Degenerative changes in adjacent segments after lumbar fixation and fusion: transforaminal endoscopic spine system

doi:10.3969/j.issn.2095-4344.2015.26.017

Abstract

Abstract:

BACKGROUND: Spine minimally invasive technique through foraminal mirror is the method to treat lumbar disc herniation with minimal wound. This technique can be conducted under local anesthesia, and does not need to resect the small joint or destroy the vertebral plate, and has small damage to the spine.
OBJECTIVE: To explore the short-period effects of transforaminal endoscopic spine system for adjacent-segment degenerative changes-caused low back pain after lumbar fixation and fusion.
METHODS: A total of 31 patients with degenerative changes after posterior lumbar bone graft fusion fixation, who required secondary surgery, were enrolled in this study, including 23 males and 8 females, at the age of 45-81 years old. The postoperative time was 1.1-5.7 years. There were 3 cases of L₃-₄ single segment, 15 cases of L4-5 single segment, 8 cases of L5S1 single segment, and 5 cases of multi-segment. These patients were treated with transforaminal endoscopic spine system, and followed up for 6 months. Visual Analogue Scale score and lumbar function Japanese Orthopedic Association score were observed.
RESULTS AND CONCLUSION: Lumbar and leg pain symptoms were relieved noticeably during the operation. The patient could walk immediately after the surgery, and the postoperative recovery was quite satisfactory. Visual Analogue Scale score was lower immediately, 1, 3 and 6 months after treatment compared with pre-treatment. Lumbar function Japanese Orthopedic Association score was higher immediately, 1, 3 and 6 months after treatment compared with pre-treatment. Results verify that transforaminal endoscopic spine system for degenerative changes
after posterior lumbar bone graft fusion fixation has some advantages such as high safety, short operation time, less hemorrhage, less complications, rapid restoration and easily accepted by patients.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Spinal Fusion, Pain Measurement, Lumbar Vertebrae

CLC Number:

R318

Li Jian-jiang, Chu Ge, Yang Tao, Huang Yi-fei, Wu Yan-sheng, Liu Yan-lu. Degenerative changes in adjacent segments after lumbar fixation and fusion: transforaminal endoscopic spine system [J]. Chinese Journal of Tissue Engineering Research, 2015, 19(26): 4186-4190.

Figures/Tables 2

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