Case Report: Adult degenerative scoliosis in two patients treated with percutaneous spinal endoscopic-assisted lumbar interbody fusion and percutaneous pedicle screw fixation

Frontiers in Surgery

Surgery

Lei-ming Zhang¹  Jian-wei Du²  Song-hua Xiao³  Xi-feng Zhang³  Xue-qin Rong⁴  Ya-ning Zhang⁵  Yu-qiu Yan⁶ 

[1] Department of Neurosurgery, The Sixth Medical Center of PLA General Hospital, Beijing, China;Department of Orthopedics, Affiliated Hospital of Yangzhou University, Yangzhou, China;Department of Orthopedics, Tsinghua University Affiliated Beijing Tsinghua Changgung Hospital, Beijing, China;Department of Pain Treatment, The Third people’s Hospital of Hainan Province, Sanya, China;Department of Spinal Surgery, Linfen People’s Hospital, Linfen, China;Department of Spine Surgery, Beijing Aiyuhua Hospital, Beijing, China;

关键词: endoscopy;    minimally invasive surgery;    adult degenerative scoliosis;    Cobb angles 3;    orthopedics;   

DOI  :  10.3389/fsurg.2022.730504

 received in 2021-06-25, accepted in 2022-11-22,  发布年份 2023

来源: Frontiers

【 摘 要 】

Adult degenerative scoliosis (ADS) is a serious disease that often affects middle-aged and elderly people. ADS does not only cause sagittal and coronal deformity of the lumbar spine but also causes severe back and leg pain secondary to the compression of the neural structures. Open surgery remains the main method for correcting the occurring deformity and decompression of the neural structures; however, its benefit is limited in cases of large trauma. Minimally invasive spinal (MIS) surgery is an alternative method that has recently witnessed rapid development. It has the advantage of providing rapid recovery with less trauma as compared to conventional open surgery. We report two cases of ADS treated with percutaneous spinal endoscopic-assisted lumbar interbody fusion (EALIF) and percutaneous pedicle screw fixation. Both cases had moderate deformities of the lumbar spine (load-sharing classification 4–7 points) with severe back and leg pain, and they underwent successful MIS surgery. At 6 months of follow-up, the visual analog scale and Oswestry disability index scores of both patients improved and the deformity was corrected. For moderate ADS, percutaneous spinal EALIF and percutaneous pedicle screw fixation may achieve an effective correction of the deformity with direct decompression of neural structures.

【 授权许可】

Unknown   
© 2023 Du, Zhang, Yan, Zhang, Rong, Xiao and Zhang.