Abstract:
STUDY DESIGN:A prospective, randomized controlled study of patients with L5-S1 lumbar disc herniations, operated with endoscopic discectomy through an interlaminar or transforaminal approach. OBJECTIVE:To compare the results of percutaneous endoscopic lumbar discectomy in L5-S1 disc herniation through an interlaminar or transforaminal approach. SUMMARY OF BACKGROUND DATA:The transforaminal and interlaminar techniques are both acceptable approaches for L5-S1 disc herniation. This is the first study to compare these two approaches in terms of their surgical effects and advantages. METHODS:From January 2010 to June 2010, 60 patients with L5-S1 disc herniation were randomly recruited into two groups; one group underwent percutaneous endoscopic interlaminar discectomy (PEID) and the other group underwent percutaneous endoscopic transforaminal discectomy (PETD). There were 30 patients in each group. The operation time, intraoperative radiation time, postoperative bed rest time, hospitalization time, and complications were compared between the groups. The surgical effectiveness was assessed according to the Oswestry Disability Index (ODI), Visual Analog Scale (VAS), and modified MacNab criteria. RESULTS:All the patients completed follow up with a mean of 27.6 months (range, 24-37 months). In the PEID group, the mean operation time was 65.0 ± 14.9 minutes, and the intraoperative radiation time was 0.60 ± 0.24 seconds. For the PETD group, the mean operation time was 86.0 ± 15.4 minutes, and the intraoperative radiation time was 6.50 ± 1.52 seconds. There were significant differences in operation time and radiation time between the two groups (P < 0.01) but not in the postoperative bed rest time, hospitalization time, or complication rate (P > 0.05). The postoperative ODI and VAS were obviously improved in both groups when compared with preoperation (P < 0.01). According to the MacNab criteria, the satisfactory rates were 93.3% and 90.0% in the two groups, without a significant difference (P > 0.05). CONCLUSION:PEID can escape the blockade of crista iliaca, and advantages include a faster puncture orientation, a shorter operation time, and less intraoperative radiation exposure. PETD requires higher punctuation skill and more intraoperative radiation exposure. LEVEL OF EVIDENCE:4.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Nie H,Zeng J,Song Y,Chen G,Wang X,Li Z,Jiang H,Kong Qdoi
10.1097/BRS.0000000000001810subject
Has Abstractpub_date
2016-10-01 00:00:00pages
B30-B37eissn
0362-2436issn
1528-1159journal_volume
41 Suppl 19pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:In vivo validation during functional loading. OBJECTIVE:To determine the accuracy and repeatability of a model-based tracking technique that combines subject-specific computed tomographic (CT) models and high-speed biplane x-ray images to measure three-dimensional (3D) in vivo cervical spine motion. SUMM...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31820b7e2f
更新日期:2011-03-15 00:00:00
abstract:STUDY DESIGN:Independent retrospective review of prospectively collected data, comparative cohort study. OBJECTIVE:The objective of this study was to compare the clinical, radiographical, and cost/value of the addition of an interbody arthrodesis (IBA) to a posterolateral arthrodesis (PLA) in the surgical treatment of...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000856
更新日期:2015-06-15 00:00:00
abstract:STUDY DESIGN:This is a report of two cases. OBJECTIVE:To document the occurrence and association of spondylolysis and Arnold-Chiari malformation Type I. SUMMARY OF BACKGROUND DATA:The association of spinal dysraphism has been reported with Arnold-Chiari Type II, but not with Arnold-Chiari Type I. METHODS:The senior ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199710150-00026
更新日期:1997-10-15 00:00:00
abstract::One shortcoming of clinical practice guidelines is that generic, one-for-all guideline recommendations do not account for differences among patients' views about the desirability (or undesirability) of specific health outcomes, such as low back pain. Because differences in patients' preferences may lead to differences...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-199805010-00023
更新日期:1998-05-01 00:00:00
abstract:STUDY DESIGN:In this study, 10 patients with chronic irreducible atlantoaxial dislocation were treated by transoral anterior decompression and fusion. OBJECTIVES:To examine the benefits of the transoral approach, the patients treated with this procedure were compared with the historical control subjects after 2 years ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199506000-00004
更新日期:1995-06-01 00:00:00
