-
- Kishima Kazuya
- Department of Orthopedic Surgery, Hyogo College of Medicine, Hyogo, Japan Department of Orthopedics, Tokushima University, Tokushima, Japan
-
- Yagi Kiyoshi
- Department of Orthopedics, Tokushima University, Tokushima, Japan Department of Orthopedic Surgery, Nagoya City University, Aichi, Japan
-
- Yamashita Kazuta
- Department of Orthopedics, Tokushima University, Tokushima, Japan
-
- Tezuka Fumitake
- Department of Orthopedics, Tokushima University, Tokushima, Japan
-
- Morimoto Masatoshi
- Department of Orthopedics, Tokushima University, Tokushima, Japan
-
- Takata Yoichiro
- Department of Orthopedics, Tokushima University, Tokushima, Japan
-
- Sakai Toshinori
- Department of Orthopedics, Tokushima University, Tokushima, Japan
-
- Maeda Toru
- Department of Orthopedics, Tokushima University, Tokushima, Japan
-
- Sairyo Koichi
- Department of Orthopedics, Tokushima University, Tokushima, Japan
抄録
<p>Background:Transforaminal full-endoscopic spine surgery (FESS) is the least invasive spinal surgery and can be performed under local anesthesia. In Japan, the population is rapidly aging and the number of spinal surgeries performed in the elderly is also increasing. Object:In this report, we describe 3 patients aged 90 years or older in whom we performed FESS under local anesthesia. Case:The first case was a 90-year-old man who presented with severe leg pain. He had multiple medical comorbidities and was unsuitable for general anesthesia. We performed FESS. After surgery, the leg pain resolved with full recovery of muscle strength. He was discharged with no perioperative complications. The second case was a 90-year-old man who presented with severe leg pain. MRI showed a herniated nucleus pulposus and foraminal stenosis at L4/5. We performed FESS. The leg pain improved immediately after surgery. The third case was a 91-year-old woman in whom we diagnosed left L5 radiculopathy due to foraminal stenosis at L5/S1. After surgery, her leg pain was relieved. Conclusion:FESS is a good surgical procedure for elderly patients who are in a poor general condition because it is minimally invasive and can be performed under local anesthesia with early mobilization. J. Med. Invest. 71 : 169-173, February, 2024</p>
収録刊行物
-
- The Journal of Medical Investigation
-
The Journal of Medical Investigation 71 (1.2), 169-173, 2024
国立大学法人 徳島大学医学部