The Follow-up Report of MRI After Transforaminal Endoscopic Surgery of Lumbar Disc Herniation with Spinal Stenosis

  • Limeng Sun Department of radiology, The Traditional Chinese Medicine hospital of Taian
  • Hu Yan Department of Spine Surgery, The Traditional Chinese Medicine hospital of Taian
  • Xiao Jia Department of radiology, The Traditional Chinese Medicine hospital of Taian
Keywords: Lumbar Disc Herniation; Spinal Stenosis; Transforaminal Endoscopic Surgery; MRI

Abstract

Objective: To observe the imaging changes of MRI in the responsible disc area after modifed TESSYS foraminal scopy in pa-tients with lumbar disc herniation (LDH), and to explore the postoperative repair time of the responsible disc area, so as to provide imaging reference for the rehabilitation plan of the patients. Materials: To investigate the VAS score and MRI imaging of patients with lumbar disc herniation and spinal stenosis after transforaminal endoscopic surgery, which to lay the foundation for the rehabilitation plan. Methods: Ten patients with lumbar disc herniation (L4/5, L5/S1) with spinal stenosis were collected and followed up by MRI and the VAS score on 1 week, 1 month, 4 months and 6 months after transforaminal endoscopic surgery. Results: The VAS score were signifcantly lower than those before operation (P < 0.01) on 1 week, 1 month, 4 months and 6 months after transforaminal endoscopic surgery. There was no statistical signif-cance in the VAS score (P > 0.05) on 1 month and 6 months after operation. The high signal could be seen around the intervertebral foramen and nerve roots on the operation site on 1 week, 1 month and 4 months after operation Which disappeared at 6 months after operation. Con-clusion: The symptoms of low back and leg pain in patients with lumbar disc herniation and spinal canal stenosis disappeared after 1 month, while the infammatory reaction symptoms of intervertebral foramen and nerve root were disappeared on 6 months.

References

[1] Tanaka M, Arataki S, Mehta R, et al. Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herni_x005fation[J]. Journal of visualized experiments: JoVE. 2022.

[2] Yeung AT, Tsou PM. Posterolateral endoscopic excision for lumbar disc herniation: Surgical technique, outcome, and complications

in 307 consecutive cases. Spine (Phila Pa 1976). 2002 Apr 1;27(7):722-31.

[3] Hoogland T, Schubert M, Miklitz B, Ramirez A. Transforaminal posterolateral endoscopic discectomy with or without the combination of

a low-dose chymopapain: a prospective randomized study in 280 consecutive cases. Spine (Phila Pa 1976). 2006 Nov 15;31(24):E890-7.

[4] Yan H, Sun LM. Clinical study on improved TESSYS technology [J]. World Latest Medical Information Abstracts (Continuous

Electronic Journal),2021,(11th issue): 48-49.(In Chinese)

[5] Ostelo RW, Costa LO, Maher CG, de Vet HC, van Tulder MW. Rehabilitation after lumbar disc surgery: an update Cochrane review. Spine (Phila Pa 1976). 2009 Aug 1;34(17):1839-48.

[6] Bredow J, Oppermann J, Scheyerer MJ, et al. Lumbar lordosis and sacral slope in lumbar spinal stenosis: standard values and

measurement accuracy[J].Arch Orthop Trauma Surg, 2015,35(5):607-612

[7] Li ZF, Yan H. Clinical study of modified TESSYS technique in the treatment of lumbar spinal stenosis [J]. Massage and Rehabilitation Medicine, 2018,9(19):45-48. (In Chinese)

[8] Practical Osteology II [M]. Beijing: People’s Military Medical Publishing House, 2012:2047-2050.(In Chinese)

[9] Chinese Association of Traditional Chinese Medicine. Clinical Diagnosis and Treatment Guide · Department of Orthopedics [M].

Beijing: People’s Medical Publishing House.(In Chinese)

[10] Bredow J, Oppermann J, Scheyerer MJ, et al. Lumbar lordosis and sacral slope in lumbar spinal stenosis: standard values and

measurement accuracy[J]. Arch Orthop Trauma Surg, 2015,35(5):607-612.

[11] Li ZF and Yan H. Clinical study of modified TESSYS technique for treatment of lumbar spinal stenosis [J]. Massage and Rehabilitation Medicine, 2018,9(19):45-48. (In Chinese)

[12] Li XJ, Tan D, Li SB. Percutaneous foraminal TESSYS technique for treatment of elderly lumbar disc herniation [J]. Chinese Journal of Bone and Joint Injury, 2019,35(7):724-726. (In Chinese)

[13] Hoogland T, Schubert M, Miklitz B, et al. Transforaminal postero-lateral endoscopic discectomy with or without the combination

of a low-dose chymopapain:a prospective randomized study in 280 consecutive cases[J]. Spine,2006,31(24):E890-897.

[14] Zhu K, Tan J, Zhang YF. Progress of endoscopic decompression under percutaneous posterolateral foraminal approach in the treatment of lumbar spinal stenosis [J]. Chinese Journal of Spinal Cord, 2017, 27 (3): 268-271. (In Chinese)

Published
2023-12-27
Issue
Vol 12 No 4 (2023)
Section
Review Article

Authors submitting to USP journals agree to publish their manuscript under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0) where authors agree to allow third parties to share their work (copy, distribute, transmit) and to adapt it, under the condition that the authors are given credit, and that in the event of reuse or distribution, the terms of this license are made clear

Authors retain copyright of their work, with first publication rights (online and print) granted to Universe Scientific Publishing or the owner of the journal in question.