abstract:STUDY DESIGN:Case series. OBJECTIVE:To describe the outcomes of workers' compensation (WC) claimants who have had a lumbar intradiscal electrothermal therapy (IDET) procedure. SUMMARY OF BACKGROUND DATA:IDET was developed as a less invasive treatment alternative to fusion after failure of conservative treatment for d...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000092376.41688.1a
更新日期:2004-02-15 00:00:00
abstract:STUDY DESIGN:A study was performed to measure the vertebral body depths in different locations from C2 to C7. OBJECTIVES:To measure the vertebral body depths in 10 linear dimension from C2 to C7. SUMMARY OF BACKGROUND DATA:Anterior plate-screw fixation of the cervical spine has been the common surgical procedure for ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199811010-00010
更新日期:1998-11-01 00:00:00
abstract::The evaluation of the clinical utility of the clinical diagnostic tests and procedures, what works in spinal disorders, and for whom and how treatment affects a patient's symptoms and function are key questions of outcomes research. This paper describes the advantages and limitations of the main study approaches used....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199409151-00004
更新日期:1994-09-15 00:00:00
abstract:STUDY DESIGN:Prospective, multicenter cohort analysis. OBJECTIVE:Assess children and guardian's comprehension of surgical consent for adolescent idiopathic scoliosis (AIS) surgery and factors associated with their comprehension. SUMMARY OF BACKGROUND DATA:Informed consent is essential to the ethical practice of surge...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0000000000001162
更新日期:2016-01-01 00:00:00
abstract:STUDY DESIGN:Prospective evaluation of fibrinogen levels before surgery and after surgery in patients with idiopathic scoliosis undergoing posterior spinal fusion (PSF) and segmental spinal instrumentation (SSI) who received Amicar to decrease perioperative blood loss. OBJECTIVES:To assess a possible association betwe...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000253962.24179.bc
更新日期:2007-02-01 00:00:00
abstract:STUDY DESIGN:Retrospective review. OBJECTIVE:To determine the perioperative complications for patients undergoing single stage, multilevel, anterior, and posterior cervical fusions crossing the cervico-thoracic junction. SUMMARY OF BACKGROUND DATA:Cervical spinal stenosis with kyphosis involving 3 or more disc levels...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318190affe
更新日期:2008-12-15 00:00:00
abstract:STUDY DESIGN:Data for this study were collected as part of a prospective Food and Drug Administration regulated IDE trial for the ProDisc total disc replacement. OBJECTIVE:The purpose of the study was to compare the results of total disc replacement (TDR) in patients with previous discectomy to patients who had no suc...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817bd2f0
更新日期:2008-07-01 00:00:00
abstract::Functional and surgical outcomes are reported in two consecutive groups of patients who underwent one- and two-level lumbosacral fusion. The first group underwent standard posterolateral lumbosacral fusion, and the second group underwent lumbosacral fusion with compression U-rod instrumentation. Fusions were carried o...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199203000-00018
更新日期:1992-03-01 00:00:00
abstract:STUDY DESIGN:Lumbar vertebral segments from a large cross-sectional population of male and female sand rats were assessed for quantitative determination of lumbar endplate bone mineral density (BMD) and radiologic features. OBJECTIVE:To determine radiologic and BMD characteristics in the lumbar spines of males and fem...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318158cd69
更新日期:2007-11-01 00:00:00
abstract::The presence of a bifid posterior arch of the atlas has been regarded as a contraindication to the wiring of C1-2 for atlantoaxial arthrodesis. Three cases with C1 posterior spondyloschisis are presented with successful atlantoaxial arthrodesis using laterally placed wires to avoid the midline defect of the atlas. An ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198401000-00014
更新日期:1984-01-01 00:00:00
abstract::The results of a long-term study of 28 patients operated on for adhesive lumbar arachnoiditis are presented. The technique involved was microscopic lysis of adhesions. The first case of surgery was performed in 1966 and the last, in 1970, with followup through 1976. Numerous observations are made regarding the clinica...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-197803000-00008
更新日期:1978-03-01 00:00:00
abstract::The role of thermography for diagnosing lumbar radiculopathy was evaluated by literature review and meta-analysis. From 81 relevant citations, 28 studies could be analyzed for diagnostic-accuracy data (sensitivity and specificity) and method. Diagnostic-accuracy data varied significantly between studies; therefore mea...
