Early Postoperative Magnetic Resonance Imaging Findings After Percutaneous Endoscopic Lumbar Discectomy and Their Correlations with Clinical Outcomes

2018 ◽  
Vol 111 ◽  
pp. e241-e249 ◽  
Author(s):  
Yu Wang ◽  
Guogang Luo ◽  
Jing Wang ◽  
Minyu Zhu ◽  
Chi Li ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Clinical Outcomes ◽  
Lumbar Discectomy ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Postoperative Magnetic Resonance Imaging ◽  
Percutaneous Endoscopic Lumbar Discectomy ◽  
Endoscopic Lumbar Discectomy

scholarly journals Efficacy of percutaneous endoscopic lumbar discectomy for pediatric lumbar disc herniation and degeneration on magnetic resonance imaging: case series and literature review

2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098668
Author(s):  
Ruei-Hong Lin ◽  
Hung-Chieh Chen ◽  
Hung-Chuan Pan ◽  
Hsien-Te Chen ◽  
Chien-Chun Chang ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Disc Degeneration ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Lumbar Discectomy ◽  
Resonance Imaging ◽  
Lumbar Disc Degeneration ◽  
Endoscopic Lumbar Discectomy

Objective Pediatric lumbar disc herniation (LDH), although uncommon, causes significant pain, discomfort, and sometimes disability. We examined the efficacy of percutaneous endoscopic lumbar discectomy (PELD) for pediatric LDH and the degree of lumbar disc degeneration at 1 year after PELD. Methods We retrospectively reviewed the data of pediatric patients with LDH who underwent PELD from December 2007 to July 2018. The patients’ symptoms, physical examination findings, clinical images, visual analog scale (VAS) scores, Oswestry Disability Index (ODI), and perioperative results (blood loss, length of hospital stay, and complications) were obtained from the medical records. Lumbar disc degeneration was graded using the modified Pfirrmann grading system at the 1-year postoperative magnetic resonance imaging (MRI) examination. Results Six boys and four girls who underwent PELD were evaluated. The patients’ mean age was 15.6 years (range, 13–17 years). The mean VAS score for low back pain, mean VAS score for lower limb pain, and mean ODI preoperatively and 1 year postoperatively were 6.2 and 0.3, 6.9 and 0.5, and 20 and 0.1, respectively. MRI showed significant disc degeneration after PELD. Conclusions Treating pediatric LDH with PELD is safe and effective. It relieves pain and reduces disability. However, lumbar disc degeneration still occurs.

scholarly journals Clinical Outcomes of Transforaminal Endoscopic Lumbar Discectomy with or without Platelet-rich Plasma Injection in the Treatment of Lumbar Disc Herniation: A Prospective, Randomized, Controlled Pilot Study

2020 ◽  
Author(s):  
Yi Jiang ◽  
Rujun Zuo ◽  
Shuai Yuan ◽  
Jian Li ◽  
Chang Liu ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Lumbar Disc Herniation ◽  
Lumbar Disc ◽  
Lumbar Discectomy ◽  
Control Group ◽  
Imaging Data ◽  
Resonance Imaging ◽  
Magnetic Resonance Imaging Data ◽  
Endoscopic Lumbar Discectomy

Abstract Background: This study aimed to evaluate the effectiveness of transforaminal endoscopic lumbar discectomy with or without platelet-rich plasma (PRP) in lumbar disc herniation treatment. Additionally, we aimed to identify whether the PRP injection could improve annulus fibrosus defects based on magnetic resonance imaging data.Methods: Sixty patients with lumbar disc herniation were recruited and randomized to receive either transforaminal endoscopic lumbar discectomy with (PRP group, n=30) or without (control group, n=30) PRP injection. The visual analog scale score of back/leg pain and Oswestry disability index were recorded at 3 days, 6 months, and 1 year after surgery. Postoperative magnetic resonance imaging data were examined to determine the effects of PRP injection.Results: No adverse events were reported in our study following the injection of PRP. Clinical improvement was noted in both groups. The visual analog scale score for leg pain at 3 days post-operation and back pain at 6 months post-operation were lower in the PRP group than those in the control group (P<0.05). The magnetic resonance imaging data indicated the disc height decreased by 12% in the PRP group and 17% in the control group, whereas the spinal cross-sectional area increased by 15% in the PRP group and 6% in the control group after a 1-year follow-up. However, no statistically significant differences were found.Conclusions: Transforaminal endoscopic lumbar discectomy with PRP injection around the annulus fibrosus defect was safe and could improve the clinical outcomes at the early postoperative stage. Moreover, PRP injection exerted no negative effects.Trial Registration: ChiCTR 1800017228

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