Percutaneous Bilateral Endoscopic Lumbar Interbody Fusion: Technical Note and Preliminary Results
Objective. The purpose of this study was to investigate the feasibility and clinical efficacy of the percutaneous bilateral endoscopy technique (microendoscopic trans-Kambin’s triangle lumbar interbody fusion + percutaneous endoscopic transforaminal decompression of the lumbar spinal canal, ME-TKT-L...
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| description | Objective. The purpose of this study was to investigate the feasibility and clinical efficacy of the percutaneous bilateral endoscopy technique (microendoscopic trans-Kambin’s triangle lumbar interbody fusion + percutaneous endoscopic transforaminal decompression of the lumbar spinal canal, ME-TKT-LIF+ PETD) in the treatment of lumbar degenerative diseases. Methods. From May 2016 to September 2018, 29 patients (16 males and 13 females) who suffered from neurologic symptoms due to degenerative lumbar spine disease and underwent percutaneous bilateral endoscopy technique were enrolled. A microendoscope was used for fusion, and a percutaneous endoscope was used for spinal canal decompression. These patients’ perioperative and clinical outcome-related parameters were collected and analyzed. Results. The mean intraoperative blood loss was 72.8±40.6 ml, the operation time was 87.1±10.1 min, the postoperative ambulatory time was 1.69 ± 1.0 days, the hospital stay was 2.6±1.3 days, and the follow-up period was 22.34±4.2 months. The visual analog scale (VAS) and the Oswestry disability index (ODI) were significantly improved at the early postoperative and last follow-up, respectively. According to the modified MacNab criteria, 11 (11/29) cases were rated as excellent, 15 (15/29) as good, and 3 (3/29) as fair, and the excellent and good rate was 89.7%. Twenty-eight (28/29) cases demonstrated solid fusion, and the fusion rate was 96.6%. Conclusion. The percutaneous bilateral endoscopy technique is safe and feasible in the treatment of lumbar degenerative diseases, with the advantage that more normal anatomical structures are preserved. It is an optional method of lumbar interbody fusion. |
| doi_str_mv | 10.1155/2022/2227679 |
| format | Article |
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The purpose of this study was to investigate the feasibility and clinical efficacy of the percutaneous bilateral endoscopy technique (microendoscopic trans-Kambin’s triangle lumbar interbody fusion + percutaneous endoscopic transforaminal decompression of the lumbar spinal canal, ME-TKT-LIF+ PETD) in the treatment of lumbar degenerative diseases. Methods. From May 2016 to September 2018, 29 patients (16 males and 13 females) who suffered from neurologic symptoms due to degenerative lumbar spine disease and underwent percutaneous bilateral endoscopy technique were enrolled. A microendoscope was used for fusion, and a percutaneous endoscope was used for spinal canal decompression. These patients’ perioperative and clinical outcome-related parameters were collected and analyzed. Results. The mean intraoperative blood loss was 72.8±40.6 ml, the operation time was 87.1±10.1 min, the postoperative ambulatory time was 1.69 ± 1.0 days, the hospital stay was 2.6±1.3 days, and the follow-up period was 22.34±4.2 months. The visual analog scale (VAS) and the Oswestry disability index (ODI) were significantly improved at the early postoperative and last follow-up, respectively. According to the modified MacNab criteria, 11 (11/29) cases were rated as excellent, 15 (15/29) as good, and 3 (3/29) as fair, and the excellent and good rate was 89.7%. Twenty-eight (28/29) cases demonstrated solid fusion, and the fusion rate was 96.6%. Conclusion. The percutaneous bilateral endoscopy technique is safe and feasible in the treatment of lumbar degenerative diseases, with the advantage that more normal anatomical structures are preserved. It is an optional method of lumbar interbody fusion.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2022/2227679</identifier><identifier>PMID: 35445131</identifier><language>eng</language><publisher>United States: Hindawi</publisher><subject>Canals (anatomy) ; Care and treatment ; Decompression ; Degenerative diseases ; Diagnosis ; Discectomy ; Endoscopes ; Endoscopy ; Endoscopy - methods ; Feasibility ; Female ; Health services ; Humans ; Intermittent claudication ; Laparoscopy ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - surgery ; Lumbosacral Region - surgery ; Male ; Methods ; Minimally Invasive Surgical Procedures - methods ; Patient outcomes ; Patients ; Retrospective Studies ; Risk factors ; Signs and symptoms ; Spinal diseases ; Spinal fusion ; Spinal Fusion - methods ; Spine ; Spine (lumbar) ; Statistical analysis ; Surgery ; Treatment Outcome</subject><ispartof>BioMed research international, 2022, Vol.2022 (1), p.2227679-2227679</ispartof><rights>Copyright © 2022 Huan Chen et al.