Evaluation of efficacy and safety of percutaneous transforaminal endoscopic surgery (PTES) for surgical treatment of calcified lumbar disc herniation: a retrospective cohort study of 101 patients

Abstract Background Percutaneous transforaminal endoscopy has been widely used to treat lumbar disc herniation (LDH), but the steep learning curve and difficulties in removing the calcified disc hinders the application of conventional endoscopy in treating calcified lumbar disc herniation (CLDH). In 2017, we first reported Percutaneous Transforaminal Endoscopic Surgery (PTES) as an easy-to-learn posterolateral transforaminal endoscopic technique to decompress the nerve root for LDH. We used our PTES technique to remove the calcified LDH and the purpose of this study is to evaluate the safety and efficacy of this technique. Methods Forty-six patients with CLDH and fifty-five patients with uncalcified lumbar disc herniation (ULDH) underwent PTES to decompress the nerve root. Visual analogue scale was collected before the surgery, immediately, one week, one month, two months, three months, six months, 12 months and 24 months after surgery. The outcomes of MacNab classification were collected 24 months after surgery. Intra- and Post-operative complications were also recorded. Results For CLDH patients, the VAS score was 9 (5–10) before operation, and then dropped to 2 (1–4) after surgery. VAS score continually decreased to 0 (0–3) at 24 months after surgery. 95.65% of CLDH patients showed excellent or good outcomes. ULDH group showed similar MacNab classification (94.55%) and VAS changing curve. The therapeutic effect of PTES in treating CLDH was as good as that in treating uncalcified patients. Conclusions PTES is an effective and safe method to treat calcified lumbar disc herniation.

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Evaluation of efficacy and safety of percutaneous transforaminal endoscopic surgery (PTES) for surgical treatment of calcified lumbar disc herniation: a retrospective cohort study of 101 patients

10.21203/rs.3.rs-37369/v2 ◽

2020 ◽

Author(s):

Hao Wang ◽

Tianyao Zhou ◽

Yutong Gu ◽

Zuoqin Yan

Keyword(s):

Lumbar Disc Herniation ◽

Disc Herniation ◽

Endoscopic Surgery ◽

Nerve Root ◽

Lumbar Disc ◽

Efficacy And Safety ◽

Steep Learning Curve ◽

Vas Score ◽

Operative Complications ◽

Transforaminal Endoscopic Surgery

Abstract Purpose: Percutaneous transforaminal endoscopy has been widely used to treat lumbar disc herniation (LDH), but the steep learning curve and difficulties in removing the calcified disc hinders the application of conventional endoscopy in treating calcified lumbar disc herniation (CLDH). In 2017, we first reported Percutaneous Transforaminal Endoscopic Surgery (PTES) as an easy-to-learn posterolateral transforaminal endoscopic technique to decompress the nerve root for LDH. We used our PTES technique to remove the calcified LDH and the purpose of this study is to evaluate the safety and efficacy of this technique.Methods: Forty-six patients with CLDH and fifty-five patients with uncalcified lumbar disc herniation (ULDH) underwent PTES to decompress the nerve root. Visual analogue scale was collected before the surgery, immediately, one week, one month, two months, three months, six months, 12 months and 24 months after surgery. The outcomes of MacNab classification were collected 24 months after surgery. Intra- and Post-operative complications were also recorded.Results: For CLDH patients, the VAS score was 9 (5-10) before operation, and then dropped to 2 (1-4) after surgery. VAS score continually decreased to 0 (0-3) at 24 months after surgery. 95.65% of CLDH patients showed excellent or good outcomes. ULDH group showed similar MacNab classification (94.55%) and VAS changing curve. The therapeutic effect of PTES in treating CLDH was as good as that in treating uncalcified patients.Conclusion: PTES is an effective and safe method to treat calcified lumbar disc herniation.

