Comparison of Percutaneous Transforaminal Endoscopic Decompression and Transforaminal Lumbar Interbody Fusion in the Treatment of Single-Level Lumbar Disc Herniation with Modic Type I Changes

Pengfei Li, Fengkai Yang, Yuexin Tong, Ying Chen, Youxin Song Department of Orthopedic, Affiliated Hospital of Chengde Medical University, Chengde, Hebei, 067000, People’s Republic of ChinaCorrespondence: Youxin SongDepartment of Orthopedic, Affiliated Hospital of Chengde Medical University, No. 36...

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Autores principales: Li P, Yang F, Tong Y, Chen Y, Song Y
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spelling oai:doaj.org-article:75badb5890e041a8816e16c1b252c4ad2021-11-09T18:40:35ZComparison of Percutaneous Transforaminal Endoscopic Decompression and Transforaminal Lumbar Interbody Fusion in the Treatment of Single-Level Lumbar Disc Herniation with Modic Type I Changes1178-7090https://doaj.org/article/75badb5890e041a8816e16c1b252c4ad2021-11-01T00:00:00Zhttps://www.dovepress.com/comparison-of-percutaneous-transforaminal-endoscopic-decompression-and-peer-reviewed-fulltext-article-JPRhttps://doaj.org/toc/1178-7090Pengfei Li, Fengkai Yang, Yuexin Tong, Ying Chen, Youxin Song Department of Orthopedic, Affiliated Hospital of Chengde Medical University, Chengde, Hebei, 067000, People’s Republic of ChinaCorrespondence: Youxin SongDepartment of Orthopedic, Affiliated Hospital of Chengde Medical University, No. 36 Nanyingzi St, Chengde, Hebei, 067000, People’s Republic of ChinaEmail syxmed@163.comBackground: Modic changes (MC) are generally considered to be related to degenerative disc disease, and there is no uniform standard for surgical methods for lumbar disc herniation (LDH) accompanied by Modic type I changes (MC I). The purpose of this study was to observe the clinical results of percutaneous transforaminal endoscopic decompression (PTED) and transforaminal lumbar interbody fusion (TLIF) for treatment of LDH accompanied by MC I.Methods: Of the 53 consecutive patients included, 29 underwent PTED and 24 underwent TLIF. All patients were followed up for at least 24 months. Preoperative demographic characteristics, perioperative outcomes, and clinical outcomes were recorded. Visual analog scale (VAS) scores, Oswestry disability index (ODI) scores, and modified Macnab criteria were used to assess clinical results.Results: The mean age was 53.7± 9.2 years in the PTED group and 53.6± 9.6 years in the TLIF group. The scores of VAS legs, VAS back and ODI in the two groups after operation were significantly improved compared with those before operation (P< 0.05). Notably, the VAS back pain score and ODI in the PTED group showed an increasing trend with time. And the VAS back pain scores and ODI of the two groups were statistically different at 1 year and 2 years postoperatively (P< 0.05). In addition, compared with the TLIF group, the PTED group showed less operation time, blood loss, and postoperative hospital stay (P< 0.05). At the final follow-up, the excellent rates were 91.7% and 86.2% in the fusion and PTED groups, respectively.Conclusion: Both PTED and TLIF procedures significantly improved the clinical symptoms of single-level LDH patients with MC I. Compared with TLIF, MC I may affect the improvement of low back pain and functional status after PTED.Keywords: PTED, fusion, Modic change, lumbar disc herniation, back painLi PYang FTong YChen YSong YDove Medical Pressarticlepted,fusion,modic change,lumbar disc herniation,back painMedicine (General)R5-920ENJournal of Pain Research, Vol Volume 14, Pp 3511-3517 (2021)
institution DOAJ
collection DOAJ
language EN
topic pted,fusion,modic change,lumbar disc herniation,back pain
Medicine (General)
R5-920
spellingShingle pted,fusion,modic change,lumbar disc herniation,back pain
Medicine (General)
R5-920
Li P
Yang F
Tong Y
Chen Y
Song Y