</rights><rights>COPYRIGHT 2022 John Wiley & Sons, Inc.</rights><rights>Copyright © 2022 Huan Chen et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2022 Huan Chen et al. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c476t-4b975d9898a518fc9826db9c6dae675a47065b7c526a26876e9b124cf194ec4f3</citedby><cites>FETCH-LOGICAL-c476t-4b975d9898a518fc9826db9c6dae675a47065b7c526a26876e9b124cf194ec4f3</cites><orcidid>0000-0003-1821-590X ; 0000-0002-7914-2030</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9015859/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9015859/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,4009,27902,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35445131$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Zhang, Ying-Qi</contributor><contributor>Ying-Qi Zhang</contributor><creatorcontrib>Chen, Huan</creatorcontrib><creatorcontrib>Zhang, Huan</creatorcontrib><creatorcontrib>Yang, Erping</creatorcontrib><creatorcontrib>Ling, Qinjie</creatorcontrib><creatorcontrib>He, Erxing</creatorcontrib><title>Percutaneous Bilateral Endoscopic Lumbar Interbody Fusion: Technical Note and Preliminary Results</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Objective. The purpose of this study was to investigate the feasibility and clinical efficacy of the percutaneous bilateral endoscopy technique (microendoscopic trans-Kambin’s triangle lumbar interbody fusion + percutaneous endoscopic transforaminal decompression of the lumbar spinal canal, ME-TKT-LIF+ PETD) in the treatment of lumbar degenerative diseases. Methods. From May 2016 to September 2018, 29 patients (16 males and 13 females) who suffered from neurologic symptoms due to degenerative lumbar spine disease and underwent percutaneous bilateral endoscopy technique were enrolled. A microendoscope was used for fusion, and a percutaneous endoscope was used for spinal canal decompression. These patients’ perioperative and clinical outcome-related parameters were collected and analyzed. Results. The mean intraoperative blood loss was 72.8±40.6 ml, the operation time was 87.1±10.1 min, the postoperative ambulatory time was 1.69 ± 1.0 days, the hospital stay was 2.6±1.3 days, and the follow-up period was 22.34±4.2 months. The visual analog scale (VAS) and the Oswestry disability index (ODI) were significantly improved at the early postoperative and last follow-up, respectively. According to the modified MacNab criteria, 11 (11/29) cases were rated as excellent, 15 (15/29) as good, and 3 (3/29) as fair, and the excellent and good rate was 89.7%. Twenty-eight (28/29) cases demonstrated solid fusion, and the fusion rate was 96.6%. Conclusion. The percutaneous bilateral endoscopy technique is safe and feasible in the treatment of lumbar degenerative diseases, with the advantage that more normal anatomical structures are preserved. It is an optional method of lumbar interbody fusion.</description><subject>Canals (anatomy)</subject><subject>Care and treatment</subject><subject>Decompression</subject><subject>Degenerative diseases</subject><subject>Diagnosis</subject><subject>Discectomy</subject><subject>Endoscopes</subject><subject>Endoscopy</subject><subject>Endoscopy - methods</subject><subject>Feasibility</subject><subject>Female</subject><subject>Health services</subject><subject>Humans</subject><subject>Intermittent claudication</subject><subject>Laparoscopy</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Lumbosacral Region - surgery</subject><subject>Male</subject><subject>Methods</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Signs and symptoms</subject><subject>Spinal diseases</subject><subject>Spinal fusion</subject><subject>Spinal Fusion - methods</subject><subject>Spine</subject><subject>Spine (lumbar)</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kdFrFDEQxoMotpx981kCvgh6dpNNJhsfhFpaLRxapD6HbHa2l7KbnMmu0v_enHce1QfzMoH58c188xHynFVvGZPylFecn3LOFSj9iBzzmoklMMEeH_51fUROcr6rymsYVBqekqNaCiFZzY6Jvcbk5skGjHOmH_xgJ0x2oBehi9nFjXd0NY-tTfQqlE4bu3t6OWcfwzt6g24dvCv05zghtaGj1wkHP_pg0z39inkepvyMPOntkPFkXxfk2-XFzfmn5erLx6vzs9XSCQXTUrRayU43urGSNb3TDYeu1Q46i6CkFaoC2SonOVgOjQLULePC9UwLdKKvF-T9TncztyN2DsNUjJhN8mPZxkTrzd-d4NfmNv4wumKykboIvNoLpPh9xjyZ0WeHw7A7juEgaw4A5XAL8vIf9C7OKRR7v6liQj2kbu2Axoc-lrluK2rOVMVEA6LmhXqzo1yKOSfsDyuzymxDNtuQzT7kgr94aPMA_4m0AK93wNqHzv70_5f7BVqurd4</recordid><startdate>2022</startdate><enddate>2022</enddate><creator>Chen, Huan</creator><creator>Zhang, Huan</creator><creator>Yang, Erping</creator><creator>Ling, Qinjie</creator><creator>He, Erxing</creator><general>Hindawi</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1821-590X</orcidid><orcidid>https://orcid.org/0000-0002-7914-2030</orcidid></search><sort><creationdate>2022</creationdate><title>Percutaneous