Minimally invasive surgical techniques for the therapy of far lateral disc herniation in middle-aged and elderly patients

Ren, Weijian; Chen, Yu; Xiang, Liangbi

doi:10.1080/24699322.2018.1560096

Cited by 4 publications

(7 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Fifteen patients diagnosed with FLLDH underwent PELD in the study conducted by Liao et al [10] gained an overall excellent and good rate of 93.3%. Ren et al [21] concluded that PELD had a shorter operation time and less surgical trauma, being a less invasive and more economical method for middle-aged and elderly FLLDH patients. A research conducted on 22 patients with FLLDH at the L5-S1 level and treated by PELD also revealed that overall excellent or good outcomes were 81.8 % [22].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Endoscopic Lumbar Discectomy for Far Lateral L5/S1 Disc Herniation With High Iliac Crest

Ding

Qin

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: To investigate the effect of percutaneous endoscopic lumbar discectomy (PELD) via a modified posterolateral approach on far lateral lumbar disc herniation (FLLDH) at L5/S1 level with high iliac crest. Methods: This retrospective study recruited the patients diagnosed of FLLDH at L5/S1 level with high iliac crest and accepted PELD in our hospital from March 2016 to November 2019. The visual analogue scale (VAS), Oswestry disability index (ODI), and modified Japanese Orthopaedic Association (M-JOA) scores were recorded before and after surgery. The fractional anisotropy (FA) values were recorded before and after operation. The incision length, operation duration, intraoperative blood loss, hospital stay and complications were observed. The excellent and good rate was calculated at final follow-up. Results: A total of 17 patients, including 10 males and 7 females, were screened and enrolled in this study. The mean incision length, operation duration, blood loss and hospital stays were 0.74±0.058 cm, 55.64±8.635 minutes, 27.42±4.936 ml, and 3.74±1.052 days, respectively. The postoperative VAS scores decreased, the ODI and M-JOA scores, and FA values of nerve root at affected side increased significantly (p＜0.05), compared with those at pre-operation, but no difference was observed among the postoperative scores (p＞0.05). The complications rate was 5.88% (1/17) and overall excellent and good rate was 94.12% (16/17) at the final follow-up. Conclusions: PELD via a modified posterolateral approach was an effective, minimally invasive and safe technique for FLLDH at L5/S1 level with high iliac crest.

show abstract

Section: Discussionmentioning

confidence: 99%

Percutaneous Endoscopic Lumbar Discectomy for Far Lateral L5/S1 Disc Herniation With High Iliac Crest

Ding

Qin

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Far-lateral lumbar disc herniation (FLLDH) is a rare disease that accounts for 2-12% of all lumbar disc herniation syndromes, and it was first described by Abdullah in 1974 [1] . With increased awareness of the disease, experts have paid increasing attention to the diagnosis and treatment of FLLDH [2,3] . The resulting nerve root syndrome is characterized by intense pain, often accompanied by motor or sensory disturbances [3] .…”

Section: Introductionmentioning

confidence: 99%

“…With increased awareness of the disease, experts have paid increasing attention to the diagnosis and treatment of FLLDH [2,3] . The resulting nerve root syndrome is characterized by intense pain, often accompanied by motor or sensory disturbances [3] . The diagnostic probability of FLLDH increases with the use of computed tomography (CT) and magnetic resonance imaging (MRI) [4] .…”

Section: Introductionmentioning

confidence: 99%

A retrospective analysis of paraspinal muscle-splitting microscopic-assisted discectomy versus percutaneous endoscopic lumbar discectomy on patients in the treatment of far-lateral lumbar disc herniation

