Comparison of Outcomes of Percutaneous Endoscopic Lumbar Discectomy and Open Lumbar Microdiscectomy for Young Adults: A Retrospective Matched Cohort Study

Ahn, Sang-Soak; Kim, Sang-Hyeon; Kim, Dong-Won; Lee, Byunghun

doi:10.1016/j.wneu.2015.09.047

Cited by 111 publications

(78 citation statements)

References 23 publications

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“…Patient-reported outcomes for TED were similar to those reported by Ahn et al [23] in their recent retrospective analysis of outcomes following endoscopic discectomy (Yeung Endoscopic Spine System technique) in young soldiers. In this trial, only patients with non-sequestered herniations are included.…”

Section: Discussionsupporting

confidence: 77%

A randomised controlled trial of transforaminal endoscopic discectomy vs microdiscectomy

2016

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Purpose Transforaminal endoscopic discectomy (TED) minimises paraspinal muscle damage. The aim of this trial was to compare clinical outcomes of TED to Microdiscectomy (Micro). Methods 143 patients, age 25-70 years and \115 kg, with single level lumbar prolapse and radiculopathy, were recruited and randomised. 70 received TED under conscious sedation and 70 Micro under general anaesthesia. Oswestry Disability Index (ODI), visual analogue scores (VAS) of back and leg pain, and Short Form Health Survey indices (SF-36) were measured preoperatively and at 3, 12 and 24 months. Results All outcome measures improved significantly in both groups (p \ 0.001). Affected side leg pain was lower in the TED group at 2 years (1.9 ± 2.6 vs 3.5 ± 3.1, p = 0.002). Hospital stay was shorter following TED (0.7 ± 0.7 vs 1.4 ± 1.3 days, p \ 0.001). Two Micro patients and five TED patients required revision giving a relative risk of revision for TED of 2.62 (95% CI 0.49-14.0). Conclusions Functional improvements were maintained at 2 years in both groups with less ongoing sciatica after TED. A greater revision rate after TED was offset by a more rapid recovery.

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Section: Discussionsupporting

confidence: 77%

A randomised controlled trial of transforaminal endoscopic discectomy vs microdiscectomy

2016

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“…On the other hand, our attempt was as complete resection as possible of available nucleus material in the intervertebral space, all in the purpose of lowering reherniation rate. In the several other studies [18,46,47] there was no difference in the recurrence rate between FE and MI group of patients but in our study significantly lower recurrence rate in the patients operated by FE IL technique is probably due to minimization of the operation-related anulus defect which was strict concept in our operative FE technique, what is already proposed as a protective biomechanical factor [45,48].…”

Section: Discussionsupporting

confidence: 44%

“…The rate of disc herniation recurrence was significantly lower in the FE group (8% vs. 14.5% in MI group), especially in the aspect of clinical need for reoperation (3.7% vs. 11.8%), in contrast to other studies [18,46,47]. The recurrence rate of 8% is slightly above some other reports of conventional techniques but still below selective sequestrotomies [40,41].…”

Section: Discussionmentioning

confidence: 54%

Full-Endoscopic Interlaminar Versus Microsurgical Operations in Lumbar Compressive Lesions Surgery: Prospective Randomized Trial of Overall 570 Patients

Marković¹,

Živković²,

Ruetten³

et al. 2017

J Pain Relief

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“…Since Yeung introduced the rigid rod-lens, integrated, multichannel, wide-angle operating spinal endoscope system (Yeung Endoscopic Spinal System, YESS) since 1991, percutaneous endoscopic lumbar discectomy (PELD) became one of the main operation methods for degenerative lumbar diseases, including disc herniation, stenosis and discogenic low back pain [1][2][3][4][5][6][7][8][9]. Different tools, techniques and skills were invented, and the indications of endoscopic spinal surgery expanded from lumbar diseases to cervical and thoracic spine, spinal infection and spinal neoplasms.…”

Section: Introductionmentioning

confidence: 99%

Complications of Percutaneous Endoscopic Lumbar Discectomy: Experiences and Literature Review

Zhu¹,

Jiang²,

Shang³

et al. 2017

J Spine

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Study design: A retrospective clinical review.Purpose: To explore the type, morbidity, risk factors and treatment strategies of postoperative complication following percutaneous endoscopic lumbar discectomy (PELD) surgery.Overview of literature: PELD became one of the main operation methods for degenerative lumbar diseases, including disc herniation, stenosis and discogenic low back pain. However, complications following PELD surgery are a considerable challenge for spinal surgeons and seldom addressed publicly.Methods: 10120 patients after PELD surgery were studied. These surgeries were finished by 6 surgeons from 3 main minimal invasive spine centers from January 2012 to June 2017. Most of patients are regularly followed up to explore the type, morbidity, risk factors and treatment strategies of postoperative complication following PELD surgery. Results:There are 2 patients died in the perioperative period and 2 patients with permanent impairment of neural function after surgery, which should be the severest complication of PELD surgery. Transient paresthesia, intraoperative bleeding and dura sac tear are the most common complications reported by 6 surgeons. There are 2 suspected cases of postoperative hematoma, several cases of surgical instruments broken during the surgery and 20 cases of infection in 10120 patients, regarded as rare complications of PELD. Recurrence rate of PELD surgery is 4.7% to 6% reported by 3 surgeons. However, recurrence defined as complications of PELD surgery remain controversial. Conclusion:Excellent clinical outcome of large case series after PELD surgery is reported. However, we need to face the limitations and complications of the surgery. The complication rate should be reduced by caring about the treatment, surgical indications strictly selected and the guidance of experienced surgeons.

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Comparison of Outcomes of Percutaneous Endoscopic Lumbar Discectomy and Open Lumbar Microdiscectomy for Young Adults: A Retrospective Matched Cohort Study

Cited by 111 publications

References 23 publications

A randomised controlled trial of transforaminal endoscopic discectomy vs microdiscectomy

A randomised controlled trial of transforaminal endoscopic discectomy vs microdiscectomy

Full-Endoscopic Interlaminar Versus Microsurgical Operations in Lumbar Compressive Lesions Surgery: Prospective Randomized Trial of Overall 570 Patients

Complications of Percutaneous Endoscopic Lumbar Discectomy: Experiences and Literature Review

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