Clinical Efficacy of Large-Channel Percutaneous Lumbar Endoscopic Decompression in the Treatment of Lumbar Spinal Stenosis Secondary to Old Compression Fractures

Junlin Liu; Qingquan Kong; Walter Munesu Chirume; Pin Feng; Bin Zhang; Junsong Ma; Yuan Hu

doi:10.1016/j.wneu.2022.06.111

Clinical Efficacy of Large-Channel Percutaneous Lumbar Endoscopic Decompression in the Treatment of Lumbar Spinal Stenosis Secondary to Old Compression Fractures

World Neurosurg. 2022 Oct:166:e118-e124. doi: 10.1016/j.wneu.2022.06.111. Epub 2022 Jun 29.

Authors

Junlin Liu¹, Qingquan Kong², Walter Munesu Chirume³, Pin Feng¹, Bin Zhang¹, Junsong Ma¹, Yuan Hu¹

Affiliations

¹ Department of Orthopedics Surgery, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengu, Sichuan, China.
² Department of Orthopedics Surgery, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengu, Sichuan, China; Department of Orthopedics Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China. Electronic address: kqqspine@126.com.
³ Department of Orthopedics Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

PMID: 35779755
DOI: 10.1016/j.wneu.2022.06.111

Abstract

Objective: We sought to explore the clinical efficacy of lumbar spinal stenosis (LSS) secondary to old vertebral compression fractures (OVCF) treatment by large-channel percutaneous endoscopic lumbar decompression.

Methods: Medical data for a total of 17 patients diagnosed with LSS secondary to OVCF and treated with large-channel percutaneous endoscopic lumbar decompression in our institution from January 2019 to January 2021 were collected. The dural sac cross-sectional area and morphologic grading of the magnetic resonance imaging cross-sectional area were recorded. Lumbar spine stability was assessed using the White-Panjabi scoring system. Visual analog scale and Japanese Orthopaedic Association scores were used to evaluate the surgical efficacy, and the SF-36 health questionnaire was used to evaluate the quality of life of patients. Type and probability of complications were also recorded.

Results: The operative segments of the enrolled patients were all in the lower lumbar spine. One-year follow-up post operation showed that the dural sac cross-sectional area was significantly enlarged compared with preoperation, and the morphologic grade was significantly improved (P < 0.05). There was no difference in White-Panjabi score between preoperation and postoperation (P > 0.05). Visual analog scale and Japanese Orthopaedic Association scores at each follow-up time point after operation were higher than those before operation and were significantly improved (P < 0.05). The SF-36 health survey score at 1 year after operation was significantly higher than that before operation (P < 0.05). The complication rate was 6%.

Conclusions: Large-channel percutaneous lumbar endoscopic decompression has an evident clinical effect in the treatment of LSS secondary to OVCF and has little effect on the stability of the lumbar spine, which is worthy of clinical application.

Keywords: Large-channel; Lumbar spinal stenosis; Old vertebral compression fractures; Percutaneous endoscopic lumbar decompression technique.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Decompression, Surgical / methods
Endoscopy / methods
Fractures, Compression* / complications
Fractures, Compression* / surgery
Humans
Lumbar Vertebrae / surgery
Quality of Life
Retrospective Studies
Spinal Fractures* / complications
Spinal Fractures* / surgery
Spinal Stenosis* / complications
Spinal Stenosis* / surgery
Treatment Outcome