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Comprehensive comparing percutaneous endoscopic lumbar discectomy with posterior lumbar internal fixation for treatment of adjacent segment lumbar disc prolapse with stable retrolisthesis: A retrospective case-control study.

Abstract The study was to comprehensively compare the postoperative outcome and imaging parameter characters in a short/middle period between the percutaneous endoscopic lumbar discectomy (PELD) and the internal fixation of bone graft fusion (the most common form is posterior lumbar interbody fusion [PLIF]) for the treatment of adjacent segment lumbar disc prolapse with stable retrolisthesis after a previous lumbar internal fixation surgery.In this retrospective case-control study, we collected the medical records from 11 patients who received PELD operation (defined as PELD group) for and from 13 patients who received the internal fixation of bone graft fusion of lumbar posterior vertebral lamina decompression (defined as control group) for the treatment of the lumbar disc prolapse combined with stable retrolisthesis at Department of Spine Surgery, the Third Hospital of Hebei Medical University (Shijiazhuang, China) from May 2010 to December 2015. The operation time, the bleeding volume of perioperation, and the rehabilitation days of postoperation were compared between 2 groups. Before and after surgery at different time points, ODI, VAS index, and imaging parameters (including Taillard index, inter-vertebral height, sagittal dislocation, and forward bending angle of lumbar vertebrae) were compared.The average operation time, the blooding volume, and the rehabilitation days of postoperation were significantly less in PELD than in control group. The ODI and VAS index in PELD group showed a significantly immediate improving on the same day after the surgery. However, Taillard index, intervertebral height, sagittal dislocation in control group showed an immediate improving after surgery, but no changes in PELD group till 12-month after surgery. The forward bending angle of lumbar vertebrae was significantly increased and decreased in PELD and in control group, respectively.PELD operation was superior in terms of operation time, bleeding volume, recovery period, and financial support, if compared with lumbar internal fixation operation. Radiographic parameters reflect lumber structure changes, which could be observed immediately after surgery in both methods; however, the recoveries on nerve function and pain relief required a longer time, especially after PLIF operation.
PMID
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Authors

Mayor MeshTerms

Bone Transplantation

Diskectomy, Percutaneous

Endoscopy

Spinal Fusion

Keywords
Journal Title medicine
Publication Year Start




PMID- 28723757
OWN - NLM
STAT- MEDLINE
DA  - 20170720
DCOM- 20170728
LR  - 20170801
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 29
DP  - 2017 Jul
TI  - Comprehensive comparing percutaneous endoscopic lumbar discectomy with posterior 
      lumbar internal fixation for treatment of adjacent segment lumbar disc prolapse
      with stable retrolisthesis: A retrospective case-control study.
PG  - e7471
LID - 10.1097/MD.0000000000007471 [doi]
AB  - The study was to comprehensively compare the postoperative outcome and imaging
      parameter characters in a short/middle period between the percutaneous endoscopic
      lumbar discectomy (PELD) and the internal fixation of bone graft fusion (the most
      common form is posterior lumbar interbody fusion [PLIF]) for the treatment of
      adjacent segment lumbar disc prolapse with stable retrolisthesis after a previous
      lumbar internal fixation surgery.In this retrospective case-control study, we
      collected the medical records from 11 patients who received PELD operation
      (defined as PELD group) for and from 13 patients who received the internal
      fixation of bone graft fusion of lumbar posterior vertebral lamina decompression 
      (defined as control group) for the treatment of the lumbar disc prolapse combined
      with stable retrolisthesis at Department of Spine Surgery, the Third Hospital of 
      Hebei Medical University (Shijiazhuang, China) from May 2010 to December 2015.
      The operation time, the bleeding volume of perioperation, and the rehabilitation 
      days of postoperation were compared between 2 groups. Before and after surgery at
      different time points, ODI, VAS index, and imaging parameters (including Taillard
      index, inter-vertebral height, sagittal dislocation, and forward bending angle of
      lumbar vertebrae) were compared.The average operation time, the blooding volume, 
      and the rehabilitation days of postoperation were significantly less in PELD than
      in control group. The ODI and VAS index in PELD group showed a significantly
      immediate improving on the same day after the surgery. However, Taillard index,
      intervertebral height, sagittal dislocation in control group showed an immediate 
      improving after surgery, but no changes in PELD group till 12-month after
      surgery. The forward bending angle of lumbar vertebrae was significantly
      increased and decreased in PELD and in control group, respectively.PELD operation
      was superior in terms of operation time, bleeding volume, recovery period, and
      financial support, if compared with lumbar internal fixation operation.
      Radiographic parameters reflect lumber structure changes, which could be observed
      immediately after surgery in both methods; however, the recoveries on nerve
      function and pain relief required a longer time, especially after PLIF operation.
FAU - Sun, Yapeng
AU  - Sun Y
AD  - aDepartment of Spine Surgery bDepartment of Pharmacy, the Third Hospital of Hebei
      Medical University, Shijiazhuang, China.
FAU - Zhang, Wei
AU  - Zhang W
FAU - Qie, Suhui
AU  - Qie S
FAU - Zhang, Nan
AU  - Zhang N
FAU - Ding, Wenyuan
AU  - Ding W
FAU - Shen, Yong
AU  - Shen Y
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - Intervertebral disc disease
SB  - AIM
SB  - IM
MH  - Adult
MH  - Aged
MH  - Blood Loss, Surgical
MH  - *Bone Transplantation
MH  - Case-Control Studies
MH  - *Diskectomy, Percutaneous
MH  - *Endoscopy
MH  - Female
MH  - Humans
MH  - Intervertebral Disc Degeneration/diagnostic imaging/rehabilitation/*surgery
MH  - Intervertebral Disc Displacement/diagnostic imaging/rehabilitation/*surgery
MH  - Lumbar Vertebrae/diagnostic imaging/*surgery
MH  - Magnetic Resonance Imaging
MH  - Male
MH  - Middle Aged
MH  - Operative Time
MH  - Postoperative Complications/diagnostic imaging/rehabilitation/surgery
MH  - Retrospective Studies
MH  - *Spinal Fusion
MH  - Tomography, X-Ray Computed
MH  - Treatment Outcome
PMC - PMC5521897
EDAT- 2017/07/21 06:00
MHDA- 2017/07/29 06:00
CRDT- 2017/07/21 06:00
AID - 10.1097/MD.0000000000007471 [doi]
AID - 00005792-201707210-00022 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jul;96(29):e7471. doi: 10.1097/MD.0000000000007471.