Comparison of postoperative outcomes between patients with positive and negative straight leg raising tests who underwent full-endoscopic transforaminal lumbar discectomy

Wei, Fei-Long; Gao, Haokao; Yan, Xiaodong; Yuan, Yixiao; Qian, Shengsheng; Gao, Quan-You; Guo, Shikong; Xue, Weigao; Qian, Jixian; Zhou, Cheng-Pei

doi:10.1038/s41598-020-73357-w

Cited by 6 publications

(4 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At present, endoscopic surgery, a minimally invasive surgery technique, is considered to be an extension of alternative to spinal surgery (10). The surgical indications for endoscopic spine surgery are still increasing due to the release of practical and reliable clinical results (11,12). Spinal endoscopy is now used to treat not only disc herniation but also LSS (13).…”

Section: Introductionmentioning

confidence: 99%

Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis

Wei

et al. 2021

Front. Surg.

Self Cite

View full text Add to dashboard Cite

Background: Percutaneous endoscopic decompression (PED) is a minimally invasive surgical technique that is now used for not only disc herniation but also lumbar spinal stenosis (LSS). However, few studies have reported endoscopic surgery for LSS. Therefore, we conducted this study to evaluate the outcomes and safety of large channel endoscopic decompression.Methods: Forty-one patients diagnosed with LSS who underwent PED surgery were included in the study. The estimated blood loss, operative time, length of hospital stay, hospital costs, reoperations, complications, visual analogue scale (VAS) score, Oswestry Disability Index (ODI) score, Japanese Orthopaedic Association (JOA) score and SF-36 physical-component summary scores were assessed. Preoperative and postoperative continuous data were compared through paired-samples t-tests. The significance level for all analyses was defined as p < 0.05.Results: A total of 41 consecutive patients underwent PED, including 21 (51.2%) males and 20 (48.8%) females. The VAS and ODI scores decreased from preoperatively to postoperatively, but the JOA and SF-36 physical component summary scores significantly increased. The VAS (lumbar) score decreased from 5.05 ± 2.33 to 0.45 ± 0.71 (P = 0.000); the VAS (leg) score decreased from 5.51 ± 2.82 to 0.53 ± 0.72 (P = 0.000); the ODI score decreased from 52.80 ± 20.41 to 4.84 ± 3.98 (P = 0.000), and the JOA score increased from 11.73 ± 4.99 to 25.32 ± 2.12 (P = 0.000). Only 1 patient experienced an intraoperative complication (2.4%; dural tear), and 1 patient required reoperation (2.4%).Conclusions: Surgical treatment for LSS is to sufficiently decompress and minimize the trauma and complications caused by surgery. This study did not reveal any obvious shortcomings of PED and suggested PED is a safe and effective treatment for LSS.

show abstract

Section: Introductionmentioning

confidence: 99%

Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis

Wei

et al. 2021

Front. Surg.

Self Cite

View full text Add to dashboard Cite

show abstract

“…The characteristic of sciatic herpes zoster is the absence of LBP. In LDH, the patient often complains LBP to some degree (8). It was reported that LBP in LDH may be caused by multiple factors such as discogenic LBP, radicular LBP that is relieved by nerve root decompression, and the LBP due to endplate degeneration (9).…”

Section: Discussionmentioning

confidence: 99%

Sciatic Herpes Zoster Suspected of Lumbar Disc Herniation: An Infrequent Case Report and Literature Review

et al. 2021

Self Cite

View full text Add to dashboard Cite

Background: The symptoms of sciatic herpes zoster are sometimes difficult to distinguish from sciatica caused by lumbar disc herniation. We describe a case of suspected lumbar disc herniation with sciatic herpes zoster to reduce the rate of misdiagnosis.Case Report: A 55-year old man, male, developed low back pain after carrying heavy items 20 years ago. Characteristics of symptoms: 1. Symptoms were aggravated in the upright lumbar forward flexion position; 2. The VAS (leg) score was 8–9 points and the VSA (lumbar) score was 0 point; 3. It can be relieved when rested in the supine position; 4. It came on intermittently with radiation pain in the right lower limb. There were several attacks every year. One month ago, there was radiating pain in the right lower limb. The pain was from the back of the right hip, behind the thigh, in lateral crural region, to the back of the foot. And Symptoms worsened for 10 days. The VAS score was 8 points. Pain could not be relieved by rest or changing posture. There was no back pain, no lower limbs, weak walking, no claudication and other symptoms. Analgesics and neurotrophic drugs are ineffective. After the application of antiviral drugs, the radiation pain in the right lower extremity was significantly relieved.Conclusion: We describe this case in detail and discuss how to make an authentic diagnosis, with a concomitant literature review.

show abstract

“…LDH is one of the most common disorders, with a prevalence of approximately 77.8% among adults [19].…”

Section: Introductionmentioning

confidence: 99%

Are there correlations between facet joint parameters and lumbar disk herniation laterality in young adults?

Sun

Zhang

et al. 2023

Journal of Clinical Neuroscience

View full text Add to dashboard Cite

Comparison of postoperative outcomes between patients with positive and negative straight leg raising tests who underwent full-endoscopic transforaminal lumbar discectomy

Cited by 6 publications

References 28 publications

Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis

Therapeutic Effect of Large Channel Endoscopic Decompression in Lumbar Spinal Stenosis

Sciatic Herpes Zoster Suspected of Lumbar Disc Herniation: An Infrequent Case Report and Literature Review

Are there correlations between facet joint parameters and lumbar disk herniation laterality in young adults?

Contact Info

Product

Resources

About