Percutaneous Spinal Endoscopic Surgery for the Treatment of 39 Elderly Patients with Lumbar Disc Herniation and 1-Year Follow-up Results Analysis
Objective:To analyze the 1-year follow-up data of 39 elderly patients with lumbar disc herniation treated with percutaneous spinal endoscopy,and to evaluate the safety and clinical efficacy of surgery.Methods:A retrospective analysis was performed for 39 elderly patients with lumbar disc herniation treated by percutaneous spinal endoscopy from 2020 to 2021,and the operation time,intraoperative blood loss,fluoroscopy number and perioperative complications were analyzed,and the visual analogue scale(VAS)score,Oswestry disability index(ODI)and Japanese orthopaedic association(JOA)score of leg pain were compared at the preoperative,2nd day,1 month,6 months and 12 months follow-up of the patients after operation,and the efficacy of surgery was evaluated according to the modified MacNab criteria.Results:All patients successfully completed the operation,with an average operation time of 68.9 min and an average intraoperative blood loss of 40.8 mL.The average fluoroscopy of each patient was about 12.1 times during the operation,and there was no serious nerve injury or complications of underlying medical diseases in the perioperative period.The VAS and ODI scores of the patients were significantly lower than those before operation,and the JOA score was higher than that before operation(P＜0.01).According to the evaluation of modified MacNab criteria,30 cases were excellent,5 cases were good,3 cases were acceptable,and 1 case was poor 12 months after operation,and the excellent rate was 89.7％(35/39).Conclusion:Spinal endoscopy is an ideal alternative to open surgery for the treatment of lumbar disc herniation in the elderly patients,with satisfactory efficacy,high safety,short operation time and no serious adverse complications.
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