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Báo cáo y học: "Endoscopic thoracic laminoforaminoplasty for the treatment of thoracic radiculopathy: report of 12 case"

Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: Endoscopic thoracic laminoforaminoplasty for the treatment of thoracic radiculopathy: report of 12 cases. | Int. J. Med. Sci. 2009 6 224 International Journal of Medical Sciences 2009 6 4 224-226 Ivyspring International Publisher. All rights reserved Research Paper Endoscopic thoracic laminoforaminoplasty for the treatment of thoracic radiculopathy report of 12 cases Scott M.W. Haufe 1 2 H Ryan A. Baker 3 and Morgan L. Pyne 3 1. Chief of Pain Medicine and Anesthesiology 2. MicroSpine and Healthmark Regional Medical Center Florida USA 3. University of South Florida Florida USA H Correspondence to Scott M.W. Haufe M.D. 101 MicroSpine Way DeFuniak Springs FL 32435. Phone 888-642-7677 Fax 850-892-4212 Email Haufe@MicroSpine.com Received 2009.06.03 Accepted 2009.08.10 Published 2009.08.12 Abstract Background Spinal stenosis of the thoracic spine is less common than that of the cervical and lumbar regions. Due to the close proximity to thoracic and abdominal organs surgical operations can be difficult and carry a greater risk of complications. The most efficacious intervention for thoracic stenosis whether central or foraminal refractory to conservative management is uncertain. We aimed to evaluate the efficacy of endoscopic laminoforamino-plasty ELFP in the treatment of thoracic radiculopathy. Methods Twelve patients with radicular pain involving the lower thoracic levels at or below T6 were treated with ELFP. Results Seven of twelve patients showed marked improvement in pain scores. Average follow-up scores were 2.9 and 12.08 on the Visual Analog Scale VAS and Oswestry Disability Index respectively. The significance was 0.005 between the pre and post surgical data. One patient with moderate symptoms two with severe symptoms and two with crippling symptoms did not report significant improvement on VAS or Oswestry. No complications were encountered. Conclusions Endoscopic laminoforaminoplasty offers an alternative to fusion or conventional laminotomy with similar success rates. Patients additionally benefit from a decrease risk of complications short hospital stay and faster .