scholarly journals Percutaneous transforaminal endoscopic discectomy for different types of lumbar disc herniation: A retrospective study

2021 ◽  
Vol 49 (10) ◽  
pp. 030006052110550
Author(s):  
Pengfei Li ◽  
Fengkai Yang ◽  
Ying Chen ◽  
Youxin Song
Keyword(s):  
Retrospective Study ◽  
Lumbar Disc ◽  
Central Canal ◽  
Canal Zone ◽  
Lateral Recess ◽  
The Core ◽  
Lateral Zone ◽  
Endoscopic Discectomy ◽  
Different Types ◽  
Far Lateral

Objective To introduce the concept of ‘nerve root as the core’ and to investigate the surgical procedure and curative effect of percutaneous translaminar endoscopic discectomy (PTED) surgery in the treatment of different types of lumbar disc herniation (LDH). Methods This retrospective study analysed the clinical data from patients with LDH that underwent single-segment PTED surgery. They were divided into three groups based on LDH location: central canal zone group, lateral recess zone group and foraminal/far lateral zone group. Different working cannula placement methods were used for the different types of LDH. All patients were followed for at least 12 months. Clinical and follow-up data were compared between the three groups. Results A total of 130 patients were enrolled in the study: 44 (33.8%) in the central canal zone group, 72 (55.4%) in the lateral recess zone group and 14 (10.8%) in the foraminal/far lateral zone group. All three groups of patients achieved good postoperative results. The improvements in leg pain and disability were most marked in the first postoperative month in all three groups. Conclusion PTED achieved adequate decompression for different types of LDH. The concept of ‘nerve root as the core’ facilitated the accurate placement of the working cannula.

Transforaminal percutaneous endoscopic discectomy in the treatment of far-lateral and foraminal lumbar disc herniations

2001 ◽  
Vol 94 (2) ◽  
pp. 216-220 ◽  
Author(s):  
Sean M. Lew ◽  
Thomas F. Mehalic ◽  
Kristin L. Fagone
Keyword(s):  
Return To Work ◽  
Lumbar Disc ◽  
Intervertebral Discs ◽  
Work Status ◽  
Outpatient Basis ◽  
Content Type ◽  
Endoscopic Discectomy ◽  
Disc Herniations ◽  
Far Lateral ◽  
Fine Print

Object. Far-lateral (extraforaminal) and foraminal disc herniations comprise up to 11% of all herniated intervertebral discs. Operative management can be technically difficult, and the optimum surgical treatment remains controversial. Accessing these lateral disc herniations endoscopically via a percutaneous transforaminal approach offers several theoretical advantages over the more traditional procedures. The object of this study was to assess the safety and efficacy of treating patients with far-lateral and foraminal disc herniations via a percutaneous transforaminal endoscopic approach. Methods. A retrospective analysis was performed of 47 consecutive patients who underwent surgery via this approach. All procedures were performed after induction of a local anesthetic on an outpatient basis. Outcome was measured with Macnab criteria and by determining a patient's return-to-work status. The median follow-up period was 18 months (range 4–51 months). Excellent or good outcome was obtained in 40 (85%) of 47 patients. Of the 38 patients working before the onset of symptoms, 34 (90%) returned to work. Five patients (11%) experienced poor outcomes and subsequently underwent open procedures at the same level. Of the 10 recipients of Workers' Compensation, Macnab criteria indicated a significantly worse outcome (70% excellent or good), but an excellent return-to-work status was maintained (90%). There were no complications. Conclusions. Transforaminal percutaneous endoscopic discectomy is safe and efficacious in the treatment of far-lateral and foraminal disc herniations.

scholarly journals FULL-ENDOSCOPIC LUMBAR DISCECTOMY

2016 ◽  
Vol 15 (4) ◽  
pp. 306-309 ◽  
Author(s):  
Daniel Ferreira Ghedini ◽  
André Moreira Castilho ◽  
Rogério Lúcio Chaves de Resende ◽  
Jefferson Soares Leal ◽  
Túlio Vinícius de Oliveira Campos ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Analogue Scale ◽  
Lumbar Disc ◽  
Lumbar Discectomy ◽  
Lower Limbs ◽  
Preoperative Pain ◽  
The Third ◽  
Endoscopic Discectomy ◽  
Axial Pain ◽  
Endoscopic Lumbar Discectomy

ABSTRACT Objective: Retrospective study of the functional outcome of patients with lumbar disc herniation who underwent full-endoscopic discectomy. Methods: Fifteen consecutive patients, 10 men and 5 women, mean age of 34.2 years, were evaluated at 15, 30, 90 and 180 days after surgery through the Oswestry Disability Index (ODI) questionnaire and the Visual Analogue Scale (VAS) of axial and lower limbs pain. Results: There was a significant improvement in ODI evaluation of patients when comparing the preoperative results with the third and sixth postoperative month (p<0.05), as well as the VAS for preoperative axial pain with respect to 15, 30 and 90 days (p<0.05) after surgery, and VAS for preoperative pain in the lower limbs with respect to 15, 90 and 180 days postoperatively (p<0.05). Conclusion: The full-endoscopic discectomy is an effective procedure which should be considered as an alternative to conventional discectomy.

scholarly journals Comparison of quality of life between men and women who underwent Transforaminal Percutaneous Endoscopic Discectomy for lumbar disc herniation

10.14444/4028 ◽  
2017 ◽  
Vol 11 (4) ◽  
pp. 28 ◽  
Author(s):  
Stylianos Kapetanakis ◽  
Grigorios Gkasdaris ◽  
Tryfon Thomaidis ◽  
Georgios Charitoudis ◽  
Konstantinos Kazakos
Keyword(s):  
Quality Of Life ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Men And Women ◽  
Endoscopic Discectomy
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