Kong¹,

Zhang²,

Xu³

2020

Preprint

View full text Add to dashboard Cite

Background : Minimally invasive surgery includes percutaneous endoscopic lumbar discectomy and the microscopic tubular technique. This study aimed to compare the two techniques and evaluate the outcomes of the procedures. Methods : We retrospectively analyzed patients with far-lateral lumbar disc herniation (FLLDH) from June 2015 to October 2018. Twenty-six patients underwent paraspinal muscle-splitting microscopic-assisted discectomy (MD) and 30 patients underwent percutaneous endoscopic lumbar discectomy (PELD) surgery by the same surgical team. Data included the duration of the operation, duration of intraoperative radiation exposure, and average duration of hospitalization. Pre- and postoperative pain scores and neurological functions were recorded using a visual analog scale (VAS) score and Oswestry disability index (ODI). Results: 56 patients remained in the study over the 12–24 months period. The mean operating time was 65.83 ± 16.64 min in the PELD group, mean duration of radiation exposure was 2.87 ± 1.19 min, and average of hospitalization was 3.43 days. The mean operating time was 44.96 ± 16.87 min in the MD group, duration of radiation exposure was 0.78 ± 0.32 min, and duration of hospitalization was 4.12 days. Except low back pain at 3 months (p >0.05), all patients in both groups showed significant improvement in VAS and ODI scores compared with pre-operation and until final follow-up (p<0.05). Conclusion: Both techniques are minimally invasive, effective, and safe for treating far-lateral lumbar disc herniation in selected patients. Compared with the PELD technique, the MD procedure offers a wider field of vision during operation, shorter operation time, fewer postoperative complications, and shorter learning curve.

show abstract

“…Far-lateral lumbar disc herniation (FLLDH) is a rare disease that accounts for 2-12% of all lumbar disc herniation syndromes, and it was rst described by Abdullah in 1974 [1] . With increased awareness of the disease, experts have paid increasing attention to the diagnosis and treatment of FLLDH [2,3] . The resulting nerve root syndrome is characterized by intense pain, often accompanied by motor or sensory disturbances [3] .…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Retrospective Analysis of Paraspinal Muscle-Splitting Microscopic-Assisted Discectomy Versus Percutaneous Endoscopic Lumbar Discectomy on Patients in the Treatment of Far-Lateral Lumbar Disc Herniation

Kong

Zhang

2020

Preprint

View full text Add to dashboard Cite

Background: Minimally invasive surgery includes percutaneous endoscopic lumbar discectomy and the microscopic tubular technique. This study aimed to compare the two techniques and evaluate the outcomes of the procedures.Methods: We retrospectively analyzed patients with far-lateral lumbar disc herniation (FLLDH) from June 2015 to October 2018. Twenty-six patients underwent paraspinal muscle-splitting microscopic-assisted discectomy (MD) and 30 patients underwent percutaneous endoscopic lumbar discectomy (PELD) surgery by the same surgical team. Data included the duration of the operation, duration of intraoperative radiation exposure, and average duration of hospitalization. Pre- and postoperative pain scores and neurological functions were recorded using a visual analog scale (VAS) score and Oswestry disability index (ODI).Results: 56 patients remained in the study over the 12–24 months period. The mean operating time was 65.83 ± 16.64 min in the PELD group, mean duration of radiation exposure was 2.87 ± 1.19 min, and average of hospitalization was 3.43 days. The mean operating time was 44.96 ± 16.87 min in the MD group, duration of radiation exposure was 0.78 ± 0.32 min, and duration of hospitalization was 4.12 days. There were two patients with postoperative transient dysesthesia and one underwent reoperation 7 months after surgery in the PELD group. One patient had postoperative transient dysesthesia in the MD group. Except low back pain at 3 months (p >0.05), all patients in both groups showed significant improvement in VAS and ODI scores compared with pre-operation and until final follow-up (p<0.05). Although the learning curve of MD is shorter compared with the PELD, beginners should practice on cadavers and receive teaching demonstrations from senior surgeons.Conclusion: Both techniques are minimally invasive, effective, and safe for treating far-lateral lumbar disc herniation in selected patients. Compared with the PELD technique, the MD procedure offers a wider field of vision during operation, shorter operation time, fewer postoperative complications, and shorter learning curve.

show abstract

Minimally invasive surgical techniques for the therapy of far lateral disc herniation in middle-aged and elderly patients

Abstract: Xiang (2019) Minimally invasive surgical techniques for the therapy of far lateral disc herniation in middle-aged and elderly patients,

Cited by 4 publications

References 19 publications

Percutaneous Endoscopic Lumbar Discectomy for Far Lateral L5/S1 Disc Herniation With High Iliac Crest

Percutaneous Endoscopic Lumbar Discectomy for Far Lateral L5/S1 Disc Herniation With High Iliac Crest

A retrospective analysis of paraspinal muscle-splitting microscopic-assisted discectomy versus percutaneous endoscopic lumbar discectomy on patients in the treatment of far-lateral lumbar disc herniation

Retrospective Analysis of Paraspinal Muscle-Splitting Microscopic-Assisted Discectomy Versus Percutaneous Endoscopic Lumbar Discectomy on Patients in the Treatment of Far-Lateral Lumbar Disc Herniation

Contact Info

Product

Resources

About