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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >P.133 Minimally invasive MetrX microdiskectomy for lumbar disc herniation: review of long-term outcomes
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P.133 Minimally invasive MetrX microdiskectomy for lumbar disc herniation: review of long-term outcomes

机译：P.133腰椎间盘突出症的微创MetRX微球蛋白切除术：综述长期结果

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Background: Lumbar microdiskectomy is amongst the most common neurosurgical techniques. In Saskatoon, minimally invasive microdiskectomy using the MetrX tubular retractor system has become a routinely performed procedure. While the outcomes of microdiskectomy are known to be similar to open technique, long term outcomes have not been reported. Methods: We performed a retrospective study of 160 minimally invasive microdiskectomies. We excluded subjects with cauda equina syndrome, redo surgery, fusions, and multi-level decompressions. We used one-way ANOVA to compare VAS, ODI, SF36, and EQ5D scores at pre-operative, 6-week postoperative, and long-term timepoints. Results: The mean pre-operative back pain VAS score was 6.23+/?2.63, 6-week post-operative follow-up VAS was 3.21+/?2.49, and long-term follow-up VAS was 2.56+/?2.45. The mean preoperative leg pain VAS score was 7.66+/?1.99, 6-week follow-up VAS was 3.56+/?2.79, final follow-up VAS was 2.20+/?2.57. The mean preoperative ODI score was 60.41+/?13.97; falling to 32.54+/?20.57 at 6-week follow up, and further to 24.50+/?20.97 at long term follow up. The mean baseline EQ5D quality of life score was 46.4+/?18.1, 68.9+/?20.2 at 6-week follow up and 69.3+/?20.3 at final review. Data reached statistical significance. Conclusions: We report good outcomes for minimally invasive microdiskectomy that are as durable as published results using open technique.
机译：背景：腰椎缺席是最常见的神经外科技术。在萨斯坦日，使用Metrx管状牵开器系统的微创微盘切除术已经成为常规执行的过程。虽然已知微盘切除术的结果类似于开放技术，但尚未报告长期结果。方法：我们进行了对160个微创微量球体切除术的回顾性研究。我们排除了Cauda Equina综合征，重做手术，融合和多层次减压的主题。我们使用单向ANOVA将VAS，ODI，SF36和EQ5D分数进行比较，在术前，6周术后和长期的时间点。结果：平均术前止痛VAS分数为6.23 + /？2.63，术后后续VAS为3.21 + /？2.49，长期随访VAS为2.56 + /？2.45。平均术前腿部疼痛VAS得分为7.66 + /？1.99,6周的随访VAS为3.56 + /？2.79，最终后续VAS为2.20 + /？2.57。平均术前odi得分为60.41 + /？13.97;在6周后跌至32.54 + /？20.57。在长期后，进一步前往24.50 + /？20.97。平均基线EQ5D生活质量得分为46.4 + /？18.1,68.9​​ + /？20.2，在6周后跟进，69.3 + /？20.3在最终审查。数据达到统计学意义。结论：我们报告了良好的侵入性微磁盘切除术，与使用开放技术的公开结果一样耐用。

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