Percutaneous Transforaminal Endoscopic Diskectomy for Lumbar Disk Herniation: Young (Age <60 years) versus Older (Age ≥60 years) Patients

2021 ◽  
Author(s):  
Zhu Zhong-Sheng ◽  
Fang Rui ◽  
Kong Yan-Long ◽  
Xiao Hai-Jun ◽  
Zhang Ya-Dong ◽  
...  
Keyword(s):  
The Elderly ◽  
Young Age ◽  
Older Age ◽  
Age Group ◽  
Disk Herniation ◽  
Elderly Age ◽  
Lumbar Disk Herniation ◽  
Satisfaction Rate ◽  
Lumbar Disk ◽  
Good For

Abstract Background We compare the differences in the efficacy of percutaneous transforaminal endoscopic diskectomy (PTED) between the younger (age <60 years) and older (age ≥60 years) patients with lumbar disk herniation (LDH). Methods From December 2016 to December 2017, 128 patients with symptomatic LDH underwent PTED and were followed up. Forty-four 60 years old and above, including 19 males and 25 females with an average age of 68.7 (61–82) years, were classified as the elderly age group. Eighty-four patients younger than 60 years were classified as the young age group, which included 48 males and 36 females with an average age of 44.7 (16–58) years. The visual analog scale (VAS) scores, Japanese Orthopaedic Association (JOA) scores, and satisfaction rates of the two groups before and after surgery were compared. Results The operation was completed successfully in both groups. The average follow-up times of the elderly and young age groups were 18.47 ± 2.62 (12–23) and 17.90 ± 3.27 (12–23) months, respectively. One patient in the young age group had recurrence 7 months after surgery, and the symptoms were relieved after PTED was performed again. Two patients with nerve root injury after surgery in the young age group completely recovered after 2 months of conservative treatment. There were no significant surgical complications in the elderly age group. There was no significant difference in postoperative VAS, JOA, and MacNab scores between the two groups. The MacNab scores in the elderly age group were excellent for 28 patients, good for 10 patients, and fair for 6 patients; the satisfaction rate was 86.3%. In the young age group, scores were excellent for 63 patients, good for 14 patients, fair for 5 patients, and poor for 2 patients; the satisfaction rate was 91.7%. Conclusion The clinical effectiveness of PTED for treatment of LDH in both elderly and young patients is satisfactory. Age is not a predictor of poor outcomes of PTED.

Outcome Predictors of the Transforaminal Endoscopic Spine System Technique for Single-level Lumbar Disk Herniation

2018 ◽  
Vol 79 (04) ◽  
pp. 285-290 ◽  
Author(s):  
Jinchun Wu ◽  
Bin Yu ◽  
Bin He ◽  
Gang Liu ◽  
Jidong Ju ◽  
...  
Keyword(s):  
Multivariate Analyses ◽  
Symptomatic Improvement ◽  
Older Age ◽  
Outcome Predictors ◽  
Disk Herniation ◽  
Lumbar Disk Herniation ◽  
Lumbar Disk ◽  
Endoscopic Spine Surgery ◽  
High Intensity Zone

Background Endoscopic spine surgery has become increasingly popular. However, no study has researched the predictive factors for different outcomes. This study is the first to evaluate the outcome predictors of the transforaminal endoscopic spine system (TESSYS) technique for lumbar disk herniation (LDH). Methods We performed a prospective study of 80 patients meeting the inclusion criteria who underwent TESSYS for LDH. Clinical outcomes were assessed by the visual analog scale (VAS), the Oswestry Disability Index (ODI), and the modified MacNab criteria. Univariate and multivariate analyses were performed to evaluate the outcome predictors. Results There were 36 men and 44 women with a mean age of 48.76 ± 15.60 years (range: 24–78 years). The mean follow-up time was 25.15 ± 9.76 months (range: 12–48 months). The VAS and ODI scores at the last follow-up were significantly improved (p < 0.001). Based on the modified MacNab criteria, the global outcomes were excellent in 34 patients (42.5%), good in 26 patients (32.5%), fair in 11 patients (13.75%), and poor in 9 patients (11.25%). The percentage of symptomatic improvement was 88.75%, and the success rate (excellent or good) was 75%. In the univariate and multivariate analyses, LDH with older age (odds ratio [OR]: 6.621; 95% confidence interval [CI], 0.632–20.846; p = 0.019), high-intensity zone (HIZ) (OR: 8.152; 95% CI, 0.827–4.380; p = 0.003), and larger disk herniation (OR: 6.819; 95% CI, 0.113–4.825; p = 0.017) were the most significant negative outcome predictors. Conclusions TESSYS is an effective method to treat LDH. Older age, the existence of an HIZ, and a large disk herniation were the most important predictors for a worse outcome.

