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Minimally Invasive Surgery with Spotlight Work Channel System in the Treatment of Lumbar Disc Herniation: A Retrospective Study of 21 Cases

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Abstract

A group of lumbar discherniation cases was treated with posterior discectomy and decompression with Spotlight working channel. We retrospectively studied these patients. To study and analyze the clinical efficacy and technical features of discectomy which is carried out with the Spotlight channel technology. The development of the minimally invasive spine surgery technology promotes new instruments and materials. For minimally invasive spine surgery in channel technology, the newly launched DepuySpine working channel-Spotlight, which is a new generation of wide viewing angle, single-hole device for minimally invasive spine operations, has good prospects for clinical application. From March 2011 to March 2012, 21 patients who were diagnosed with lumbar disc herniation were treated with posterior discectomy and decompression with Spotlight working channel, then the lumbar and leg pain visual analogue scale (VAS) scores of before and after surgery and that of the follow-ups and the Oswestry Disability Index were analyzed. All patients were successfully operated, and also they received follow-ups for more than 1 year. The postoperative lumbar and leg pain VAS scores improved significantly compared with the preoperative ones (P < 0.05) and can effectively maintain (P > 0.05). The three time points of lumbar pain VAS were 7.80 ± 0.49, 1.51 ± 0.52 and 1.47 ± 0.59. The leg pain VAS were 7.53 ± 0.50, 1.58 ± 0.58 and 1.49 ± 0.67. During the follow-ups of the cases in this group, no case of disc herniation relapsed. Patients were satisfied with that. The Spotlight channel system is one of the surgical approaches to “minimally invasive spine technology with direct vision”. It has a good range of surgical indications. It can be carried out flexibly and used widely, which means it will be easier for the surgeons to master.

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Authors and Affiliations

  1. Department of Orthopedics of Jinling Hospital, Nanjing University School of Medicine, 305 Zhongshan East Rd, Nanjing, 210002, China

    Haidong Xu

  2. Blood Purification Center, General Hospital of Jinan Military Area Command of Chinese PLA, Jinan, 250031, China

    Fengyu Jia

  3. Department of Orthopedics of Changhai Hospital, Affiliated to the Second Military Medical University, 168 Changhai Road, Shanghai, 200433, China

    Yanbin Liu & Qiang Fu

Authors
  1. Haidong Xu
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  2. Fengyu Jia
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  3. Yanbin Liu
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  4. Qiang Fu
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Corresponding author

Correspondence to Qiang Fu.

Additional information

Haidong Xu and Fengyu Jia have contributed equally to the manuscript.

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Xu, H., Jia, F., Liu, Y. et al. Minimally Invasive Surgery with Spotlight Work Channel System in the Treatment of Lumbar Disc Herniation: A Retrospective Study of 21 Cases. Cell Biochem Biophys 71, 243–248 (2015). https://doi.org/10.1007/s12013-014-0190-3

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