Comparison of quality of life between men and women who underwent Transforaminal Percutaneous Endoscopic Discectomy for lumbar disc herniation

Kapetanakis, Stylianos; Gkasdaris, Grigorios; Thomaidis, Tryfon; Charitoudis, Georgios; Kazakos, Konstantinos

doi:10.14444/4028

Cited by 6 publications

(10 citation statements)

References 22 publications

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“…However, rational and experienced conduction of PTED is related to minimal surgical trauma, minimization of epidural space scarring, shorter hospitalizations and rehabilitation times, and low perioperative morbidity and pain. Furthermore, it is conducted under local anesthesia and mild sedation, requiring only a small incision of 8 mm, rather than general anesthesia [6-11,25].…”

Section: Discussionmentioning

confidence: 99%

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The Role of Percutaneous Transforaminal Endoscopic Surgery in Lateral Recess Stenosis in Elderly Patients

et al. 2019

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Study Design Prospective clinical study. Purpose To investigate the effect of percutaneous transforaminal endoscopic surgery (PTES) for lateral recess stenosis (LRS)(LRS) in elderly patients and to assess patients’ health-related quality of life (HRQoL). Overview of Literature PTES is an increasingly used surgical approach, primarily employed for lumbar disc herniation treatment. However, indications for PTES have been increasing in recent years. PTES has been recommended as a beneficial alternative to open decompression surgery in specific LRS cases; PTES is termed as percutaneous endoscopic ventral facetectomy (PEVF) in such cases. Methods In total, 65 elderly patients with LRS were prospectively studied. Patients presented severe comorbidities (coronary insufficiency, heart failure, diabetes mellitus, and respiratory failure); thus, general anesthesia administration would potentially cause considerable hazards. All the patients underwent successful PEVF in 2015–2016. The patients were assessed preoperatively and at 6 weeks; 3, 6, and 12 months; and 2 years postoperatively. Patients’ objective assessment was conducted according to specific clinical scales; the Visual Analog Scale (VAS) was separately used for leg and low-back pain (VAS-LP and VAS-BP, respectively), whereas the Short Form 36 Health Survey Questionnaire was used for the HRQoL evaluation. Results All studied parameters presented maximal improvement at 6 weeks postoperatively, with less enhancement at 3 and 6 months with subsequent stabilization. Statistical significance was found in all follow-up intervals for all parameters ( p <0.05). Parameters with maximal absolute amelioration were VAS-LP, bodily pain, and role limitations due to physical health problems. In contrast, VAS-BP, general health, and mental health were comparatively less enhanced. Conclusions PEVF was associated with remarkably enhanced HRQoL 2 years postoperatively. PEVF is thus a safe and effective alternative for LRS surgical management in elderly patients with severe comorbidities.

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Section: Discussionmentioning

confidence: 99%

“…PTED is becoming increasingly popular in the field of spine surgery owing to its surgical advantages [8]. PTED is associated with the preservation of dorsal musculature and spine elements, lesser intraoperative hemorrhage, low perioperative morbidity rates, and rapid rehabilitation [8-11].…”

Section: Introductionmentioning

confidence: 99%

The Role of Percutaneous Transforaminal Endoscopic Surgery in Lateral Recess Stenosis in Elderly Patients

et al. 2019

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“…This minor tissue trauma during endoscopic surgery results in faster rehabilitation, leading to lower costs to society. [1][2][3][4][5] The treatment of lumbar disc herniation with advanced disc degenerative disease, which is represented by more advanced stages in the Modic and Pfirrmann classifications, still has no consensus regarding the best treatment method between discectomy or arthrodesis.…”

Section: Introductionmentioning

confidence: 99%

Melhora da dor radicular após discectomia lombar transforaminal endoscópica em discos com alterações degenerativas avançadas

