Automated Percutaneous Lumbar Discectomy: A Prospective Multi-institutional Study

Teng, Gao‐Jun; Jeffery, Robert F.; Guo, Jun; He, Shi-Cheng; Zhu, Han-Zhou; Wang, Xinhua; Wu, Yuzheng; Lu, Jun-Min; Ling, Xiao-Lei; Qian, Yun; Zhang, Yuanming; Zhu, Miao-Jin; Guan, Lui; He, Xiaoming

doi:10.1016/s1051-0443(97)70589-x

Cited by 26 publications

(24 citation statements)

References 11 publications

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“…The other study was a case series in which 6 patients that had recurrent herniations after a previous microdiscectomy, laminectomy, or discectomy underwent APLD which is not relevant to this review. Earlier observational studies showed an efficacy of 67.5% to 83% …”

Section: Resultsmentioning

confidence: 99%

Percutaneous Disc Decompression for Lumbar Radicular Pain: A Review Article

Ong

Chua²,

Vissers

2014

Pain Practice

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Section: Resultsmentioning

confidence: 99%

Percutaneous Disc Decompression for Lumbar Radicular Pain: A Review Article

Ong

Chua²,

Vissers

2014

Pain Practice

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“…For the classical PLD, the skin entry point is about 8 to 12 cm lateral to the spinous process. Thus, the needle and working cannula are oriented approximately 30–45 degrees to the coronal plane [17]. It was difficult for the full removal of disc herniation.…”

Section: Discussionmentioning

confidence: 99%

“…This location and depth of needle insertion facilitated the complete removal of disc herniation, thus relieving or even eliminating the related nerve compression syndromes. In this study, 183 patients had severe lumbar disc herniation with damage to annulus fibrosus or protrusion and extrusion types, which are usually considered contraindications to PLD [17, 18]. After treatment, an effective rate of 92.9% was achieved which was comparable with open surgery [19, 20].…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Efficacy of Percutaneous Lateral Lumbar Discectomy in the Treatment of Patients with Lumbar Disc Herniation: A Preliminary Experience

Jiang

Sun

Qi-rui

et al. 2015

BioMed Research International

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Objective. This study was aimed at evaluating the effectiveness and safety of percutaneous lateral lumbar discectomy (PLLD) in treating patients with lumber disc herniation. Methods. A total of 183 patients with lumbar disc herniation were recruited to receive PLLD surgery from April 2006 to October 2011. All the adverse effects were recorded during the follow-up at 1, 3, 6, and 12 months after PLLD. The clinical outcomes were determined by visual analog scale and Japanese Orthopaedic Association score. Results. The surgery was performed successfully in all patients (102 males and 81 females aged from 21 to 66 years) with a mean 16.6-month follow-up (range from 26 to 65 months). No postoperative complications, including intestinal and vascular complications, nerve injuries, and postoperative infections, were associated with PLLD. At one month after surgery, visual analog scale (3.12±1.44 versus 6.76±2.31, P<0.05) was significantly lower than the baseline and was sustained until 24 months after surgery (3.25 ± 1.78 versus 6.76±2.31, P<0.05). Besides that, Japanese Orthopaedic Association score (25.25±3.21 versus 11.78±2.38, P<0.05) was increased when compared to the baseline. Conclusions. PLLD was a promising, mini-invasive, and effective treatment for lumber disc herniation.

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“…The reported success rate for percutaneous lumbar discectomy ranges from 29% to 96%, versus 72% to 90% for the microdiscectomy technique, depending on the evaluation method 10 , 11 . The techniques used for percutaneous lumbar discectomy are heterogeneous with respect to the mechanism of action and the amount of disc removed, and include chemonucleolysis 12 - 14 , automatic percutaneous discectomy 15 , 16 , microendoscopic discectomy 17 , 18 , endoscopic discectomy 19 , 20 , decompression of the disc by laser 21 , 22 , dynamic stabilization 23 , electrothermal ablation and radiofrequency ablation 24 , 25 .…”

Section: Introductionmentioning

confidence: 99%

Randomized clinical trial comparing lumbar percutaneous hydrodiscectomy with lumbar open microdiscectomy for the treatment of lumbar disc protrusions and herniations

Cristante¹,

Rocha²,

Marcon³

et al. 2016

Clinics

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OBJECTIVES:Hydrodiscectomy is a new technique used for percutaneous spinal discectomy that employs a high-intensity stream of water for herniated disc ablation and tissue aspiration. No previous clinical study has examined the effects of percutaneous hydrodiscectomy. The aim of this study is to evaluate the outcomes of hydrodiscectomy compared to open microdiscectomy regarding pain, function, satisfaction, complications and recurrence rates.METHODS:In this randomized clinical trial, patients referred to our tertiary hospital for lumbar back pain were recruited and included in the study if they had disc protrusion or small herniation in only one level, without neurological deficits and with no resolution after six weeks of conservative treatment. One group underwent open microdiscectomy, and the other group underwent percutaneous microdiscectomy via hydrosurgery. Function was evaluated using the Oswestry Disability Index and pain was assessed using a visual analog scale. Evaluations were performed preoperatively, and then during the first week and at one, three, six and twelve months postoperatively. Personal satisfaction was verified. Clinicaltrials.gov: NCT01367860.RESULTS:During the study period, 20 patients were included in each arm and 39 completed one-year of follow-up (one patient died of unrelated causes). Both groups exhibited equal improvement on the visual analog scale and Oswestry evaluations after treatment, without any significant differences. The improvement in the lumbar visual analog scale score was not significant in the hydrodiscectomy group (p=0.138). The rates of infection, pain, recurrence and satisfaction were similar between the two groups.CONCLUSION:Percutaneous hydrodiscectomy was demonstrated to be as effective as open microdiscectomy for reducing pain. The rates of complications and recurrence of herniation were similar between groups. Patient satisfaction with the treatment was also similar between groups.

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Automated Percutaneous Lumbar Discectomy: A Prospective Multi-institutional Study

Cited by 26 publications

References 11 publications

Percutaneous Disc Decompression for Lumbar Radicular Pain: A Review Article

Percutaneous Disc Decompression for Lumbar Radicular Pain: A Review Article

Feasibility and Efficacy of Percutaneous Lateral Lumbar Discectomy in the Treatment of Patients with Lumbar Disc Herniation: A Preliminary Experience

Randomized clinical trial comparing lumbar percutaneous hydrodiscectomy with lumbar open microdiscectomy for the treatment of lumbar disc protrusions and herniations

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