...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Pain Physician >Feasibility of Percutaneous Lumbar Discectomy Combined with Percutaneous Cementoplasty for Symptomatic Lumbar Disc Herniation with Modic Type I Endplate Changes
【24h】

Feasibility of Percutaneous Lumbar Discectomy Combined with Percutaneous Cementoplasty for Symptomatic Lumbar Disc Herniation with Modic Type I Endplate Changes

机译：经皮腰椎切除术结合经皮牙髓椎间盘突出术治疗症状腰椎间盘突出症的可行性，致症状腰椎间盘突出型爆发性I端板改变

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Treatment of symptomatic lumbar disc herniation with Modic type I endplate changes is complex and challenging, requiring systemic and local therapies which include conservative therapy, epidural infiltrations, percutaneous therapeutic techniques, and surgical options. The clinical management of symptomatic lumbar disc herniation involving Modic type I endplate changes is uniquely challenging because it requires alleviating pain caused by both the herniated disc and the endplate osteochondritis. Through different approaches, percutaneous lumbar discectomy (PLD) and percutaneous cementoplasty (PCP) have been introduced into clinical practice as alternatives to traditional surgical and radiotherapy treatments of symptomatic lumbar disc herniation and other spine diseases.OBJECTIVE: To evaluate the feasibility of PLD and PCP for symptomatic lumbar disc herniation with Modic type I endplate changes.STUDY DESIGN: PLD and PCP in 7 patients with symptomatic lumbar disc herniation with Modic type I endplate changes and its clinical effects were retrospectively evaluated.SETTING: This study was conducted by an interventional therapy group at a medical center in a major Chinese city. METHODS: Seven consecutive patients (2 men, 5 women; median age, 74.14 ± 5.34 years; age range, 68 – 82 years) who underwent percutaneous lumbar discectomy and cementoplasty for the treatment of symptomatic lumbar disc herniation with Modic type I changes between May 2013 and August 2015 were retrospectively analyzed. The MacNab Criteria, visual analog scale (VAS), and Oswestry Disability Index (ODI) for pain were assessed before and one week, 6 months, and one year after the procedure. Furthermore, the procedure duration, hospital stay length, and complications were assessed.RESULTS: The VAS of the back and leg decreased from 6.14 ± 0.69 (range, 5 – 7) and 7.29 ± 0.76 (range, 6 – 8) preoperatively to 2.29 ± 1.38 (range, 1 – 5) and 2.71 ± 0.60 (range, 1 – 6) one week, 1.86 ± 0.69 (range, 1 – 3) and 2.00 ± 0.58 (range, 1 – 3) 6 months, and 1.71 ± 0.76 (range, 1 – 3) and 1.85 ± 0.69 (range, 1 – 3) one year postoperatively. The ODI dropped from 76.86 ± 7.45 (range, 70 – 82) preoperatively to 26.29 ± 19.47 (range, 16 – 70) one week, 19.14 ± 2.79 (range, 16 – 24) 6 months, and 18.57 ± 2.99 (range, 16 – 24) one year postoperatively. The mean procedure duration was 55.71 ± 6.07 minutes (range, 50 – 65 minutes). The average length of hospital stay was 7.57 ± 1.27 days (range, 6 – 10 days). No obvious complications were noted.LIMITATIONS: This was a retrospective study with a relatively small sample size.CONCLUSION: PLD plus PCP is a feasible technique for symptomatic lumbar disc herniation with Modic type I endplate changes.
机译：背景技术：症状腰椎圆盘疝气突出型I端板变化是复杂的和挑战性，需要具有保守治疗，硬膜外渗透，经皮治疗技术和手术选择的系统性和局部疗法。涉及Modic I型端口变化的症状腰椎间盘突出症的临床管理是唯一挑战的，因为它需要缓解由椎间盘突出的椎间盘和底板骨质骨膜炎引起的疼痛。通过不同的方法，经皮腰椎切除术（PLD）和经皮牙髓成形术（PCP）被引入临床实践中作为传统手术和放射治疗症状椎间盘突出和其他脊柱疾病的替代品的替代品。目的：评估PLD和PCP的可行性对于症状腰椎间盘突出症，具有矫正类型I端板的变化。研究：PLD和PCP在7例患有症状腰椎间盘突出症患者中，具有态度I型端板的变化及其临床效应被回顾性评估。诱捕：本研究是通过介入治疗进行的小组在一个医疗中心在一个主要的中国城市。方法：连续七名患者（2名男子，5名女中位年龄，74.14±5.34岁;年龄范围，68 - 82岁），他们接受了经皮腰椎切除术和牙髓切除术治疗症状腰椎间盘突出症，其在5月之间的改变2013年和2015年8月回顾性分析。在程序之前和一周，6个月和一年内评估麦克纳布标准，视觉模拟规模（VAS）和OSWESTRY残疾指数（ODI）。此外，评估程序持续时间，住院长度和并发症。结果：术前从6.14±0.69（范围，5 - 7）和7.29±0.76（范围6 - 8）减少到2.29 ±1.38（范围，1 - 5）和2.71±0.60（范围，1 - 6）一周，1.86±0.69（范围，1 - 3）和2.00±0.58（范围，1 - 3）6个月，和1.71±术后0.76（范围，1 - 3）和1.85±0.69（范围，1 - 3）。 ODI术前从76.86±7.45（范围，70 - 82）持续到26.29±19.47（范围，16 - 70），19.14±2.79（范围，16-24）6个月，18.57±2.99（范围，16 - 24）术后一年。平均程序持续时间为55.71±6.07分钟（范围，50-65分钟）。住院住院的平均长度为7.57±1.27天（范围，6-10天）。未注意到明显的并发症。这是一种具有相对较小的样本尺寸的回顾性研究。结论：PLD加PCP是一种可行的腰椎圆盘疝气的可行技术，具有陈腐性I端板的变化。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号