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Objective: To evaluate the clinical outcomes of percutaneous vertebroplasty(PVP) in treatment of vertebral hemangioma. Methods: The clinical data of 46 patients who were diagnosed as vertebral hemangioma and treated with PVP in our hospital from2008 to 2015 were retrospectively analyzed. All patients were followed up at least 6 months after the operation. The clinical outcomes,recurrence, curative effect, life quality and safety were evaluated and compared by visual analogue scale(VAS), modified Macnab criteria and SF-36 before and after operation. Results: The results of postoperative VAS score, quality of life were obviously improved compared with preoperative evaluation(P<0.05), and VAS score was gradually decreased with the time after surgery. There were 2 cases recurrence which had no symptom and no treatment. No other complications were detected. According to the modified Macnab criteria, the outcome showed the excellent and good rate was 93.5 %. Conclusions: PVP is a safe, effective and minimally invasive treatment for the vertebral hemangioma, which can obviously relieve the pain symptoms, and significantly improve the lumbar vertebral function and quality of life. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the clinical efficacy of modified McBride orthomorphia with small incision in the treatment of Hallusx Valgus. Methods: 104 patients who were admitted in our hospital from 2010 to 2014 and diagnosed as Hallusx Valgus were cured by modified mcBride orthomorphia. The clinical efficacy was evaluated by visual analogue scale (VAS), the changes of hallus valgus angle(HVA) and intermetatarsal angle(IMA) and Ankle Society score(AOFAS) at reoperation, 3 weeks after surgery and 6 weeks after surgery. Results: All the patients were followed up at least 6 months after the operation and the excellent rate was 96.2%. The postoperative VAS score, hallus valgus angle and Ankle Society score at 3 weeks after surgery were obviously improved compared with those preoperation (P<0.05). Only three patients had recurrence at 6 months after surgery, 6 patients had mild pain of foot and 1 case had delayed healing of incision. Conclusions: Modified McBride orthomorphia with small incision could effectivly correct the foot hallux valgus deformity and relieve the pain due to this disease. [ABSTRACT FROM AUTHOR]

Objective: To explore the clinical effect and safety of percutaneous endoscopic lumbar discectomy(PELD) using Proxomed Tergumed in the treatment of patients with lumbar disc herniation. Methods: From June 2016 to June 2017, 63 cases of patients who were diagnosed as lumbar disc herniation and operated in our hospital were retrospectively analyzed. All the patients were divided into the experimental group(Proxomed Tergumed group) and the control group(tradition group). The clinical outcomes were evaluated by visual analogue scale(VAS) and Oswestry Disability Index(ODI) score, muscular power and complications at 1 week, 3 months and 6 months after operation. Results: The VAS score and ODI score of both groups were significantly lower than those preoperation. There was no obvious difference in the VAS and ODI score at the the first week after operation between two groups(P>0.05), while the VAS and ODI core of experimental group at 3 and 6 months after operation were significantly lower than those of the control group(P<0.05). Compared with the preoperative muscular power, there was statistical differences at 6 months after operation(P<0.05). There was no obvious difference in each muscle strength at 6 months after operation in the experimental group(P>0.05), which were significantly lower in control group(P<0.05). Conclusions: As a part of early rehabilitation training for patients who have undergone treated with percutaneous endoscopic lumbar discectomy, Proxomed Tergumed can effectively reduce the possibility of postoperative complications, relief postoperative pain and reduce the time of postoperative recovery, which has its obvious advantage comparing with traditional postoperative rehabilitation training. [ABSTRACT FROM AUTHOR]

Objective: To observe the clinical effect and safety of patients with far lateral lumbar disc herniation treated with Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS-TLIF) and tradition open-operation. Methods: The clinical and follow-up data of 61 patients from 2012.01 to 2016.01 diagnosed as far lateral lumbar disc herniation who had the operation were retrospectively analyzed. All the patients were divided into experimental group (MIS-TLIF) and control group (tradition open-operation). The clinical outcomes were evaluated by visual analogue scale (VAS) and Japanese Orthopaedic Association Scores (JOA), blood loss, operation time, times of X-ray, the time in bed, cost and complications and so on. Results: There was no difference between two groups in the VAS score and JOA score before and after the treatment while there were significant improvement (P>0.05). The blood loss, the time in bed and complications who had MIS-TLIF were significantly better compared with those in control group (P<0.05). Conclusions: MIS-TLIF as a MISS operation in the treatment of far lateral lumbar disc herniation has more particular advantages than normal treatments, which should be further application and promotion in clinic. [ABSTRACT FROM AUTHOR]