0.05). The injury degree of multifidus muscle evaluated by MAX-CSA and PI was significantly less in PE-TLIF group after operation (P< 0.05). There was no significant difference on the complication rate between these two groups (P> 0.05).Conclusion: Our results presented PE-TLIF technique could obtain comparable effective outcomes as conventional PLIF for the treatment of LSS with degenerative instability. The patients with PE-TLIF had less muscle injury, less pain and quicker postoperative rehabilitation.Keywords: pain, minimally invasive surgery, percutaneous, spinal endoscope, transforaminal lumbar interbody fusion, lumbar spinal stenosis
format	article
author	Yin P Ding Y Zhou L Xu C Gao H Pang D Hai Y Yang J
author_facet	Yin P Ding Y Zhou L Xu C Gao H Pang D Hai Y Yang J
author_sort	Yin P
title	Innovative Percutaneous Endoscopic Transforaminal Lumbar Interbody Fusion of Lumbar Spinal Stenosis with Degenerative Instability: A Non-Randomized Clinical Trial
title_short	Innovative Percutaneous Endoscopic Transforaminal Lumbar Interbody Fusion of Lumbar Spinal Stenosis with Degenerative Instability: A Non-Randomized Clinical Trial
title_full	Innovative Percutaneous Endoscopic Transforaminal Lumbar Interbody Fusion of Lumbar Spinal Stenosis with Degenerative Instability: A Non-Randomized Clinical Trial
title_fullStr	Innovative Percutaneous Endoscopic Transforaminal Lumbar Interbody Fusion of Lumbar Spinal Stenosis with Degenerative Instability: A Non-Randomized Clinical Trial
title_full_unstemmed	Innovative Percutaneous Endoscopic Transforaminal Lumbar Interbody Fusion of Lumbar Spinal Stenosis with Degenerative Instability: A Non-Randomized Clinical Trial
title_sort	innovative percutaneous endoscopic transforaminal lumbar interbody fusion of lumbar spinal stenosis with degenerative instability: a non-randomized clinical trial
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/6da451f54ee7435ea094a522a2d6a5f3
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Innovative Percutaneous Endoscopic Transforaminal Lumbar Interbody Fusion of Lumbar Spinal Stenosis with Degenerative Instability: A Non-Randomized Clinical Trial

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