Comparison of Effects of PELD and Fenestration in the Treatment of Geriatric Lumbar Lateral Recess Stenosis

Zhendong Lv,* Linyu Jin,* Kun Wang,* Zhi Chen, Fengning Li, Yuhui Zhang, Lifeng Lao, Chun Zhou, Xinfeng Li, Hongxing Shen Department of Spine Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People’s Republic of China*These authors contributed equally t...

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Autores principales:	Lv Z, Jin L, Wang K, Chen Z, Li F, Zhang Y, Lao L, Zhou C, Li X, Shen H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	geriatric patients lumbar lateral recess stenosis percutaneous endoscopic lumbar decompression (peld) minimally invasive. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/a40039f67d6d41c7976be34d1c502bb4
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spelling	oai:doaj.org-article:a40039f67d6d41c7976be34d1c502bb42021-12-02T03:20:56ZComparison of Effects of PELD and Fenestration in the Treatment of Geriatric Lumbar Lateral Recess Stenosis1178-1998https://doaj.org/article/a40039f67d6d41c7976be34d1c502bb42019-12-01T00:00:00Zhttps://www.dovepress.com/comparison-of-effects-of-peld-and-fenestration-in-the-treatment-of-ger-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Zhendong Lv,* Linyu Jin,* Kun Wang,* Zhi Chen, Fengning Li, Yuhui Zhang, Lifeng Lao, Chun Zhou, Xinfeng Li, Hongxing Shen Department of Spine Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xinfeng Li; Hongxing Shen No. 160 Pujian Road, Shanghai 200127, People’s Republic of ChinaTel +86-18835991449; +86-13601814912Fax +86-021-58395057Email lxfrenji@126.com; shenhxgk@126.comPurpose: Although degenerative lumbar spinal stenosis (LSS) is increasingly being diagnosed in older people, there is much uncertainty about the appropriate operative treatment options. The objective of this study was to compare the outcome of percutaneous endoscopic lumbar decompression (PELD) versus fenestration for lumbar lateral recess stenosis (LRS) in geriatric patients over 75 years old.Materials and methods: This prospective controlled study was performed on 46 consecutive over aged patients with lateral recess stenosis who underwent either PELD or fenestration. Clinical data were recorded before, 1 week, 3 months and 1.5 years after surgery using visual analog scale (VAS), Japanese Orthopaedic Association Score (JOA), The Short-Form-36 (SF-36), and the modiﬁed Macnab evaluation criteria.Results: The patients’ mean age was 82.7 years (aged 75–93 years) in PELD group and 79.1 years (aged 75–88 years) in fenestration group. No statistical difference was found between PELD group and fenestration group with regards to VAS-back pain, VAS-leg pain, JOA and at 3 months and 1.5-year follow-up. However, the PELD group had a lower mean VAS for back pain at 1 week postoperatively (P<0.05). The quality of life in PELD group achieved the same remarkable improvement as fenestration group (P>0.05). Operative time (min) was similar between two groups (p>0.05), while the PELD techniques brought advantages in blood loss (mL) (48.3 vs 128.2, p<0.05), early ambulation (h) (5.5 vs 25.2, p<0.05), and anesthesia-related complications.Conclusion: Both PELD and fenestration showed favorable clinical outcomes for the treatment of lumbar lateral recess stenosis. In addition, PELD had advantages such as reduced traumatization and less anesthesia-related complications. In terms of quality of life and complications after operation, PELD under local anesthesia could be an efficient supplement to conventional decompression surgery in geriatric patients with lumbar lateral recess stenosis.Keywords: geriatric patients, lumbar lateral recess stenosis, percutaneous endoscopic lumbar decompression, PELD, minimally invasive  Lv ZJin LWang KChen ZLi FZhang YLao LZhou CLi XShen HDove Medical Pressarticlegeriatric patientslumbar lateral recess stenosispercutaneous endoscopic lumbar decompression (peld)minimally invasive.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 14, Pp 2187-2194 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	geriatric patients lumbar lateral recess stenosis percutaneous endoscopic lumbar decompression (peld) minimally invasive. Geriatrics RC952-954.6