journal_title:Spine
pub_type: 杂志文章,meta分析
doi:10.1097/00007632-199106000-00005
更新日期:1991-06-01 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVE:To report the first case of posterior spinal artery (PSA) infarct due to patent foramen ovale (PFO). SUMMARY OF BACKGROUND DATA:Infarct in the territories of PSA are very rare: till now 38 cases are reported in the literature. Moreover only 1 case of spinal cord infarction was attr...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181cf29ea
更新日期:2010-03-01 00:00:00
abstract:STUDY DESIGN:This retrospective study analyzes the timing of spinal metastases and the survivability of patients with cancer after the detection of spinal metastases. OBJECTIVE:To evaluate the timing of spinal metastases in primary lesions and the survivability of patients with metastatic spinal tumors. SUMMARY OF BA...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199609150-00017
更新日期:1996-09-15 00:00:00
abstract:STUDY DESIGN:Prospective trial. OBJECTIVE:To perform a precise anatomical study of the presacral space and to examine the approach safety of AxiaLIF (axial lumbar interbody fusion) in an anatomical aspect. SUMMARY OF BACKGROUND DATA:AxiaLIF is a novel, minimally invasive surgery. Though there were a few clinical repo...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31821b8f6d
更新日期:2012-02-15 00:00:00
abstract:STUDY DESIGN:Retrospective Analysis OBJECTIVE.: The aim of this study was to determine whether an association between increased acute pain, postoperative time, and direct hospital costs exists between the use of iliac crest bone grafting (ICBG) and bone morphogenic protein (BMP)-2 following a primary, single-level mini...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002599
更新日期:2018-09-15 00:00:00
abstract:STUDY DESIGN:Multicenter, prospective, cohort study. OBJECTIVE:To estimate the Minimal Clinically Important Difference (MCID) for the physical (PCS) and mental (MCS) component summaries of Short Form SF-12 (SF-12), in patients with low back pain (LBP). SUMMARY OF BACKGROUND DATA:Quality of life is one of the core dom...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0000000000002298
更新日期:2017-12-15 00:00:00
abstract::A retrospective review of the radiographs of 1215 patients with congenital scoliosis and kyphosis disclosed 298 (25%) to have segmentation defects in the cervical spine. A single level defect was seen in 82 patients, 52 of which were at C2-C3. Of the 298 patients, 235 had scoliosis, (6 cervical, 42 cervicothoracic, 75...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198405000-00006
更新日期:1984-05-01 00:00:00
abstract:STUDY DESIGN:The pretension of the Dynesys cord was varied to evaluate its effects on both tissue responses and screw-spacer behaviors by the finite-element method. OBJECTIVE:This study aimed to provide detailed information about the motion-preserving and load-shielding mechanisms of the Dynesys screw-spacer joint. S...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318290fb2e
更新日期:2013-06-01 00:00:00
abstract:STUDY DESIGN:A case is reported in which a 45-year-old man developed cauda equina syndrome caused by enlargement of an L4-L5 juxtafacet cyst diagnosed 4 months earlier. OBJECTIVES:To highlight the short interval that can elapse between the discovery of a juxtafacet cyst and its remarkable progression. SUMMARY OF BACK...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200206010-00022
更新日期:2002-06-01 00:00:00
abstract:STUDY DESIGN:Randomized controlled trial with 1-year follow-up. OBJECTIVE:To analyze the effects of an exercise program or routine follow-up on patients with chronic low back pain who have completed functional multidisciplinary rehabilitation. The short- and long-term outcome in terms of symptoms and physical and soci...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/BRS.0b013e3181bf1de9
更新日期:2010-05-20 00:00:00
abstract:STUDY DESIGN:Basic science, biologic study. OBJECTIVE:To determine the potential benefits of using resveratrol (RSV) for intervertebral disc (IVD) matrix repair and regeneration. SUMMARY OF BACKGROUND DATA:The phytoestrogen RSV is a natural compound found in various plants including grapes and red wines. RSV has been...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181883883
更新日期:2008-11-15 00:00:00
abstract::A cadaveric study was done to investigate the variability of interfacet distances from C3 to C7, to learn pedicle morphology at C7-T2, and to determine potential dangers of plate-screw osteosynthesis technique of the cervical spine. Twenty-two cadavers were dissected from C2 to C7 to expose the lateral masses and nerv...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199110001-00019
更新日期:1991-10-01 00:00:00
abstract:STUDY DESIGN:A case report of dorsally sequestered cervical disc herniation. OBJECTIVE:To present an unusual case of dorsally sequestered cervical disc herniation and to briefly review the literature on this condition. SUMMARY OF BACKGROUND DATA:There have been few reports of migration of cervical disc herniation to ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31815ce6c4
更新日期:2007-12-15 00:00:00
abstract:STUDY DESIGN:To report a new index, the K-line, for deciding the surgical approach for cervical ossification of the posterior longitudinal ligament (OPLL). OBJECTIVE:To analyze the correlation between the K-line-based classification of cervical OPLL patients and their surgical outcome. SUMMARY OF BACKGROUND DATA:Prev...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318188b300
更新日期:2008-12-15 00:00:00