Oliveira

Ramos

Neto

et al. 2021

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivos Avaliar a correlação entre as alterações radiológicas (Pfirrmann e Modic) e a intensidade da dor radicular em pacientes submetidos a cirurgia endoscópica transforaminal para hérnia de disco lombar. Métodos Uma sequência de casos com 39 pacientes, 50 discos intervertebrais em avaliação pré-operatória, no período de 29 de janeiro de 2018 a 28 de agosto de 2019, no serviço de cirurgia endoscópica da coluna vertebral. Os dados demográficos, indicação cirúrgica, detalhes operatórios e complicações foram todos obtidos junto aos prontuários clínicos. Os pacientes foram divididos em três grupos, com base na classificação Modic (ausência de Modic, Modic 1 e Modic 2) e em dois grupos, considerando a classificação de Pfirrmann (Pfirrmann IV e Pfirrmann V). Os dados foram processados no software IBM SPSS Statistics for Windows, versão 22.0 (IBM Corp., Armonk, NY, EUA), com nível de significância de p <0,05. Resultados Não houve diferença entre os gêneros; idade: 50,36 ± 15,05 anos; nível da doença: L2–L3 1 (2%), L3–L4 2 (4%), L4–L5 9 (18%), L5–S1 8 (16%), L3–L4 + L4–L5 4 (8%), e L4–L5 + L5–S1 26 (52%); localização: foraminal direito em 7 pacientes (14%), foraminal esquerdo em 15 pacientes (30%), central em 9 pacientes (18%), e difuso em 19 pacientes (38%); dor radicular: esquerda em 25 pacientes (50%), direita em 11 pacientes (22%), e bilateral em 14 pacientes (28%); escala visual analógica (EVA) pré-operatório: 9,5 ± 0,91, pós-operatório: 2,5 ± 1,79; tempo cirúrgico: 100 ± 31,36 minutos; e acompanhamento de 8,4 ± 6,7 meses. Foi registrada menos dor ciática pós-operatória nos grupos Modic 2 versus Modic 1 (p < 0,05). Não houve diferença na dor radicular pós-operatória entre os grupos Pfirrmann (IV versus V). Conclusão Embora não exista diferença clínica entre os grupos, em estágios avançados da degeneração discal, a discectomia transforaminal endoscópica mostrou-se eficaz na redução da dor radicular em pacientes com hérnia de disco lombar.

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“…Nevertheless, in MD, it is inevitable that the laminabony structure and the spine tension band will be destroyed, which may cause low back pain and lumbar instability after operation. [ 11 – 15 ] In the past few years, the percutaneous endoscopic discectomy (PED) has increasingly become a common treatment for the symptomatic lumbar disc herniation. In numerous former reports, it possesses a good therapeutic effect on lumbar disc herniation.…”

Section: Introductionmentioning

confidence: 99%

Comparison of percutaneous endoscopic discectomy and microendoscopic discectomy in treatment of symptomatic lumbar disc herniation

Zheng

Chen

et al. 2020

Medicine

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Background: Despite some researchers have compared the safety and effectiveness of percutaneous endoscopic discectomy (PED) and microendoscopic discectomy (MD) for the lumbar disc herniation; however, they got conflicting outcomes in several variables. Therefore, our aim was to clarify whether PED produces less surgical trauma and better clinical results than MD. Methods: A single-center, retrospective cohort trial was conducted for the comparison of the safety and effectiveness between the MD and PED in the patients with lumbar disc herniation who received surgery from May 2016 to July 2018 in our hospital. The inclusion criteria for our investigation included: age of 30 to 60 years; preoperative CT and MRI scans revealed disc herniation; conservative treatment was unsuccessful for at least 6 weeks; patients with no former lumbar surgery history at same level. The follow-ups were performed 6 weeks, 3, 6, 12 and 24 months after the surgery. Numeric Rating Scale, Short-form 36, and Oswestry Disability Index, as well as complications were evaluated in our study. The software of SPSS Version 22.0 (IBM Corporation, Armonk, NY) was applied to analyze all the statistical data. When P is less than .05, the difference is significant in statistics. Results: This protocol will provide a solid theoretical basis for exploring which technique is better in treatment of lumbar disc herniation. Trial registration: This protocol was registered in Research Registry (researchregistry6005).

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Comparison of quality of life between men and women who underwent Transforaminal Percutaneous Endoscopic Discectomy for lumbar disc herniation

Abstract: Background

Cited by 6 publications

References 22 publications

The Role of Percutaneous Transforaminal Endoscopic Surgery in Lateral Recess Stenosis in Elderly Patients

The Role of Percutaneous Transforaminal Endoscopic Surgery in Lateral Recess Stenosis in Elderly Patients

Melhora da dor radicular após discectomia lombar transforaminal endoscópica em discos com alterações degenerativas avançadas

Comparison of percutaneous endoscopic discectomy and microendoscopic discectomy in treatment of symptomatic lumbar disc herniation

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