Micro Endoscopic treatment of lumbar spinal stenosis of the preliminary study.doc

 PAGE \* MERGEFORMAT 21 Micro Endoscopic treatment of lumbar spinal stenosis of the preliminary study Author: Ryu Kun-chol, Xu Lin, Chun-root, Xiang-Chun Liu, Guang-You Li, Yoshida cases of people Abstract [Objective] To investigate the micro-endoscopic approach under each side to retain within the intervertebral joints of the spinal subdural and bilateral nerve root decompression for lumbar spinal stenosis in clinical application. [Method] 29 patients with lumbar spinal stenosis patients using METRxTM system underwent unilateral approach to retain within the intervertebral joints of the spinal subdural and bilateral nerve root decompression. Surgical time, blood loss, postoperative anti-inflammatory analgesic used in the frequency of complications and imaging changes after the academic was discussed. Clinical evaluation of lumbar disease using Japanese Orthopedic Association scoring 29 points (JOA score). [Results] 24 patients were followed up for 7 to 24 months, an average of 15.3 months. Preoperative JOA score (14.5 ± 3.7) points, when follow-up JOA score (22.4 ± 2.3). To improve the average rate of 54.7%. The average operative time was 94.2 minutes, with an average blood volume of 56.4 ml. Postoperative anti-inflammatory analgesic drugs used in the average number of 0.37 times. Complications included 1 case a wrong positioning times, dural tear in 2 cases times. Endoscopic surgery showed bilateral nerve root and dura mater to the full decompression; postoperative CT, 3D  CT showed into the side opposite the intervertebral joints is preserved. [Conclusion] The micro-endoscopic approach under each side to retain within the intervertebral joints of the spinal subdural and bilateral nerve root decompression to resection of pathological organization reduced pressure to a minimum, the treatment of lumbar spinal stenosis the ideal of safe and effective decompression methods. Keywords: endoscopic spinal surgery; intervertebral joint-spar