Comparison of Percutaneous Transforaminal Endoscopic Decompression and Transforaminal Lumbar Interbody Fusion in the Treatment of Single-Level Lumbar Disc Herniation with Modic Type I Changes
description Pengfei Li, Fengkai Yang, Yuexin Tong, Ying Chen, Youxin Song Department of Orthopedic, Affiliated Hospital of Chengde Medical University, Chengde, Hebei, 067000, People’s Republic of ChinaCorrespondence: Youxin SongDepartment of Orthopedic, Affiliated Hospital of Chengde Medical University, No. 36 Nanyingzi St, Chengde, Hebei, 067000, People’s Republic of ChinaEmail syxmed@163.comBackground: Modic changes (MC) are generally considered to be related to degenerative disc disease, and there is no uniform standard for surgical methods for lumbar disc herniation (LDH) accompanied by Modic type I changes (MC I). The purpose of this study was to observe the clinical results of percutaneous transforaminal endoscopic decompression (PTED) and transforaminal lumbar interbody fusion (TLIF) for treatment of LDH accompanied by MC I.Methods: Of the 53 consecutive patients included, 29 underwent PTED and 24 underwent TLIF. All patients were followed up for at least 24 months. Preoperative demographic characteristics, perioperative outcomes, and clinical outcomes were recorded. Visual analog scale (VAS) scores, Oswestry disability index (ODI) scores, and modified Macnab criteria were used to assess clinical results.Results: The mean age was 53.7± 9.2 years in the PTED group and 53.6± 9.6 years in the TLIF group. The scores of VAS legs, VAS back and ODI in the two groups after operation were significantly improved compared with those before operation (P< 0.05). Notably, the VAS back pain score and ODI in the PTED group showed an increasing trend with time. And the VAS back pain scores and ODI of the two groups were statistically different at 1 year and 2 years postoperatively (P< 0.05). In addition, compared with the TLIF group, the PTED group showed less operation time, blood loss, and postoperative hospital stay (P< 0.05). At the final follow-up, the excellent rates were 91.7% and 86.2% in the fusion and PTED groups, respectively.Conclusion: Both PTED and TLIF procedures significantly improved the clinical symptoms of single-level LDH patients with MC I. Compared with TLIF, MC I may affect the improvement of low back pain and functional status after PTED.Keywords: PTED, fusion, Modic change, lumbar disc herniation, back pain
format article
author Li P
Yang F
Tong Y
Chen Y
Song Y
author_facet Li P
Yang F
Tong Y
Chen Y
Song Y
author_sort Li P
title Comparison of Percutaneous Transforaminal Endoscopic Decompression and Transforaminal Lumbar Interbody Fusion in the Treatment of Single-Level Lumbar Disc Herniation with Modic Type I Changes
title_short Comparison of Percutaneous Transforaminal Endoscopic Decompression and Transforaminal Lumbar Interbody Fusion in the Treatment of Single-Level Lumbar Disc Herniation with Modic Type I Changes
title_full Comparison of Percutaneous Transforaminal Endoscopic Decompression and Transforaminal Lumbar Interbody Fusion in the Treatment of Single-Level Lumbar Disc Herniation with Modic Type I Changes
title_fullStr Comparison of Percutaneous Transforaminal Endoscopic Decompression and Transforaminal Lumbar Interbody Fusion in the Treatment of Single-Level Lumbar Disc Herniation with Modic Type I Changes
title_full_unstemmed Comparison of Percutaneous Transforaminal Endoscopic Decompression and Transforaminal Lumbar Interbody Fusion in the Treatment of Single-Level Lumbar Disc Herniation with Modic Type I Changes
title_sort comparison of percutaneous transforaminal endoscopic decompression and transforaminal lumbar interbody fusion in the treatment of single-level lumbar disc herniation with modic type i changes
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/75badb5890e041a8816e16c1b252c4ad
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