Open AccessUniversal approach for full endoscopic decompression and percutaneous transpedicular fixation of the lumbar spine
Author(s) -
Víctor Hugo Malo-Camacho,
Gerardo Enrique Bañuelos-Díaz,
Víctor Hugo Martínez-Velázquez,
Luis López-Ortega,
Oscar Malo-Macías,
Enrique Villarreal-Rı́os,
Alejandro Sosa-Gallegos,
Mauricio Alva-Nájera,
Mario Iván Mejía-Valencia
Publication year - 2021
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000026310
Subject(s) - medicine , percutaneous , lumbar , oswestry disability index , surgery , visual analogue scale , decompression , endoscopy , fixation (population genetics) , low back pain , population , alternative medicine , environmental health , pathology
Cohort study. This study aimed to determine the effectiveness of the universal approach of full endoscopy and percutaneous transpedicular fixation via a medial central approach (ACM) performed to surgically treat patients with lumbar degenerative surgical pathologies. Alternatives to interventionist treatments available to patients with lumbar degenerative surgical pathologies are related to recovery from minimally invasive surgery. Considering this, full endoscopic spinal decompression (full endoscopy) and percutaneous transpedicular fixation via an ACM represent advances in neurosurgical procedures, in particular, spinal surgery. Thus, the introduction of endoscopic and minimally invasive surgeries for the lumbar region has become 1 of the most important advances in modern surgery. A cohort of 79 patients undergoing full endoscopy and percutaneous transpedicular fixation was evaluated 6 times in 1 year. Pain intensity was measured using the visual analog scale (VAS), and lumbar functionality was measured using the Oswestry Disability Index (ODI). Six evaluations were performed: before surgery and on discharge after surgery as well as at 1, 3, 6, and 12 months after surgery. Before the ACM was applied, the VAS pain score was 8.52. At 11 hours post-surgery, the pain score reduced to 2.59 points (a difference of 5.73 points; P = 0.001). Of the 10 ODI domains evaluated, a difference was found between the period prior to surgery and 1 month later ( P < 0.01). The universal approach to full endoscopy and lumbar percutaneous transpedicular fixation via an ACM is highly effective for patients with lumbar surgical degenerative pathologies.