Percutaneous Endoscopic Laser Discectomy

Boult, Margaret; Fraser, Robert D.; Jones, Nigel; Osti, Orso L.; Dohrmann, P.; Donnelly, P. K.; Liddell, Jeffrey R.; Maddern, Guy J.

doi:10.1046/j.1440-1622.2000.01892.x

Cited by 30 publications

(15 citation statements)

References 16 publications

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“…Postoperatively, the scar tissue usually formed in the dorsal route after an open discectomy, and a PETD was selected if feasible. 18,[24][25][26][27] The surgical technique was similar to that in previous reports, except for general anesthesia and intraoperative electromyographic monitoring. 11,15,17 Generally, a PETD is possible at all spinal levels except for L5-S1 in patients with high iliac crests.…”

Section: Surgical Decision and Techniquementioning

confidence: 89%

“…15 Hoogland et al 11 reported that the rerecurrence rate was 4.6% (11/238) during a 2-year followup after a PETD. 18,[24][25][26][27] The experience of open discectomy can be utilized with PEID. 15 PED may be a good alternative for recurrent disk herniation, but we need to know how to apply the endoscopic technique effectively.…”

Section: Endoscopic Discectomy For Recurrent Disk Herniationmentioning

confidence: 99%

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The Surgical Outcome and the Surgical Strategy of Percutaneous Endoscopic Discectomy for Recurrent Disk Herniation

Kim¹,

Chung²,

Sohn³

et al. 2014

Journal of Spinal Disorders &Amp; Techniques

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Section: Surgical Decision and Techniquementioning

confidence: 89%

Section: Endoscopic Discectomy For Recurrent Disk Herniationmentioning

confidence: 99%

The Surgical Outcome and the Surgical Strategy of Percutaneous Endoscopic Discectomy for Recurrent Disk Herniation

Kim¹,

Chung²,

Sohn³

et al. 2014

Journal of Spinal Disorders &Amp; Techniques

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“…Treatment modalities include conservative measures with physiotherapy, rehabilitation, weight control, anti-inflammatory measures, epidural steroid injections, analgesia-assisted traction therapy (IVSAAT), lumbo-sacral back support and stem cell therapy 17252627282930313233343536. Surgical measures include discectomy/microdiscectomy, fenestration, laminectomy with or without discectomy, artificial disc replacement and nucleoplasty 13738394041424344. The outcome of treatment depends on the location of the prolapse, clinical condition of the patient and time of presentation and treatment 45.…”

Section: Introductionmentioning

confidence: 99%

Distribution pattern of surgically treated symptomatic prolapsed lumbar and sacral intervertebral discs in males

Nnamdi

2013

Niger Med J

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Background:The pattern of distribution of surgically treated symptomatic prolapsed lumbar and sacral intervertebral discs has been published, though scantily, especially in males. We decided to look at our own series, compare and contrast ours with some of those published.Materials and Methods:We treated 88 locations of this lesion in 68 males. The clinical features were those of lower back pains, with or without radiation into the lower extremities, sensory loss and paresis of the limbs. There was a case of loss of urinary bladder and ano-rectal control. All lesions were confirmed through cauda-equinograms and treated under general anaesthesia in knee-chest position (MECCA position). The patients were followed up for 3-6 months post-operatively.Results:There were 88 locations in 68 males of 21-70 years of age, with 29 prolapses occurring during the age range 31-40 years, while 54 locations were on the left and 48 at L4/5. The procedures were well tolerated by all patients and there were no post-operative complications.Conclusion:This lesion in our series occurred mostly on the left, at the L4/5 level and peaked at 31-40 years age range. The predictability of occurrence of this disease, using side, level and age is still not feasible in males from our series.

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“…These include lumbar chymopapain chemonucleolysis (LCC) [9], automated percutaneous lumbar discectomy (APLD), percutaneous laser lumbar discectomy (PLLD) [10], intradiscal electrothermal annuloplasty (IDET), microendoscopic discectomy (MED) [11] and more recently, minimally invasive nuclear decompression-known as nucleoplasty.…”

Section: Introductionmentioning

confidence: 99%

The efficacy of coblation nucleoplasty for protrusion of lumbar intervertebral disc at a two-year follow-up

Zhu

Zhou

Cheng

et al. 2011

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to evaluate longerterm efficacy over a two-year follow-up of coblation nucleoplasty treatment for protruded lumbar intervertebral disc. Methods Forty-two cases of protruded lumbar intervertebral disc treated by coblation nucleoplasty followed-up for two years were analysed. Relief of low back pain, leg pain and numbness after the operation were assessed by visual analogue pain scale (VAS). Function of lower limb and daily living of patients were evaluated by the Oswestry Disability Index (ODI). Results Operations were performed successfully in all cases. Three patients had recurrence within a week of the procedure. Evaluation of the 42 patients demonstrated significant improvement rate of VAS: defined as 66.2% in back pain, 68.1% in leg pain, and 85.7% in numbness at one-week after the operation; 53.2%, 58.4%, 81.0% at oneyear; and 45.5%, 50.7%, 75.0% at two-year follow-up. One week after the operation, obvious amelioration occurred in all the patients, but the tendency decreased. Before operation, the mean value of ODI was 68.2±10.9%. The value at one week was 28.6±8.2%; one-year at 35.8±6.5%; and two-years at 39.4±5.8%. Conclusion Coblation nucleoplasty may have satisfactory clinical outcomes for treatment of protruded lumbar intervertebral disc for as long as two-year follow-up, but longer-term benefit still needs verification.

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Percutaneous Endoscopic Laser Discectomy

Abstract: Given the extremely low level of evidence available for this procedure it was recommended that the procedure be regarded as experimental until results are available from a controlled clinical trial, ideally with random allocation to an intervention and control group.

Cited by 30 publications

References 16 publications

The Surgical Outcome and the Surgical Strategy of Percutaneous Endoscopic Discectomy for Recurrent Disk Herniation

The Surgical Outcome and the Surgical Strategy of Percutaneous Endoscopic Discectomy for Recurrent Disk Herniation

Distribution pattern of surgically treated symptomatic prolapsed lumbar and sacral intervertebral discs in males

The efficacy of coblation nucleoplasty for protrusion of lumbar intervertebral disc at a two-year follow-up

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