tailieunhanh - Báo cáo y học: "Endoscopic laminoforaminoplasty success rates for treatment of foraminal spinal stenosis: report on sixty-four cases"

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 laminoforaminoplasty success rates for treatment of foraminal spinal stenosis: report on sixty-four cases. | Int. J. Med. Sci. 2009 6 102 Research Paper International Journal of Medical Sciences 2009 6 2 102-105 Ivyspring International Publisher. All rights reserved Endoscopic laminoforaminoplasty success rates for treatment of foraminal spinal stenosis report on sixty-four cases Scott . Haufe 1-3 H Anthony R. Mork 2 3 Morgan A. Pyne 3 and Ryan A. Baker 3 1. Chief of Pain Medicine and Anesthesiology 2. Chief of Spine Surgery 3. MicroSpine DeFuniak Springs FL 32435 USA ISI Correspondence to Scott . Haufe . 101 MicroSpine Way DeFuniak Springs FL 32435. Phone 888-642-7677 Fax 850-892-4212 Email Haufe@ Received Accepted Published Abstract Background Foraminal stenosis is an important cause of radicular and generalized back pain. In patients who do not respond to conservative interventions endoscopic spinal surgery provides similar results to open surgical approaches with lower rates of complication postoperative pain and shorter duration of hospital stay. Methods We performed a prospective open uncontrolled trial of 64 patients to evaluate endoscopic laminoforaminoplasty for the treatment of refractory foraminal stenosis. Results Fifty-nine percent of patients had at least 75 improvement in Oswestry Disability Index Oswestry and Visual Analog Scale VAS scores. All patients were discharged the day of surgery. Dural leaks occurred in two patients which were repaired intraoperatively. No other adverse events occurred. Conclusions Endoscopic laminoforaminoplasty appears to be a safe alternative to open decompression in patients with spinal foraminal stenosis additional controlled trials are warranted. Key words endoscopic laminoforaminoplasty spinal foraminal stenosis minimally invasive surgery Introduction Foraminal stenosis is an important cause of radicular and generalized back pain. Lateral root entrapment has an incidence of 8 to 11 1 2 3 . A lack of signs symptoms and radiographic findings specific to foraminal .