Changes in Back Pain After Percutaneous Endoscopic Lumbar Discectomy and Annuloplasty for Lumbar Disc Herniation: A Prospective Study

Choi, Kyung-Chul; Kim, Jin-Sung; Kang, Byung-Uk; Lee, Choon Dae; Lee, Sang-Ho

doi:10.1111/j.1526-4637.2011.01250.x

Cited by 41 publications

(34 citation statements)

References 32 publications

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“…PELD recurrence rates are reported to range from 0% to 7.4%. 2,18,23,[29][30][31] Recurrence rates after open discectomy have been reported to range from 1% to 21%. 32,33 Several studies showed no difference in recurrence rates between PELD and open discectomy.…”

Section: Unsuccessful Percutaneous Endoscopic Lumbar Discectomymentioning

confidence: 99%

Unsuccessful Percutaneous Endoscopic Lumbar Discectomy

et al. 2015

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Section: Unsuccessful Percutaneous Endoscopic Lumbar Discectomymentioning

confidence: 99%

Unsuccessful Percutaneous Endoscopic Lumbar Discectomy

et al. 2015

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“…2,6,10,13,19,24,25,29,36,46,51,53,57,60,62,64 Percutaneous discectomy entails placing a sheath directly into the disc space via a transforaminal approach, extraforaminal approach, or interlaminar approach and then using a suction/debrider or chemical injection to remove the disc. 1,11,12,23,30,37,44,50 To assess the risk of bias for each study, 3 reviewers (M.F.S., J.J.X., and E.Y.T.) independently investigated the individual studies and used The Cochrane Collaboration's tool for assessing risk of bias.…”

Section: Data Collectionmentioning

confidence: 99%

Lumbar microdiscectomy complication rates: a systematic review and meta-analysis

Shriver¹,

Xie

Tye³

et al. 2015

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125

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OBJECT Lumbar microdiscectomy and its various minimally invasive surgical techniques are seeing increasing popularity, but a systematic review of their associated complications has yet to be performed. The authors sought to identify all prospective clinical studies reporting complications associated with lumbar open microdiscectomy, microendoscopic discectomy (MED), and percutaneous microdiscectomy. METHODS The authors conducted MEDLINE, Scopus, Web of Science, and Embase database searches for randomized controlled trials and prospective cohort studies reporting complications associated with open, microendoscopic, or percutaneous lumbar microdiscectomy. Studies with fewer than 10 patients and published before 1990 were excluded. Overall and interstudy median complication rates were calculated for each surgical technique. The authors also performed a meta-analysis of the reported complications to assess statistical significance across the various surgical techniques. RESULTS Of 9504 articles retrieved from the databases, 42 met inclusion criteria. Most studies screened were retrospective case series, limiting the number of studies that could be included. A total of 9 complication types were identified in the included studies, and these were analyzed across each of the surgical techniques. The rates of any complication across the included studies were 12.5%, 13.3%, and 10.8% for open, MED, and percutaneous microdiscectomy, respectively. New or worsening neurological deficit arose in 1.3%, 3.0%, and 1.6% of patients, while direct nerve root injury occurred at rates of 2.6%, 0.9%, and 1.1%, respectively. Hematoma was reported at rates of 0.5%, 1.2%, and 0.6%, respectively. Wound complications (infection, dehiscence, orseroma) occurred at rates of 2.1%, 1.2%, and 0.5%, respectively. The rates of recurrent disc complications were 4.4%, 3.1%, and 3.9%, while reoperation was indicated in 7.1%, 3.7%, and 10.2% of operations, respectively. Meta-analysis calculations revealed a statistically significant higher rate of intraoperative nerve root injury following percutaneous procedures relative to MED. No other significant differences were found. CONCLUSIONS This review highlights complication rates among various microdiscectomy techniques, which likely reflect real-world practice and conceptualization of complications among physicians. This investigation sets the framework for further discussions regarding microdiscectomy options and their associated complications during the informed consent process.

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“…With the development of minimally invasive endoscopic methods in spine surgery, a number of techniques have recently been developed that are applicable in the treatment of lumbar disc herniation. [1][2][3][4][5][6] The current trend of evolution lumbar spinal surgery has been toward endoscopic discectomy, which is a minimally invasive treatments aimed at removing nuclear material and decompression the nerve through devices were inserted percutaneous into intervertebral discs. [7,8] Endoscopic discectomy is a well-established technique for nerve decompression by transforaminal to access the disc space, and transforaminal endoscopic lumbar discectomy has become population for its advantages and matured with time.…”

Section: Introductionmentioning

confidence: 99%

“…[17] There were many studies of endoscopic discectomy and showed good clinical results, which has the major advantages of sufficient decompression with no retraction on the nerve ganglion, less postoperative pain and earlier functional recovery. [2,18,19] Degenerative changes and disc herniation are commonly found in lumbar spine and correlate with age, but only some people been involved one vertebral body and one disc level. [12,[20][21][22]15] For those who had multiple level disc herniation is greatest in the age group of the population, and the most common cause of leg pain is disc prolapse which majorities at L4/L5, L5/S1, or L3/L4 levels.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic transforaminal lumbar discectomy in the treatment of multilevel disc herniations

Yan¹,

Zhang²,

Zhang³

2019

Preprint

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Background There were no studies in literature of multiple level lumbar disc herniation treatment by endoscopic procedures. The purpose of this study was to evaluate the efficacy of endoscopic treatment multiple level lumbar disc herniation by compare to the one level disc herniation. Methods A total of 267 patients of lumbar disc herniation who had endoscopic surgery were categorized into three different groups depending on the level number of endoscopic procedures. 78 cases had one level procedure (OL group), 54 cases had couple level procedures (CL group), and 35 cases had triple level procedures (TL group). Endoscopic discectomy procedures was performed and the clinical outcomes were recorded. Results There was no intraoperative death in this series. The hospital day were no significant difference among three groups. The operational time and blood loss were biggest in triple levels procedures and lest in one level procedure. When take into the influence the numbers of disc herniation, there were no significant difference per level among three groups. The pain index and ODI score were better than preoperational in all patients, and there were no significant difference among three groups. The disk and foramen height, and lumbar lordosis were no significant difference compare to preoperative in all patients, and there were no significant difference among three groups. All patients achieved pain free accomplished all surgery procedures, no infection, and no dural tear of cerebrospinal fluid leakage complication. Conclusions Endoscopic lumbar discectomy was effective and safe procedures in the treatment of multilevel lumbar disc herniation.

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Changes in Back Pain After Percutaneous Endoscopic Lumbar Discectomy and Annuloplasty for Lumbar Disc Herniation: A Prospective Study

Abstract: PELDA can relieve back pain as well as leg pain through direct decompression and thermal ablation of the annular defect. Disc degeneration can be expected to influence clinical outcomes following PELDA.

Cited by 41 publications

References 32 publications

Unsuccessful Percutaneous Endoscopic Lumbar Discectomy

Unsuccessful Percutaneous Endoscopic Lumbar Discectomy

Lumbar microdiscectomy complication rates: a systematic review and meta-analysis

Endoscopic transforaminal lumbar discectomy in the treatment of multilevel disc herniations

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