Objective: To investigate the efficacy and safety of the posterior endoscopic cervical foraminotomy (PECF) using ultrasonic osteotome for the treatment of cervical osseous foraminal stenosis，focusing on introduction of the advantages of ultrasonic osteotome in partial pediculectomy and ventral osteophyte resection in PECF.
Methods: Nineteen patients with cervical osseous foraminal stenosis who underwent PECF using ultrasonic osteotome in our institution between April 2018 and April 2021 were enrolled in this study. All the patients were followed up more than 12 months. The patients' medical data, as well as pre- and postoperative radiologic findings were thoroughly investigated. The visual analogue score (VAS), Japanese Orthopaedic Association (JOA) score, cervical dysfunction index (Neck disability index, NDI), and modified MacNab criteria were used to assess the surgical efficacy.
Results: All the patients were successfully treated with PECF using ultrasonic osteotome. The pre- and postoperative VAS, NDI, and JOA scores were significantly improved (p<0.05). According to the modified MacNab criteria, 17 patients were assessed as "excellent", two patients were assessed as "good" at the last follow-up. There was no dura tear, nerve root damage, incision infection, neck deformity, or other complications.
Conclusion: Adequate nerve root decompression can be accomplished successfully with the help of ultrasonic osteotome in PECF, which has the advantage of reducing the probability of damage to the nerve root and dura mater, in addition to the original merits of endoscopic surgery.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10323265 | PMC |
| http://dx.doi.org/10.3340/jkns.2022.0233 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Efficiency and Heat Production of Ultrasonic Osteotome Strategy in Robot-Assisted Laminectomy.
Global Spine J
November 2024
Department of Orthopaedics, Peking University Third Hospital, Beijing, China.
Study Design: A biomechanical study.
Objective: We aimed to assess temperature fluctuations when applying the ultrasonic osteotome during laminectomy and identify the most appropriate cutting method for robot-assisted laminectomy to mitigate the risk of heat-related injuries.
Methods: Utilizing a robotic system for laminectomy, the study implemented the ultrasonic bone scalpel to cut both artificial polyurethane bones and animal spinal bones.
Shortening Dome Osteotomy for the Correction of Coronal Plane Elbow Deformities.
JBJS Essent Surg Tech
October 2024
Department of Orthopaedic Surgery, Lok Nayak Hospital, Maulana Azad Medical College, New Delhi, India.
Background: Severe elbow deformities are common in developing countries because of neglect or as a result of prior treatment that achieved poor reduction. Various osteotomy techniques have been defined for the surgical correction of elbow deformities. However, severe elbow deformities (>30°) pose a substantial challenge for surgeons because limited surgical options with high complication rates have been described in the literature.
View Article and Find Full Text PDFLaminoplasty and In-Site Regrafting for the Treatment of Thoracic Ossification of the Ligamentum Flavum: A Surgical Technique.
Orthop Surg
October 2024
Department of Orthopaedic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Article Synopsis
- The study evaluated a new surgical technique called laminoplasty and in-site regrafting (LPIR) for patients with thoracic ossification of the ligamentum flavum (TOLF), addressing issues like thoracic kyphosis and loss of spinal motion.
- Eight patients (3 males, 5 females, average age 52.87) underwent LPIR surgery between January 2019 and March 2024, with positive outcomes measured by pre- and post-operative pain and function scores.
- Results showed significant symptom alleviation, with a notable reduction in pain and improvement in overall functional scores post-surgery, indicating that LPIR is a safe and effective option for treating TOLF.
Osteotomy Techniques in Preservation Rhinoplasty with an Analysis of a Radix-Skull Base Computed Tomography Series.
Facial Plast Surg
December 2024
Department of Head and Neck, Facial Plastic and Reconstructive Surgeon, University Hospital Lewisham, London, United Kingdom.
This study aims to explain our experience with dorsal preservation osteotomies, focusing on transverse, lateral, and dorsal aesthetic lines (DAL) osteotomies. We describe the utilization of a variety of surgical instruments, including osteotomes, saws, burrs, and piezo. This paper describes our concept of transcutaneous ultrasonic osteotomy, microedged-specific osteotomy, applying drills for lateral wall reshaping, and integrating piezo technology to establish new DAL.
View Article and Find Full Text PDFThe Ultrasonic Bone Scalpel does not Outperform the High-Speed Drill: A Single Academic Experience.
World Neurosurg
May 2024
Department of Neurological Surgery, The George Washington University Hospital, Washington, District of Columbia, USA.
Background: Spinal decompression and osteotomies are conventionally performed using high-speed drills (HSDs) and rongeurs. The ultrasonic bone scalpel (UBS) is a tissue-specific osteotome that preferentially cuts bone while sparing the surrounding soft tissues. There is ongoing investigation into its ability to optimize peri- and postoperative outcomes in spine surgery.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!