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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/32204


    標題: Clinical Outcome of Minimally Invasive Decompression Without Discectomy in Contained Foraminal Disc Herniation: A Single-Center Study
    作者: Wong, Kin Weng
    Ho, Chung-Han
    Yu, Tzai-Chiu
    Wu, Chung-Da
    Tsang, Yi-Sheng
    貢獻者: Chi Mei Med Ctr, Dept Orthoped
    Chi Mei Med Ctr, Dept Med Res
    Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm
    Hualien Tzu Chi Hosp, Buddhist Tzu Chi Med Fdn, Dept Orthoped
    Cheok Spine Hosp, Dept Neurosurg
    關鍵字: Discectomy
    Foraminal disc herniation
    Foraminal stenosis
    Minimally invasive spine surgery
    Paraspinal approach
    Wiltse approach
    日期: 2018-10
    上傳時間: 2019-11-15 15:45:05 (UTC+8)
    出版者: ELSEVIER SCIENCE INC
    摘要: BACKGROUND: Foraminal disc herniation is rare. When conservative treatment fails, it is often treated with discectomy via a paraspinal or Wiltse approach. In contained foraminal disc herniation, more symptoms arise from the foraminal compression of the exiting nerve root, including the dorsal root ganglion, than from the herniation itself. We aimed to evaluate the benefits of stand-alone decompression without discectomy for patients with contained foraminal disc herniation. METHODS: This study included 17 patients with unilateral single-level foraminal disc herniation (14 women and 3 men; mean age, 62.8 +/- 14.6 years, range, 37-86 years). Disc herniation was confirmed as contained by preoperative magnetic resonance imaging and/or computed tomography and by intraoperative exploration. All patients underwent thorough decompression without discectomy, via a paraspinal approach. Pain was evaluated preoperatively and at 3 and 12 months postoperatively using a visual analog scale (VAS). The Oswestry Disability Index (ODI) and Macnab criteria were used to evaluate final outcomes. RESULTS: The most commonly affected level was L5-S1. All 17 patients showed significant improvements in VAS and ODI scores at 3 and 12 months postoperatively. According to the Macnab criteria, outcome results were excellent in 13 patients and good in 4. The mean duration of follow-up was 18.4 +/- 2.4 months, with no recurrences or lumbar instability at the final follow-up. CONCLUSIONS: Stand-alone decompression without discectomy is an effective method for relieving symptoms and preserving the disc in contained foraminal disc herniation. A minimally invasive approach with thorough decompression techniques yields good results.
    link: http://dx.doi.org/10.1016/j.wneu.2018.06.192
    關聯: Materials Chemistry and Physics, v.118, pp,E367-E374
    Appears in Collections:[藥學系(所)] 期刊論文

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