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• W4210355016 abstract "This study aims to investigate the clinical-functional results of a new surgical technique, Percutaneous Endoscopic Lumbar Interbody Fusion (PELIF), in patients with a clinical diagnosis of low back or sciatic pain and segmental instability who were submitted to surgery using this technique assisted by the attending physician.Patients completed a consent form and were clinically and radiographically re-assessed by independent evaluators using the visual analog scale (VAS) for pain, the Oswestry Disability Index (ODI), and the SF-36 Quality of Life Score in the pre- and postoperative periods. Their medical records were also reviewed for surgical time, length of hospital stay, need for blood transfusion, return to work, and radiographic fusion evaluation.In the group of 19 patients with 33 levels operated, VAS and ODI decreased from 10.0 and 64% to 2.0 and 28%, respectively. The SF-36 showed significantly higher scores in 5 of its 7 domains at the end of the follow-up as compared to the preoperative period scores. Only 1 case of pseudoarthrosis was diagnosed radiographically.Percutaneous Endoscopic Lumbar Interbody Fusion (PELIF) has been shown to be a safe and efficient technique for the treatment of patients with segmental instability associated with low back or sciatic pain. Level of Evidence VI; Therapeutic Study; Case Series.Este estudo tem como objetivo investigar os resultados clínico-funcionais de uma nova técnica cirúrgica, artrodese lombar endoscópica percutânea (PELIF) em pacientes com diagnóstico clínico de dor lombar ou ciática e instabilidade segmentar, submetidos à referida técnica pelo médico responsável.Os pacientes preencheram um termo de consentimento livre e esclarecido e foram reavaliados clínica e radiograficamente por avaliadores independentes que usaram a Escala Visual Analógica (EVA) para dor, Índice de Incapacidade de Oswestry (ODI) e o Short Form Health Questionnaire SF-36 nos períodos pré e pós-operatório. Foram também pesquisados nos prontuários médicos tempo de cirurgia, tempo de internação hospitalar, necessidade de transfusão de sangue, retorno ao trabalho e avaliação radiográfica da fusão.Na amostra final de 19 pacientes com 33 níveis operados, EVA e ODI diminuíram de 10,0% e 64% para 2,0% e 28%, respectivamente. O SF-36 mostrou escores significativamente maiores em 5 de seus 7 domínios no final do acompanhamento, em comparação com o período pré-operatório. Somente 1 caso de pseudoartrose foi diagnosticado por radiografia.A artrodese lombar endoscópica percutânea (PELIF) tem se mostrado uma técnica segura e eficiente para o tratamento dos pacientes com instabilidade segmentar associada a lombalgia ou ciatalgia. Nível de Evidência IV; Estudos Terapêuticos; Série de Casos." @default.
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• W4210355016 date "2022-01-01" @default.
• W4210355016 modified "2023-09-27" @default.
• W4210355016 title "PERCUTANEOUS ENDOSCOPIC LUMBAR INTERBODY FUSION: RESULTS OVER 47 MONTHS OF FOLLOW-UP" @default.
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• W4210355016 doi "https://doi.org/10.1590/1413-785220223001e249489" @default.
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