Evaluation of percutaneous endoscopic lumbar discectomy: a prospective case series

Othman, Hazem; Abdalla, Ahmad; Taghyan, Mohammad; Shreif, Ahmed F

doi:10.4103/jcmrp.jcmrp_5_19

Cited by 1 publication

(1 citation statement)

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“…Transforaminal endoscopic lumbar discectomy offers favorable long-term outcomes with Othman et al evaluated clinical, functional, and surgical outcomes of PELD in patients with LDH. 16 The 15 patients who presented with single-level, posterolateral, L4-5 or L5-S1 LDHs underwent PELD within a mean follow-up period of 10.6 months. There were 10 male patients and five female patients with the mean age of 35.9 years.…”

Section: Discussionmentioning

confidence: 99%

Short term results of endoscopic discectomy in lumbar spine

Tiwari,

Sonone,

Jaiswal

2023

Int J Res Orthop

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A recent modification to lumbar discectomy involves the use of a micro-endoscope instead of an operating microscope for visualization. Percutaneous endoscopic lumbar discectomy (PELD) uses a rigid operating spinal endoscope that allows direct visualization and excision of contained and non-contained herniated disc fragments. The advantages of Endoscopic lumbar discectomy are remarkable due to minimal bone resection, no damage to paravertebral muscles, rapid recovery, minimally procedure related morbidity, cost-effectiveness and high patient satisfaction rate. Aims and objectives is to study and evaluate clinical and radiological outcomes of endoscopic lumbar discectomy over a period of 6 months.24 patients underwent endoscopic lumbar discectomy proven with MRI in a span of 3 years from 2018 to 2021. Every patient was followed up for 6 months in an observational, retrospective and prospective type of study and assessed on the basis of MacNab criteria, VAS pain score, Oswestry low back pain questionnaire. Mean preoperative Oswestry disability score (ODS) was 74.38 while mean postoperative ODS was found to be 29.25. Preoperative, while analyzing through Macnab criteria, poor results were seen in 95.83% of patients while fair results were seen in 4.17% of patients. Postoperatively excellent results were seen in 16.67% of patients while good results were seen in 83.34% of patients. Mean preoperative VAS was 7.33 while mean postoperative VAS was found to be 2.91. Endoscopic discectomy is a safe and effective procedure where patient satisfaction and pain relief are not compromised. It may be an effective and alternative treatment option for the upward migration of disc herniation in the upper lumbar area and offers additional advantage for early mobilization and faster improvement.

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Section: Discussionmentioning

confidence: 99%