Bilateral Endoscopic Lumbar Interbody Fusion: Technical Note and Preliminary Results</title><author>Chen, Huan ; Zhang, Huan ; Yang, Erping ; Ling, Qinjie ; He, Erxing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c476t-4b975d9898a518fc9826db9c6dae675a47065b7c526a26876e9b124cf194ec4f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Canals (anatomy)</topic><topic>Care and treatment</topic><topic>Decompression</topic><topic>Degenerative diseases</topic><topic>Diagnosis</topic><topic>Discectomy</topic><topic>Endoscopes</topic><topic>Endoscopy</topic><topic>Endoscopy - methods</topic><topic>Feasibility</topic><topic>Female</topic><topic>Health services</topic><topic>Humans</topic><topic>Intermittent claudication</topic><topic>Laparoscopy</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Lumbosacral Region - surgery</topic><topic>Male</topic><topic>Methods</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Signs and symptoms</topic><topic>Spinal diseases</topic><topic>Spinal fusion</topic><topic>Spinal Fusion - methods</topic><topic>Spine</topic><topic>Spine (lumbar)</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Huan</creatorcontrib><creatorcontrib>Zhang, Huan</creatorcontrib><creatorcontrib>Yang, Erping</creatorcontrib><creatorcontrib>Ling, Qinjie</creatorcontrib><creatorcontrib>He, Erxing</creatorcontrib><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Middle East & Africa Database</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Huan</au><au>Zhang, Huan</au><au>Yang, Erping</au><au>Ling, Qinjie</au><au>He, Erxing</au><au>Zhang, Ying-Qi</au><au>Ying-Qi Zhang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percutaneous Bilateral Endoscopic Lumbar Interbody Fusion: Technical Note and Preliminary Results</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2022</date><risdate>2022</risdate><volume>2022</volume><issue>1</issue><spage>2227679</spage><epage>2227679</epage><pages>2227679-2227679</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Objective. The purpose of this study was to investigate the feasibility and clinical efficacy of the percutaneous bilateral endoscopy technique (microendoscopic trans-Kambin’s triangle lumbar interbody fusion + percutaneous endoscopic transforaminal decompression of the lumbar spinal canal, ME-TKT-LIF+ PETD) in the treatment of lumbar degenerative diseases. Methods. From May 2016 to September 2018, 29 patients (16 males and 13 females) who suffered from neurologic symptoms due to degenerative lumbar spine disease and underwent percutaneous bilateral endoscopy technique were enrolled. A microendoscope was used for fusion, and a percutaneous endoscope was used for spinal canal decompression. These patients’ perioperative and clinical outcome-related parameters were collected and analyzed. Results. The mean intraoperative blood loss was 72.8±40.6 ml, the operation time was 87.1±10.1 min, the postoperative ambulatory time was 1.69 ± 1.0 days, the hospital stay was 2.6±1.3 days, and the follow-up period was 22.34±4.2 months. The visual analog scale (VAS) and the Oswestry disability index (ODI) were significantly improved at the early postoperative and last follow-up, respectively. According to the modified MacNab criteria, 11 (11/29) cases were rated as excellent, 15 (15/29) as good, and 3 (3/29) as fair, and the excellent and good rate was 89.7%. Twenty-eight (28/29) cases demonstrated solid fusion, and the fusion rate was 96.6%. Conclusion. The percutaneous bilateral endoscopy technique is safe and feasible in the treatment of lumbar degenerative diseases, with the advantage that more normal anatomical structures are preserved. It is an optional method of lumbar interbody fusion.</abstract><cop>United States</cop><pub>Hindawi</pub><pmid>35445131</pmid><doi>10.1155/2022/2227679</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0003-1821-590X</orcidid><orcidid>https://orcid.org/0000-0002-7914-2030</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Canals (anatomy) Care and treatment Decompression Degenerative diseases Diagnosis Discectomy Endoscopes Endoscopy Endoscopy - methods Feasibility Female Health services Humans Intermittent claudication Laparoscopy Lumbar Vertebrae - diagnostic imaging Lumbar Vertebrae - surgery Lumbosacral Region - surgery Male Methods Minimally Invasive Surgical Procedures - methods Patient outcomes Patients Retrospective Studies Risk factors Signs and symptoms Spinal diseases Spinal fusion Spinal Fusion - methods Spine Spine (lumbar) Statistical analysis Surgery Treatment Outcome |
| title | Percutaneous Bilateral Endoscopic Lumbar Interbody Fusion: Technical Note and Preliminary Results |
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