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Effectiveness of Endoscopic Sciatic Nerve Decompression for the Treatment of Deep Gluteal Syndrome

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Purpose: The purpose of this retrospective study was to evaluate clinical outcomes of endoscopic nerve decompression in patients with deep gluteal syndromes (DGS). Materials and Methods: Between October 2013 and March 2015, 24 patients who underwent surgical treatment of DGS were retrospectively included in this study. The mean age was 47 years (range, 35 to 76 years), and there were 11 males and 13 females. The mean duration of pain was 12 months (range, 5 to 35 months) and the mean follow-up period was 32 months (range, 26 to 45 months). Clinical evaluations included the visual analog scale (VAS) pain score, modified Harris hip score (mHHS), and the symptom-rating scale. Results: Significant improvement in symptoms following endoscopic decompression were achieved as measured using the VAS score (decrease in the mean from 7.1±0.9 to 2.5±1.5; P<0.001) and mHHS (increase from 59.4±6.5 to 85.0±8.3; P<0.001). Conclusion: Endoscopic sciatic nerve decompression was satisfactory for treating recalcitrant DGS, making it an effective treatment option to improve symptoms of DGS.

Abstract

Purpose: The purpose of this retrospective study was to evaluate clinical outcomes of endoscopic nerve decompression in patients with deep gluteal syndromes (DGS). Materials and Methods: Between October 2013 and March 2015, 24 patients who underwent surgical treatment of DGS were retrospectively included in this study. The mean age was 47 years (range, 35 to 76 years), and there were 11 males and 13 females. The mean duration of pain was 12 months (range, 5 to 35 months) and the mean follow-up period was 32 months (range, 26 to 45 months). Clinical evaluations included the visual analog scale (VAS) pain score, modified Harris hip score (mHHS), and the symptom-rating scale. Results: Significant improvement in symptoms following endoscopic decompression were achieved as measured using the VAS score (decrease in the mean from 7.1±0.9 to 2.5±1.5; P<0.001) and mHHS (increase from 59.4±6.5 to 85.0±8.3; P<0.001). Conclusion: Endoscopic sciatic nerve decompression was satisfactory for treating recalcitrant DGS, making it an effective treatment option to improve symptoms of DGS.

참고문헌 (20)

  1. Hernando MF, "Deep gluteal syndrome: anatomy, imaging, and management of sciatic nerve entrapments in the subgluteal space", Skeletal Radiol, 44, pp.919~934 (2015)[DOI]
  2. Martin HD, "Deep gluteal syndrome", J Hip Preserv Surg, 2, pp.99~107 (2015)[DOI]
  3. Hopayian K, "The clinical features of the piriformis syndrome: a systematic review", Eur Spine J, 19, pp.2095~2109 (2010)[DOI]
  4. Park MS, "Clinical results of endoscopic sciatic nerve decompression for deep gluteal syndrome: mean 2-year follow-up", BMC Musculoskelet Disord, 17, pp.218~ (2016)[DOI]
  5. Martin HD, "Diagnostic accuracy of clinical tests for sciatic nerve entrapment in the gluteal region", Knee Surg Sports Traumatol Arthrosc, 22, pp.882~888 (2014)[DOI]
  6. Filler AG, "Sciatica of nondisc origin and piriformis syndrome: diagnosis by magnetic resonance neurography and interventional magnetic resonance imaging with outcome study of resulting treatment", J Neurosurg Spine, 2, pp.99~115 (2005)[DOI]
  7. Boyajian-O'Neill LA, "Diagnosis and management of piriformis syndrome: an osteopathic approach", J Am Osteopath Assoc, 108, pp.657~664 (2008)[DOI]
  8. Benson ER, "Posttraumatic piriformis syndrome: diagnosis and results of operative treatment", J Bone Joint Surg Am, 81, pp.941~949 (1999)
  9. Martin HD, "The endoscopic treatment of sciatic nerve entrapment", deep gluteal syndrome, 2011, pp.27, 172~181
  10. Papadopoulos EC, "Piriformis syndrome and low back pain: a new classification and review of the literature", Orthop Clin North Am, 35, pp.65~71 (2004)[DOI]
  11. Pace JB, "Piriform syndrome", West J Med, 124, pp.435~439 (1976)
  12. Freiberg AH, "Sciatic pain and its relief by operations on muscle and fascia", Arch Surg, 34, pp.337~350 (1937)[DOI]
  13. Coppieters MW, "Strain and excursion of the sciatic, tibial, and plantar nerves during a modified straight leg raising test", J Orthop Res, 24, pp.1883~1889 (2006)[DOI]
  14. Cox JM, "Possible generators of retrotrochanteric gluteal and thigh pain: the gemelli-obturator internus complex", J Manipulative Physiol Ther, 28, pp.534~538 (2005)[DOI]
  15. Meknas K, "The internal obturator muscle may cause sciatic pain", Pain, 104, pp.375~380 (2003)[DOI]
  16. Byrd JW, "Prospective analysis of hip arthroscopy with 2-year follow-up", Arthroscopy, 16, pp.578~587 (2000)[DOI]
  17. Beaton LE, "The sciatic nerve and the piriformis muscle: their interrelation a possible cause of coccygodynia", J Bone Joint Surg Am, 20, pp.686~688 (1938)
  18. Kitagawa Y, "Chronic expanding hematoma extending over multiple gluteal muscles associated with piriformis syndrome", J Nippon Med Sch, 79, pp.478~483 (2012)[DOI]
  19. Issack PS, "Sciatic nerve release following fracture or reconstructive surgery of the acetabulum. Surgical technique", J Bone Joint Surg Am, 90(Suppl 2), pp.227~237 (2008)[DOI]
  20. Beauchesne RP, "Myositis ossificans of the piriformis muscle: an unusual cause of piriformis syndrome. A case report", J Bone Joint Surg Am, 79, pp.906~910 (1997)[DOI]

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