Transforaminal endoscopic lumbar discectomy for L5–S1 disc herniation: A case series

Sakti, Yudha Mathan; Khadafi, Rosyad Nur; Tarsan, Andi Karsapin; Putro, Aristida Cahyono; Sakadewa, Galih Prasetya; Susanto, Dwi; Sukotjo, Karisa Kartika

doi:10.1016/j.ijscr.2021.105967

Cited by 2 publications

(2 citation statements)

References 13 publications

(12 reference statements)

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“…34,35 However, with the application of foraminoplasty to widen the intervertebral foramen, a good trajectory and position of working cannula could be achieved with PTED, making this approach a viable option for disk processes at the L5 level. 36,37 Our long-term follow-up analysis showed there were no significant differences between PTED performed at L4-L5 or L5-S1.…”

Section: Randomized Trialmentioning

confidence: 71%

“…At the L5 level, PTED was consider to be technically challenging due to the obstacle of high iliac crest, the steeper trajectory angle, and stenosis of the intervertebral foramen resulting from L5 transverse process or hypertrophic facet joint 34,35. However, with the application of foraminoplasty to widen the intervertebral foramen, a good trajectory and position of working cannula could be achieved with PTED, making this approach a viable option for disk processes at the L5 level 36,37. Our long-term follow-up analysis showed there were no significant differences between PTED performed at L4–L5 or L5–S1.…”

Section: Discussionmentioning

confidence: 89%

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Percutaneous Transforaminal Endoscopic Discectomy Versus Microendoscopic Discectomy for Lumbar Disc Herniation: 5-year Long-term Results of a Randomized Controlled Trial

Chen

Zhang

Dong

et al. 2022

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Study Design. A prospective randomized controlled study. Objective. To compare the efficacy and safety between percutaneous transforaminal endoscopic discectomy (PTED) and microendoscopic discectomy (MED). Summary of Background Data. Two kinds of minimally invasive discectomy, PTED and MED, are now widely used for treating lumbar disk herniation (LDH). The long-term comparative results of these two techniques still remained uncertain. Materials and Methods. In this single-center, open-label, randomized controlled trial, patients were included if they had persistent signs and symptoms of radiculopathy with corresponding imaging-confirmed LDH and were randomly allocated to PTED or MED groups. The primary outcome was the score of Oswestry Disability Index (ODI) and the secondary outcomes included the score of Medical Outcomes Study 36-Item Short-Form Health Survey bodily pain (SF36-BP) and physical function (SF36-PF), European Quality of Life—Five Dimensions (EQ-5D), Visual Analog Scales for back pain (VAS-back) and leg pain (VAS-leg). Results. A total of 241 patients were accepted to enroll in our randomized controlled trial, of which 119 were randomly assigned to the PTED group, and the rest 122 were assigned to the MED group. A total of 194 out of 241 patients (80.5%) completed the five-year follow-up. PTED group was associated with shorter postoperative in-bed time and length of hospital stay. Both primary and secondary outcomes did not differ significantly between the two treatment groups at each follow-up time point. During the five-year follow-up, seven recurrent cases occurred in PTED and MED groups, respectively. Conclusion. Over the five-year follow-up period, PTED and MED were both efficacious in the treatment of LDH. The long-term clinical outcomes and recurrent rates were comparable between the treatment groups. PTED represents a more minimally invasive technique with the advantages of rapid recovery.

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Section: Randomized Trialmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 89%

Percutaneous Transforaminal Endoscopic Discectomy Versus Microendoscopic Discectomy for Lumbar Disc Herniation: 5-year Long-term Results of a Randomized Controlled Trial

Chen

Zhang

Dong

et al. 2022

Spine

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Transforaminal lumbar endoscopic discectomy: should we abandon it for L5-S1 foraminal and extraforaminal lumbar disc herniations? A prospective non-randomised study and literature review

Kapetanakis,

Gkantsinikoudis

2024

British Journal of Neurosurgery

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Transforaminal endoscopic lumbar discectomy for L5–S1 disc herniation: A case series

Abstract: Highlights Challenges in transforaminal endoscopic lumbar discectomy for L5 – S1 disc herniation Experience of transforaminal endoscopic lumbar discectomy for L5 – S1 disc herniation Outcome of transforaminal endoscopic lumbar discectomy for L5 – S1 disc herniation

Cited by 2 publications

References 13 publications

Percutaneous Transforaminal Endoscopic Discectomy Versus Microendoscopic Discectomy for Lumbar Disc Herniation: 5-year Long-term Results of a Randomized Controlled Trial

Percutaneous Transforaminal Endoscopic Discectomy Versus Microendoscopic Discectomy for Lumbar Disc Herniation: 5-year Long-term Results of a Randomized Controlled Trial

Transforaminal lumbar endoscopic discectomy: should we abandon it for L5-S1 foraminal and extraforaminal lumbar disc herniations? A prospective non-randomised study and literature review

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