Clinical and Pathologic Characteristics of Lumbar Disk Herniation in the Elderly

Orthopedics ◽  
2000 ◽  
Vol 23 (5) ◽  
pp. 445-448
Author(s):  
Shigeo Akagi ◽  
Takanori Saito ◽  
Ishashi Kato ◽  
Kunihiko Sasai ◽  
Ryokei Ogawa
Keyword(s):  
The Elderly ◽  
Disk Herniation ◽  
Lumbar Disk Herniation ◽  
Lumbar Disk

The Effect of Hydrotherapy on Pain Intensity and Functional Ability in Lumbar Disk Herniation (LDH) Patients that Undergo Non-operative Procedure Pre-experimental Study at Medical Rehabilitation Installation of RSUP dr. Mohammad Hoesin Palembang

2020 ◽  
Vol 3 (3) ◽  
pp. 42-50
Author(s):  
Theresa Rahmadhani ◽  
Nyimas Fatimah ◽  
Eka Febri Zulissetiana
Keyword(s):  
Experimental Study ◽  
Pain Intensity ◽  
Functional Ability ◽  
Operative Procedure ◽  
Medical Rehabilitation ◽  
Wilcoxon Test ◽  
Low Back ◽  
Disk Herniation ◽  
Lumbar Disk Herniation ◽  
Lumbar Disk

The effect of hydrotherapy on pain intensity and functional ability in lumbar disk herniation (LDH) patients thatundergo non-operative procedure; pre-experimental study at medical rehabilitation installation of RSUPdr. Mohammad Hoesin Palembang. Lumbar disk herniation (LDH) is the most common disease that becaused low backpain and functional disability. Some studies mentioned that hydrotherapy is an effective treatment for low back pain.Therefore, this study was conducted to determine the effect of hydrotherapy on reducing pain intensity and improvingfunctional ability in LDH patients. This study was a pre-experimental study with one group pretest-posttest design. Datawas collected by direct interviews to the patients using visual analogue scale (VAS) to measure pain intensity andModified Oswestry Low Back Pain Disability Questionnaire to assess functional ability before and after underwenthydrotherapy once a week for 4 weeks. The data then undergo Shapiro-Wilk normality test and continue with Paired t-Test or Wilcoxon test. From 30 subjects, it was found that there are effects of hydrotherapy on reducing pain intensity(p<0,001) and improving functional ability (p<0,001) in LDH patients that undergo non-operative procedure at theMedical Rehabilitation Installation of RSUP Dr. Mohammad Hoesin Palembang. There are effects of hydrotherapy onpain intensity and functional ability in LDH patients that undergo non-operative procedure.

Lumbar disk herniation

2006 ◽  
Vol 17 (3) ◽  
pp. 189-194
Author(s):  
Robert W Molinari
Keyword(s):  
Disk Herniation ◽  
Lumbar Disk Herniation ◽  
Lumbar Disk

scholarly journals Outcomes After Lumbar Disk Herniation Surgery in the Dutch Population

2021 ◽  
pp. 219256822199112
Author(s):  
Maike H. J. Schepens ◽  
Miranda L. van Hooff ◽  
Judith A. van Erkelens ◽  
Ronald Bartels ◽  
Eric Hoebink ◽  
...  
Keyword(s):  
Nerve Root ◽  
Volume Effect ◽  
Complication Rates ◽  
Disk Herniation ◽  
Opioid Use ◽  
Lumbar Disk Herniation ◽  
Surgical Interventions ◽  
Nerve Root Block ◽  
Lumbar Disk ◽  
Primary Surgery

Study Design: Retrospective cohort study. Objective: There is only limited data on the outcome of primary surgery of lumbar disk herniation (LDH) in Dutch patients. The objective of this study is to describe undesirable outcomes after primary LDH. Methods: The National Claims Database (Vektis) was searched for primary LDH operations performed from July 2015 until June 2016, for reoperations within 18 months, prescription of opioids between 6 to 12 months and nerve root block within 1 year. A combined outcome measure was also made. Group comparisons were analyzed with the Student’s t-test. Results: Primary LDH surgery was performed in 6895 patients in 70 hospitals. Weighted mean of reoperations was 7.3%, nerve root block 6.7% and opioid use 15.6%. In total, 23.0% of patients had one or more undesirable outcomes after surgery. The 95% CI interval exceeded the 50% incidence line for 14 out of 26 hospitals with less than 50 surgical interventions per year. Although the data suggested a volume effect on undesired outcomes, the t-tests between hospitals with volume thresholds of 100, 150 and 200 interventions per year did not support this ( P values 0.078, 0.129, 0.114). Conclusion: This unique nationwide claims-based study provides insight into patient-relevant undesirable outcomes such as reoperation, nerve root block and opioid use after LDH surgery. About a quarter of the patients had a serious complication in the first follow up year that prompted further medical treatment. There is a wide variation in complication rates between hospitals with a trend that supports concentration of LDH care.

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