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Evaluation of Efficacy and Safety of Percutaneous Transforaminal Endoscopic Surgery (PTES) for Surgical Treatment of Calcified Lumbar Disc Herniation: A Retrospective Cohort Study of 101 Patients

10.21203/rs.3.rs-37369/v1 ◽

2020 ◽

Author(s):

Hao Wang ◽

Tianyao Zhou ◽

Yutong Gu ◽

Zuoqin Yan

Keyword(s):

Lumbar Disc Herniation ◽

Disc Herniation ◽

Endoscopic Surgery ◽

Nerve Root ◽

Lumbar Disc ◽

Efficacy And Safety ◽

Steep Learning Curve ◽

Vas Score ◽

Operative Complications ◽

Transforaminal Endoscopic Surgery

Abstract Purpose: Percutaneous transforaminal endoscopy has been widely used to treat lumbar disc herniation, but the steep learning curve and difficulties in removing the calcified disc hinders the application of conventional endoscopy in treating calcified lumbar disc herniation. In 2017, we first reported Percutaneous Transforaminal Endoscopic Surgery (PTES) as an easy-to-learn posterolateral transforaminal endoscopic technique to decompress the nerve root for lumbar disc herniation. We used our PTES technique to remove the calcified lumbar disc herniation and the purpose of this study is to evaluate the safety and efficacy of this technique.Methods: Forty-six patients with calcified lumbar disc herniation (CLDH) and fifty-five patients with uncalcified lumbar disc herniation (ULDH) underwent PTES surgery to decompress the nerve root. Visual analogue scale was collected before the surgery, immediately, one week, one month, two months, three months, six months, 12 months and 24 months after surgery. The outcomes of MacNab classification were collected 24 months after surgery. Intra- and Post-operative complications were also recorded.Results: For CLDH patients, the VAS score was 9 (5-10) before operation, and then dropped to 2 (1-4) after surgery. VAS score continually decreased to 0 (0-3) at 24 months after surgery. 95.65% of CLDH patients showed excellent or good outcomes. ULDH group showed similar MacNab classification (94.55%) and VAS changing curve. The therapeutic effect of PTES in treating calcified lumbar disc herniation was as good as that in treating uncalcified patients.Conclusion: PTES is an effective and safe method to treat calcified lumbar disc herniation.

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Evaluation of efficacy and safety of percutaneous transforaminal endoscopic surgery (PTES) for surgical treatment of calcified lumbar disc herniation: a retrospective cohort study of 101 patients

10.21203/rs.3.rs-37369/v3 ◽

2021 ◽

Author(s):

Hao Wang ◽

Tianyao Zhou ◽

Yutong Gu ◽

Zuoqin Yan

Keyword(s):

Lumbar Disc Herniation ◽

Disc Herniation ◽

Endoscopic Surgery ◽

Nerve Root ◽

Lumbar Disc ◽

Efficacy And Safety ◽

Steep Learning Curve ◽

Vas Score ◽

Operative Complications ◽

Transforaminal Endoscopic Surgery

Abstract Background: Percutaneous transforaminal endoscopy has been widely used to treat lumbar disc herniation (LDH), but the steep learning curve and difficulties in removing the calcified disc hinders the application of conventional endoscopy in treating calcified lumbar disc herniation (CLDH). In 2017, we first reported Percutaneous Transforaminal Endoscopic Surgery (PTES) as an easy-to-learn posterolateral transforaminal endoscopic technique to decompress the nerve root for LDH. We used our PTES technique to remove the calcified LDH and the purpose of this study is to evaluate the safety and efficacy of this technique.Methods: Forty-six patients with CLDH and fifty-five patients with uncalcified lumbar disc herniation (ULDH) underwent PTES to decompress the nerve root. Visual analogue scale was collected before the surgery, immediately, one week, one month, two months, three months, six months, 12 months and 24 months after surgery. The outcomes of MacNab classification were collected 24 months after surgery. Intra- and Post-operative complications were also recorded.Results: For CLDH patients, the VAS score was 9 (5-10) before operation, and then dropped to 2 (1-4) after surgery. VAS score continually decreased to 0 (0-3) at 24 months after surgery. 95.65% of CLDH patients showed excellent or good outcomes. ULDH group showed similar MacNab classification (94.55%) and VAS changing curve. The therapeutic effect of PTES in treating CLDH was as good as that in treating uncalcified patients.Conclusion: PTES is an effective and safe method to treat calcified lumbar disc herniation.

