Endoscope-Assisted Revision Surgery after Lumbar Fusion with Pedicle Screw Fixation: A Case Series and Literature Review

被引:0
作者
Zhang, Jia-xuan [1 ]
Ke, Zhen-yong [1 ]
Zhong, Dian [1 ]
Liu, Yang [1 ]
Wang, Li-yuan [1 ]
Wang, Yang [1 ]
机构
[1] Chongqing Med Univ, Affiliated Hosp 2, Dept Spine Surg, Chongqing 400016, Peoples R China
关键词
Endoscope; lumbar fusion; pedicle screw fixation; revision surgery; DEGENERATIVE SPONDYLOLISTHESIS; ADJACENT SEGMENTS; SPINAL-FUSION; INSTRUMENTATION; THORACOLUMBAR; FORAMINOTOMY; INTERBODY; OUTCOMES; STENOSIS;
D O I
暂无
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Background:Lumbar internal fixation and fusion can be subject to failure requiring revision surgery. Endoscopic revision surgery with minimal invasiveness may be a helpful therapeutic intervention in the management of certain fusion-related complications. According to the author's knowledge, there are few references to this technique in English literature.Objective:This study aimed to investigate the efficacy of endoscope-assisted revision surgery in patients with recurrent radiculopathy after lumbar fusion surgery, discuss the necessity of revision surgery, and review the relevant literature.Material and Methods:We report a case series and review relevant literature. Information was gathered from the electronic medical record in our hospital. A total of 231 patients who underwent endoscopic spine procedures from January 2021 to October 2022 were reviewed. Three patients who underwent endoscopic decompressive procedures after lumbar fusion surgeries at a correspondence segment were identified, and the clinical courses and radiological findings of these patients were retrospectively reviewed.Results:The average interval from initial to revision surgery was 30.74 (range 10.50-48.00) months. The patients include one man and two women with an average age of 75.67 (range 68-81) years at the initial operation. Three patients developed symptoms of recurrent myelopathy after their initial surgery due to canal stenosis in the fusion segment and hyperostosis. All patients experienced symptom relief after revision surgery. At a mean follow-up time of 0.96 months, endoscopic decompression resulted in the average numerical rating scale (NRS) score for lower limb pain on the symptomatic side being reduced by 2.67. Patients rated their leg pain on average as 4.5 +/- 0.5.Conclusions:Endoscope-assisted revision surgery after lumbar fusion with pedicle screw fixation is a promising therapeutic strategy in treating recurrent radiculopathy. Spinal stenosis and hyperostosis are two of the most significant reasons for revision surgery. Resection of intraspinal lesions and endoscopic foraminal decompression appear to have promising outcomes. Certain fusion-related complications may be effectively treated with endoscope-assisted revision surgery. Further research should be conducted to investigate the clinical efficacy of revision surgery.
引用
收藏
页码:988 / 996
页数:9
相关论文
共 50 条
[31]   Adjacent Bi-level bilateral pedicle stress fractures after instrumented posterolateral lumbar fusion—a case report and review of the literature [J].
João Pedro Jorge ;
Nelson Carvalho .
European Journal of Orthopaedic Surgery & Traumatology, 2019, 29 :1147-1151
[32]   Minimally invasive transforaminal lumbar interbody fusion using bone cement-augmented pedicle screws for lumbar spondylolisthesis in patients with osteoporosis. Case series and review of literature [J].
Vemula, Venkata Ramesh Chandra ;
Prasad, Bodapati Chandramowliswara ;
Jagadeesh, M. A. ;
Vuttarkar, Jayachandar ;
Akula, Sanjeev Kumar .
NEUROLOGY INDIA, 2018, 66 (01) :118-125
[33]   Adjacent Bi-level bilateral pedicle stress fractures after instrumented posterolateral lumbar fusion-a case report and review of the literature [J].
Jorge, Joao Pedro ;
Carvalho, Nelson .
EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY, 2019, 29 (05) :1147-1151
[34]   Robot-assisted vs freehand pedicle screw fixation in spine surgery - a systematic review and a meta-analysis of comparative studies [J].
Yu, Lingjia ;
Chen, Xi ;
Margalit, Adam ;
Peng, Huiming ;
Qiu, Guixing ;
Qian, Wenwei .
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY, 2018, 14 (03)
[35]   Analysis of Risk Factors for Adjacent Segment Degeneration Occurring More than 5 Years after Fusion with Pedicle Screw Fixation for Degenerative Lumbar Spine [J].
Soh, Jaewan ;
Lee, Jae Chul ;
Shin, Byung Joon .
ASIAN SPINE JOURNAL, 2013, 7 (04) :273-281
[36]   Perioperative and Radiographic Outcomes Between Single -Position Surgery (Lateral Decubitus) and Dual -Position Surgery for Lateral Lumbar Interbody Fusion and Percutaneous Pedicle Screw Fixation: Meta -Analysis [J].
Keorochana, Gun ;
Muljadi, Janisa Andrea ;
Kongtharvonskul, Jatupon .
WORLD NEUROSURGERY, 2022, 165 :E282-E291
[37]   Pedicle shifting or migration as one of the causes of curve progression after posterior fusion: an interesting case report and review of literature [J].
Jain, Sudeep ;
Modi, Hitesh N. ;
Suh, Seung-Woo ;
Yang, Jae-Hyuk ;
Hong, Jae-Young .
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, 2009, 18 (06) :369-374
[38]   Biomechanical comparison of unilateral and bilateral pedicle screws fixation for transforaminal lumbar interbody fusion after decompressive surgery - a finite element analysis [J].
Chen, Shih-Hao ;
Lin, Shang-Chih ;
Tsai, Wen-Chi ;
Wang, Chih-Wei ;
Chao, Shih-Heng .
BMC MUSCULOSKELETAL DISORDERS, 2012, 13
[39]   Biomechanical comparison of unilateral and bilateral pedicle screws fixation for transforaminal lumbar interbody fusion after decompressive surgery -- a finite element analysis [J].
Shih-Hao Chen ;
Shang-Chih Lin ;
Wen-Chi Tsai ;
Chih-Wei Wang ;
Shih-Heng Chao .
BMC Musculoskeletal Disorders, 13
[40]   Assessing effectiveness of endoscope-assisted medial orbital wall fracture repair vs. no surgery using benefit-risk metrics and literature review [J].
Pitak-Arnnop, Poramate ;
Witohendro, Levyn Kay ;
Tangmanee, Chatpong ;
Subbalekha, Keskanya ;
Sirintawat, Nattapong ;
Neff, Andreas ;
Meningaud, Jean-Paul .
JOURNAL OF STOMATOLOGY ORAL AND MAXILLOFACIAL SURGERY, 2023, 124 (01)