Efficacy and safety of surgery for lumbar disc herniation in patients aged 80 and older

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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Efficacy and safety of condoliase disc administration as a new treatment for lumbar disc herniation

Spine Surgery and Related Research ◽

10.22603/ssrr.2021-0035 ◽

2021 ◽

Author(s):

Masahiro Inoue ◽

Takeshi Sainoh ◽

Atsushi Kojima ◽

Masatsune Yamagata ◽

Tatsuo Morinaga ◽

...

Keyword(s):

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Efficacy And Safety ◽

New Treatment

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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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Efficacy and safety of epidural steroid injection following discectomy for patients with lumbar disc herniation

Medicine ◽

10.1097/md.0000000000021220 ◽

2020 ◽

Vol 99 (29) ◽

pp. e21220

Author(s):

Jianping Cai ◽

Wei Jiang ◽

Beiming Qiu ◽

Yuguang Song

Keyword(s):

Lumbar Disc Herniation ◽

Disc Herniation ◽

Steroid Injection ◽

Lumbar Disc ◽

Epidural Steroid Injection ◽

Efficacy And Safety ◽

Epidural Steroid

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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

BMC Musculoskeletal Disorders ◽

10.1186/s12891-020-03938-3 ◽

2021 ◽

Vol 22 (1) ◽

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. Conclusions PTES is an effective and safe method to treat calcified lumbar disc herniation.

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