Abstract:Objective: To observe the clinical effect of percutaneous spinal endoscopy on 43 cases of discogenic cauda equina syndrome. Methods: A retrospective analysis of the clinical case data of 43 patients diagnosed with discogenic cauda equina syndrome in our hospital from January 1, 2018 to January 1, 2020 and underwent spinal endoscopic treatment, including 33 males, 10 females, age (44.67±10.03) years, record all patients" main symptoms, operation time, intraoperative blood loss and etc, compared the Japanese Orthpaedic Association (JOA) low back pain score, Visual Analogue Score (VAS), Oswestry Disability Index (Oswestry Disability Index, ODI) and imaging data during preoperative and postoperative follow-up evaluate the therapeutic effect of patients. Results: All the 43 patients had successful operation.The operation time was (93.6±30.75)min, the intraoperative blood loss was (17.09±6.38)ml. The JOA score was (27.37±0.99)points, the VAS score was (0.25±0.49)points, ODI score was (62.88±12.4)points at the last follow-up of all patients, compared with preopertive (10.21±4.03) points, (6.84±1.00)points, (19.31±4.69)points respectively, the difference was statistically significant,(P<0.05). Conclusion: Percutaneous spinal endoscopy is a safe and effective method for the treatment of discogenic cauda equina syndrome.