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Percutaneous transforaminal endoscopic surgery (PTES) for symptomatic lumbar disc herniation: a surgical technique, outcome, and complications in 209 consecutive cases

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-017-0524-0 ◽

2017 ◽

Vol 12 (1) ◽

Cited By ~ 11

Author(s):

Yu-tong Gu ◽

Zhan Cui ◽

Hong-wei Shao ◽

Yun Ye ◽

Ai-qun Gu

Keyword(s):

Surgical Technique ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Endoscopic Surgery ◽

Lumbar Disc ◽

Transforaminal Endoscopic Surgery

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Clinical Effect of Lateral Transforaminal Endoscopic Surgery in the Treatment of Lumbar Disc Herniation

Proceedings of Anticancer Research ◽

10.26689/par.v5i6.2806 ◽

2021 ◽

Vol 5 (6) ◽

pp. 68-72

Author(s):

Weiya Zhang

Keyword(s):

Lumbar Disc Herniation ◽

Disc Herniation ◽

Endoscopic Surgery ◽

Early Stage ◽

Lumbar Disc ◽

Normal Function ◽

Significant Difference ◽

Group A ◽

Group B ◽

Transforaminal Endoscopic Surgery

Objective: To analyze the efficacy of lateral transforaminal endoscopic surgery in the treatment of lumbar disc herniation. Methods: A total of 44 patients with lumbar disc herniation, treated in Yancheng No.1 People’s Hospital from January 2019 to June 2020, were randomly divided into two groups; the 24 patients in group A were treated by lateral transforaminal endoscopic surgery, while the 20 patients in group B were treated by routine lamina fenestration and nucleus pulposus surgery. Results: The curative effect of group A (91.67%) was higher than that of group B (85.0%), P > 0.05; there was no significant difference in the angle from straight leg raise between group A and group B (P > 0.05); the Oswestry Disability Index (ODI) and the visual analogue scale (VAS) of group A were lower than those of group B (P < 0.05); the incision length, intraoperative blood loss, and hospital stay of the patients in group A were better than those in group B, P < 0.05. Conclusion: Lateral transforaminal endoscopic surgery can significantly reduce pain, improve symptoms, and help to restore normal function in the early stage for patients with lumbar disc herniation.

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Clinical Effect of Transforaminal Endoscopic Surgery in the Treatment of Lumbar Disc Herniation

Journal of Clinical and Nursing Research ◽

10.26689/jcnr.v5i2.1908 ◽

2021 ◽

Vol 5 (2) ◽

Author(s):

Tianhui Liu ◽

Jianmin Cui

Keyword(s):

Quality Of Life ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Endoscopic Surgery ◽

Lumbar Disc ◽

Curative Effect ◽

Group A ◽

Group B ◽

Transforaminal Endoscopic Surgery

Objective: Objective to explore the curative effect of transforaminal endoscopic surgery in the treatment of lumbar disc herniation. Methods: From October 2018 to October 2020, 36 patients with lumbar disc herniation were randomly divided into group A and group B. the curative effect, pain, lumbar function and quality of life were analyzed. Results: The curative effect of group A was 94.44%, better than that of group B 61.11%, P< 0.05; The visual analogue scale (VAS) of group A was lower than that of group B on 3D, 5D and 7d after operation (P< 0.05); The KSS of group A was higher than that of group B (P< 0.05); The score of quality of life in group A was better than that in group B (P< 0.05). Conclusion: Lumbar disc herniation patients underwent transforaminal endoscopic surgery, the effect is good, can improve lumbar function, relieve pain, improve the quality of life of patients.

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