Incidence of complications associated with spinal endoscopic surgery: nationwide survey in 2007 by the Committee on Spinal Endoscopic Surgical Skill Qualification of Japanese Orthopaedic Association

被引：130

作者：

Matsumoto, Morio ^{[2
]}

Hasegawa, Toru ^{[3
]}

Ito, Manabu ^{[4
]}

Aizawa, Toshimi ^{[5
]}

Konno, Shinichi ^{[6
]}

Yamagata, Masatsune ^{[7
]}

Ebara, Sohei ^{[8
]}

Hachiya, Yudo ^{[9
]}

Nakamura, Hiroaki ^{[10
]}

Yagi, Shoji ^{[11
]}

Sato, Kimiaki ^{[12
]}

Dezawa, Akira ^{[13
]}

Yoshida, Muneto ^{[1
]}

Shinomiya, Kenichi ^{[14
]}

Toyama, Yoshiaki ^{[2
]}

Shimizu, Katsuji ^{[15
]}

Nagata, Kensei ^{[12
]}

机构：

[1] Wakayama Med Univ, Dept Orthopaed Surg, Wakayama 6410012, Japan

[2] Keio Univ, Dept Orthopaed Surg, Tokyo, Japan

[3] Kawasaki Med Coll, Dept Orthopaed Surg, Okayama, Japan

[4] Hokkaido Univ, Dept Orthopaed Surg, Sapporo, Hokkaido, Japan

[5] Tohoku Univ, Dept Orthopaed Surg, Sendai, Miyagi 980, Japan

[6] Fukushima Med Univ, Dept Orthopaed Surg, Fukushima, Japan

[7] Chiba Rosai Hosp, Dept Orthopaed Surg, Chiba, Japan

[8] Chigasaki Tokushukai Med Ctr, Dept Orthopaed Surg, Kanagawa, Japan

[9] Hachiya Orthopaed Hosp, Dept Orthopaed Surg, Aichi, Japan

[10] Osaka City Univ, Dept Orthopaed Surg, Osaka 558, Japan

[11] Takamatsu Red Cross Hosp, Dept Orthopaed Surg, Takamatsu, Kagawa, Japan

[12] Kurume Univ, Dept Orthopaed Surg, Fukuoka, Japan

[13] Teikyo Univ, Mizonokuchi Hosp, Dept Orthopaed Surg, Tokyo 173, Japan

[14] Tokyo Med & Dent Univ, Dept Orthopaed Surg, Tokyo, Japan

[15] Gifu Univ, Dept Orthopaed Surg, Gifu, Japan

来源：

JOURNAL OF ORTHOPAEDIC SCIENCE | 2010年 / 15卷 / 01期

关键词：

LUMBAR DISC HERNIATION; MICROENDOSCOPIC DISKECTOMY; EXTRAFORAMINAL ENTRAPMENT; DECOMPRESSION; RESECTION; NERVE;

D O I：

10.1007/s00776-009-1428-6

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

This report was conducted to elucidate the current status of spinal endoscopic surgery and relevant incidents through analysis of the results of a questionnaire survey conducted in 2007 by the Committee on Spinal Endoscopic Surgical Skill Qualification of the Japanese Orthopaedic Association (JOA). Questionnaire forms were sent to 2011 training facilities nationwide certified by the JOA, and 1082 of these facilities returned the filled questionnaires (response rate 53.8%). Of these facilities, 257 (23.8% of the responding facilities) undertook spinal endoscopic surgery in 2007. These institutions were asked to fill in the survey form with the details of the operations and relevant incidents as well as the incident levels. In total, the 257 facilities performed 6239 spinal endoscopic surgeries during 2007. Posterior spinal endoscopic surgery constituted most of the operations (6217 cases, 98.2%) including 4336 cases of microendoscopic discectomy (MED), 1273 cases of microendoscopic laminectomy or fenestration, and 379 cases of transforaminal or posterior lumbar interbody fusion. The total number of incidents was 133 (2.13%). The numbers of incidents by operative method were 75 (56.4%) during MED, 57 (42.9%) during microendoscopic laminectomy or fenestration, and 1 (0.8%) during interbody fusion. Of 133 incidents, dural tear occurred in 99 (74.4%), injury of the cauda equina or a nerve root in 7 (5.3%), facet fracture in 7 (5.3%), hematoma and wrong level in 6 each (4.5%), and wrong side and bedsore in 1 each (0.8%). The incident level was level 1 in 6, level 2 in 24, level 3a in 82, level 3b in 16, level 4 in 5, and level 5 (fatal) in 0. The results of this survey revealed an increasing trend of spinal endoscopic surgery and a decreasing trend of the complication rates. The complication rates of spinal endoscopic surgery were not higher than those of conventional surgery, indicating the safety of this surgical method.

引用

页码：92 / 96

页数：5

共 26 条

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