Evaluation of transforaminal endoscopic lumbar discectomy in the treatment of lumbar disc herniation

Wang, Kun; Hong, Xin; Zhou, Baoyi; Bao, Jun-Ping; Xie, Xinhui; Wang, Feng; Wu, Xiao‐Tao

doi:10.1007/s00264-015-2747-1

Cited by 54 publications

(49 citation statements)

References 14 publications

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“…The lower back pain caused by lumbar disc herniation and other cause is a common clinical condition [24][25][26]. Many surgical treatments focus on the lateral zones of LIF.…”

Section: Discussionmentioning

confidence: 99%

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Ligament, nerve, and blood vessel anatomy of the lateral zone of the lumbar intervertebral foramina

Yuan

Wen

Zhang

et al. 2015

International Orthopaedics (SICOT)

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Nerves and blood vessels are fixed and protected by transforaminal ligaments and/or corporotransverse ligaments. It is necessary to distinguish the ligaments from nerves using transforaminal endoscopy so that the ligaments can be cut without damaging nerves. Care needs to be taken in intrusive operations because of the veins running through Kambin's triangle. We recommend injecting into the lamina of the vertebral arch and the midpoint between the adjacent roots of the transverse processus when administering nerve root block. Blind percutaneous incision and acupotomology lysis is dangerous in the lateral zones of the LIF, as they are filled with nerves and blood vessels.

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“…The lower back pain caused by lumbar disc herniation and other cause is a common clinical condition [24][25][26]. Many surgical treatments focus on the lateral zones of LIF.…”

Section: Discussionmentioning

confidence: 99%

“…1), transforaminal injection or nerve root block [3][4][5], and transforaminal endoscopy [6][7][8][9]. Although usually care is taken with nerves, the blood vessels and ligaments in the LIF have often been ignored by surgeons, and the dangers or complications of these procedures have also been neglected.…”

Section: Introductionmentioning

confidence: 98%

Ligament, nerve, and blood vessel anatomy of the lateral zone of the lumbar intervertebral foramina

Yuan

Wen

Zhang

et al. 2015

International Orthopaedics (SICOT)

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“…Most of the clinical series using this technique show low morbidity; which is usually related to dural tears. 17,23,24,31,38,39,46 In our series we had four patients of dural tears (2.6%); two of them (1.3%) developed CSF leaks; and one (0.6%) developed pseudomeningocele. We had one patient (0.6%) of partial nerve root injury (L5 root) that responded to pregabalin.…”

Section: A B C Dmentioning

confidence: 99%

“…In Li et al, 24 series only one patient had a dural tear (1.5%). In Wang et al, 46 series 3 patients had dural tears (1.5%). Sencer et al, 39 had 6 patients with dural tears (3%).…”

Section: A B C Dmentioning

confidence: 99%

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Three-year Follow-Up Results of Lumbar Microendoscopic Discectomy (MED): A Prospective Study in 150 Patients

Elwany

Farhoud

Zidan

et al. 2017

Egyptian Spine Journal

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Background Data: The goal of all described surgical techniques to treat lumbar disc prolapse is removing the offending disc material, decompressing the nerve root, and relieving neurologic symptoms while avoiding complications. The goal of minimum invasiveness is to minimize the added morbidity of a larger exposure; including the creation of perineural scarring. Microendoscopic discectomy (MED) is a minimally invasive technique to treat lumbar disc prolapse. It is unique in that it combines open surgical principles with endoscopic technology. Follow-up will show whether MED will improve upon the long-term results of the "gold standard" procedures. Purpose: To evaluate the efficacy of lumbar MED, regarding results, safety, complications, stability of effectiveness, incidence of recurrence, instability and redo surgeries after 3 years of follow up. Study Design: A prospective clinical case study Patients and Methods: We report 150 patients with lumbar disc prolapse, admitted at the Neurosurgery Department; Alexandria Main University Hospital and operated with MED technique. Patients were followed for 3 years. Clinical and radiological data were collected preoperatively and postoperativly. The degree of pain and disability were assessed using VAS and ODI. The length of the incision, the duration of surgery, and the average operative blood loss were calculated. Patients were followed at 2 weeks, 3 months, 1 year and 3 years. Results: This study included 150 patients; with 162 levels operated. 138 patients (92 %) had single level and 12 patients (8%) had double level surgery. L4-5 was the most common level. The mean duration of surgery was 55.0 minutes. The mean blood loss was 40.0 cc. The mean duration of hospital stay was 1.3 day. 81.3% of patients returned to their work in less than four weeks. The average length of skin incision was 2.38 cm. Intraoperative complications included four dural tears (2.6%), one (0.6%) pseudomeningocele, one (0.6%) partial nerve root injury (L5 root), and 3 (2%) superficial wound infection. No patient had postoperative instability or recurrences in the follow up period. There was a statistically significant difference between preoperative and postoperative VAS and ODI in the follow up evaluations (at 2 weeks, 3 months, 1 year & 3 years) (P=<0.001). Conclusion: MED technique allowed nerve root decompression; with minimal complications and preserving normal anatomy, with faster recoveries. For surgeons accustomed to performing endoscopic surgery, the use of MED is a safe and reliable alternative to microscopic discectomy. (2017ESJ124)

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Percutaneous Full-Endoscopic Interlaminar Lumbar Spine Surgery

Shin¹

2019

Endoscopic Procedures on the Spine

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Evaluation of transforaminal endoscopic lumbar discectomy in the treatment of lumbar disc herniation

Abstract: The efficacy of TELD is relatively good for the selected young and elderly patients in this study. Therefore, age is not a predictor of TELD surgery-related outcomes.

Cited by 54 publications

References 14 publications

Ligament, nerve, and blood vessel anatomy of the lateral zone of the lumbar intervertebral foramina

Ligament, nerve, and blood vessel anatomy of the lateral zone of the lumbar intervertebral foramina

Three-year Follow-Up Results of Lumbar Microendoscopic Discectomy (MED): A Prospective Study in 150 Patients

Percutaneous Full-Endoscopic Interlaminar Lumbar Spine Surgery

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