Comparison Between Percutaneous Transforaminal Endoscopic Discectomy and Fenestration in the Treatment of Degenerative Lumbar Spinal Stenosis.

この研究はインパクトが大きい可能性があると判断されました。 OEのAIによるハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文の影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することができ、読者は将来の診療を形成する可能性が最も高い論文に焦点を当てることができます。

研究概要

One hundred and eighty-four patients with degenerative lumbar spinal stenosis (DLSS) were randomized to receive fenestration decompression (n=94) or percutaneous transforaminal endoscopic discectomy (PTED; n=94). Outcomes of interest included incision size, blood loss, operative time, length of hospital stay, incidence of complications peri-operatively. Furthermore pain on a Visual Analogue Scale (VAS), the Japanese Orthopedic Association (JOA) Score, and the Oswestry Disability Index (ODI) were assessed at 3, 6, and 12 months follow-up. Patient satisfaction with the surgery was measured used the modified MacNab criteria at 12 months post-operation, and complications were also assessed at final follow-up. The results of this study demonstrate a statistically significant reduction in the PTED group for length of incision, blood loss, and length of hospital stay (p<0.001) compared to the fenestration group, however no statistically significant differences were observed in surgical time (p=0.085) or incidence of complications (p=1.00). Furthermore, VAS, ODI, and JOA scores were all statistically significant in favour of the PTED group at 3 months (p<0.01) and 6 months (p<0.01) follow-up, but not at 12 months. No statistically significant difference in surgical outcomes as measured by the modified MacNab criteria at 12-months post-surgery were observed between the two groups (p>0.05). No cases of mortality, infection, thrombophlebitis, cauda equina syndrome, or respiratory injury were observed in both groups.