Comparative Study Of Endoscopic Surgery And Microsurgery For Tethered Cord Syndrome

Objective:To comare the endoscopic surgery and microsurgery for Tethered Cord Syndrome(TCS), analyze the clinical data and their advantages and disadvantages, and provide references for clinical diagnosis and treatment.Methods:Retrospective data were collected on 124 patients who were surgically treated for TCS at the Affiliated People’s Hospital to Shanxi Medical University between January2007 and January 2016. 85 patients were underwent microscopic surgery, and 39 patients were underwent fully endoscopic surgery. The clinical efficacy, operation time,intraoperative blood loss, hospital stay, the resection rate, postoperative complications and the comparison the results of patientswere observed. The “t” test or χ2 were used to compare the differences between the two groups.Results:The operation time, intraoperative blood loss, hospital stay and other indicators in endoscopic surgery group were obviously better than the microscopic surgery group, and there was significant difference between two group(P<0.05). But there was no significant difference in the improvementof clinical symptoms, tethered release rate, total tumor resection rate, spinal bifida treat rate and short-term complications(cerebrospinal fluid leakage, postoperative pain, infection) between two groups(P>0.05). During follow period, the long-term complications rate(tethered happen again, lumbar instability) inmicroscopic surgery group were obviously higher than those in endoscopic surgery(P>0.05).Conclusion:Neuroendoscopic surgery for the treatment of TCS have very significant efficacy with short operation time, less intraoperative blood loss, and can shorten hospitalization time and reduce the incidence of long-term postoperative complications, and is helpful for the patients, recovery.