Biportal endoscopic posterior lumbar decompression and vertebroplasty for extremely elderly patients affected by lower lumbar delayed vertebral collapse with lumbosacral radiculopathy
Journal of Orthopaedic Surgery and Research Jun 17, 2021
Kang MS, Heo DH, Chung HJ, et al. - The present study was conducted to explore the clinical outcomes of biportal endoscopic posterior lumbar decompression and vertebroplasty (BEPLD + VP) for the treatment of delayed vertebral collapse (DVC)-related lumbosacral radiculopathy (LSR). Researchers conducted a retrospective case series including 18 consecutive extremely elderly (aged ≥ 75-year-old) patients (6 men and 12 women) who had lower lumbar (at or below L3) DVC-related LSR. All individuals had undergone BEPLD + VP under epidural anesthesia. They assessed clinical results by the visual analog scale (VAS) score and the modified Japanese Orthopedic Association scores. The outcomes illustrated that BELPD + VP was a type of salvage therapy that decreases surgical morbidity, needs major spine surgery under general anesthesia and provides good clinical outcomes in extremely elderly patients with DVC-related LSR.
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