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Efficacy of Microendoscopy Discectomy in the Treatment of Patients with Complicated Lumbar Spinal Stenosis |
ZHOU Yong-tai, HAN Peng, LIAO Cong-hui |
People's Hospital of Xichang, Liangshan , Sichuan, 615000 China |
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Abstract 【Objective】To investigate the efficacy of microendoscopy disectomy in the treatment of patients with complicated lumbar spinal stenosis.【Methods】Forty-eight patients with complicated lumbar spinal stenosis were selected as subjects, including 26 patients complicated with spondylolisthesis, 10 patients complicated with lumbar fractures and 12 patients complicated with scoliosis. All patients were treated with posterior microendoscopy disectomy, and they were treated by orthopaedic treatment, reduction, fixation and intervertebral or intertransverse fusion with transpedicular instrument according to different conditions. Changes in scores of Visual Analog Scale (VAS score), Oswestry disability index (ODI), quality of life [World Health Organization on Quality of Life Brief Scale (WHOQOL-BREF)] and related symptoms before and after surgery were evaluated comprehensively.【Results】Scores of postoperative VAS, ODI and symptoms of 48 cases were significantly lower than those before surgery (P<0.05), while WHOQOL-BREF scores were significantly higher than those before surgery (P<0.05).【Conclusion】Microendoscopy disectomy can effectively relieve pain symptoms in patients with complicated lumbar spinal stenosis, and it has positive effect on relieving functional disability and improving the quality of life.
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Received: 15 November 2016
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