spellingShingle	geriatric patients lumbar lateral recess stenosis percutaneous endoscopic lumbar decompression (peld) minimally invasive. Geriatrics RC952-954.6 Lv Z Jin L Wang K Chen Z Li F Zhang Y Lao L Zhou C Li X Shen H Comparison of Effects of PELD and Fenestration in the Treatment of Geriatric Lumbar Lateral Recess Stenosis
description	Zhendong Lv,* Linyu Jin,* Kun Wang,* Zhi Chen, Fengning Li, Yuhui Zhang, Lifeng Lao, Chun Zhou, Xinfeng Li, Hongxing Shen Department of Spine Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xinfeng Li; Hongxing Shen No. 160 Pujian Road, Shanghai 200127, People’s Republic of ChinaTel +86-18835991449; +86-13601814912Fax +86-021-58395057Email lxfrenji@126.com; shenhxgk@126.comPurpose: Although degenerative lumbar spinal stenosis (LSS) is increasingly being diagnosed in older people, there is much uncertainty about the appropriate operative treatment options. The objective of this study was to compare the outcome of percutaneous endoscopic lumbar decompression (PELD) versus fenestration for lumbar lateral recess stenosis (LRS) in geriatric patients over 75 years old.Materials and methods: This prospective controlled study was performed on 46 consecutive over aged patients with lateral recess stenosis who underwent either PELD or fenestration. Clinical data were recorded before, 1 week, 3 months and 1.5 years after surgery using visual analog scale (VAS), Japanese Orthopaedic Association Score (JOA), The Short-Form-36 (SF-36), and the modiﬁed Macnab evaluation criteria.Results: The patients’ mean age was 82.7 years (aged 75–93 years) in PELD group and 79.1 years (aged 75–88 years) in fenestration group. No statistical difference was found between PELD group and fenestration group with regards to VAS-back pain, VAS-leg pain, JOA and at 3 months and 1.5-year follow-up. However, the PELD group had a lower mean VAS for back pain at 1 week postoperatively (P<0.05). The quality of life in PELD group achieved the same remarkable improvement as fenestration group (P>0.05). Operative time (min) was similar between two groups (p>0.05), while the PELD techniques brought advantages in blood loss (mL) (48.3 vs 128.2, p<0.05), early ambulation (h) (5.5 vs 25.2, p<0.05), and anesthesia-related complications.Conclusion: Both PELD and fenestration showed favorable clinical outcomes for the treatment of lumbar lateral recess stenosis. In addition, PELD had advantages such as reduced traumatization and less anesthesia-related complications. In terms of quality of life and complications after operation, PELD under local anesthesia could be an efficient supplement to conventional decompression surgery in geriatric patients with lumbar lateral recess stenosis.Keywords: geriatric patients, lumbar lateral recess stenosis, percutaneous endoscopic lumbar decompression, PELD, minimally invasive
format	article
author	Lv Z Jin L Wang K Chen Z Li F Zhang Y Lao L Zhou C Li X Shen H
author_facet	Lv Z Jin L Wang K Chen Z Li F Zhang Y Lao L Zhou C Li X Shen H
author_sort	Lv Z
title	Comparison of Effects of PELD and Fenestration in the Treatment of Geriatric Lumbar Lateral Recess Stenosis
title_short	Comparison of Effects of PELD and Fenestration in the Treatment of Geriatric Lumbar Lateral Recess Stenosis
title_full	Comparison of Effects of PELD and Fenestration in the Treatment of Geriatric Lumbar Lateral Recess Stenosis
title_fullStr	Comparison of Effects of PELD and Fenestration in the Treatment of Geriatric Lumbar Lateral Recess Stenosis
title_full_unstemmed	Comparison of Effects of PELD and Fenestration in the Treatment of Geriatric Lumbar Lateral Recess Stenosis
title_sort	comparison of effects of peld and fenestration in the treatment of geriatric lumbar lateral recess stenosis
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/a40039f67d6d41c7976be34d1c502bb4
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Comparison of Effects of PELD and Fenestration in the Treatment of Geriatric Lumbar Lateral Recess Stenosis

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