A Pilot Study of Radiculopathy Following Osteoporotic Vertebral Fracture in Elderly Patients: An Algorithmic Approach to Surgical Management

doi:10.1177/21514593211044912

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/24059

Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/24059

Title:	A Pilot Study of Radiculopathy Following Osteoporotic Vertebral Fracture in Elderly Patients: An Algorithmic Approach to Surgical Management
Authors:	Lin, GX;Sun, LW;Jhang, SW;Ou, SW;Chang, KS;Tsai, RY;Hu, BS;Rui, G;Chen, CM
Keywords:	elderly;foraminal stenosis;foraminoplasty;full-endoscopic spinal surgery;osteoporotic vertebral compression fracture
Date:	2021
Issue Date:	2022-08-05T09:47:11Z (UTC)
Publisher:	SAGE PUBLICATIONS INC
ISSN:	2151-4585
Abstract:	Background: Osteoporotic vertebral compression fractures (OVCF) due to severe and refractory back pain or neurological complications require surgical treatment. In this study, patients with radiculopathy due to foraminal stenosis following OVCF were surgically managed by performing transforaminal full-endoscopic lumbar foraminoplasty and/or discectomy (FELFD). Methods: From May 2015 to November 2019, fifteen patients underwent transforaminal FELFD. Patient data, Charlson comorbidity index (CCI), and American Society of Anesthesiologists (ASA) score were collected. Clinical outcomes, including pre- and postoperative Visual Analog Scale (VAS) scores for back and leg pain, Oswestry Disability Index (ODI), and MacNab criteria of response to surgical treatment, were evaluated. Results: Mean of age, bone mineral density (T-score), CCI, ASA, and follow-up duration were 69.5 +/- 6.6 years, 2.6 +/- 0.8, 5.2 +/- 2.3, 2.4 +/- 0.5, and 24.5 +/- 8.8 months, respectively. Mean VAS for leg pain significantly decreased from 6.9 +/- 0.8 preoperatively to 2.9 +/- 1.1 (P < .05). Mean ODI decreased from 39.9 +/- 3.2 preoperatively to 19.3 +/- 4.6 postoperatively (P < .05). The satisfaction rate is 86.7% (based on Macnab criteria), showed six patients had excellent outcomes and seven had good outcomes. Conclusions: Transforaminal FELFD is an effective treatment option for patients with radiculopathy due to lumbar OVCF, including those with severe osteoporosis and elderly patients.
URI:	http://dx.doi.org/10.1177/21514593211044912 https://www.webofscience.com/wos/woscc/full-record/WOS:000702301500001 https://ir.csmu.edu.tw:8080/handle/310902500/24059
Relation:	GERIATRIC ORTHOPAEDIC SURGERY & REHABILITATION ,2021,v12
Appears in Collections:	[中山醫學大學研究成果] 期刊論文

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