| Application of customized self tapping trephine in endoscopic surgery for lumbar disc herniation |
| Received:June 17, 2018 Revised:December 18, 2019 Click here to download the full text |
| Citation of this paper:ZHU Xiao-jian,CAO Jian-hua,GUO Zhang-jian,QIN Xiao-dong,DING Zheng-mei.Application of customized self tapping trephine in endoscopic surgery for lumbar disc herniation[J].Chinese Journal of Clinical Medicine,2020,27(1):111-116 |
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| Author Name | Affiliation | E-mail | | ZHU Xiao-jian | Department of Orthopedics, the Forth People's Hospital of Nantong, Nantong 226001, Jiangsu, China | | | CAO Jian-hua | Department of Orthopedics, the Forth People's Hospital of Nantong, Nantong 226001, Jiangsu, China | 1508652990@qq.com | | GUO Zhang-jian | Department of Orthopedics, the Forth People's Hospital of Nantong, Nantong 226001, Jiangsu, China | | | QIN Xiao-dong | Department of Orthopedics, the Forth People's Hospital of Nantong, Nantong 226001, Jiangsu, China | | | DING Zheng-mei | Department of Orthopedics, the Forth People's Hospital of Nantong, Nantong 226001, Jiangsu, China | |
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| Abstract:Objective: To explore the application value of the customized self tapping trephine in the treatment of lumbar disc herniation by intervertebral foramen enlargement. Methods: Totally, 64 cases of L4/5 and L5/S1 disc herniation were treated from January 2016 to December 2018. There were 32 cases of enlarged intervertebral foramen formed by ordinary trephine and customized self tapping trephine during operation, respectively. The time of enlargement of the intervertebral foramen, the number of intraoperative fluoroscopy, the days of hospitalization, and the postoperative complications were recorded. The visual analogue scale (VAS) of lumbar and leg pain and Oswestry disability index (ODI) were recorded before and 1 day and 6 months after the operation, and the modified Macnab method was used to evaluate the curative effect 6 months after the operation. Results: There were statistically significant differences in the time of the enlargement of the intervertebral foramen, the operation time, and the frequency of intraoperative fluoroscopy between the two groups. There was no difference in the days of hospitalization between the two groups. There was no abdominal organs and large vascular rupture complications during surgery in the two groups. The differences of VAS between preoperative and 1 day and 6 months after the operation were statistically significant within groups (P<0.05). The differences of ODI between preoperative and 1 day after the operation and 6 months after operation were significant within groups (P<0.05). While there was no significant difference in VAS and ODI at different time points between the two groups (P<0.05). There was no significant difference in the excellent and good rate 6 months after the operation between the two groups (93.8% vs 96.9%). Conclusions: The customized self tapping trephine intervertebral foramen forming method is safe and effective in the treatment of lumbar intervertebral disc herniation. This method has the advantages of simple procedure of intubation, expansion of the intervertebral foramen under direct vision, and less frequency of fluoroscopy. |
| keywords:foraminoplasty spinal endoscopy lumbar disc herniation trephine |
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