Percutaneous Endoscopic Discectomy Via a Transforaminal Approach for L5/S1 Far-Lateral Disc Herniation Assisted by Intraoperative Computed Tomography

Ran, Bing; Chen, Rong; Song, Chanchan; Li, Yi; Wei, Jun; Ye, JunMing

doi:10.1016/j.wneu.2022.07.103

Cited by 3 publications

(1 citation statement)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With the continuous improvement of endoscopic techniques, both PTELD and UBE are being applied in a wider range of scenarios 8,9 . FLLDH, as a distinct subtype of LDH, has been reported to be treated by both PTELD and UBE [10][11][12] . However, no comparative study has been conducted to evaluate the therapeutic effects of PTELD and UBE for FLLDH.…”

Section: Discussionmentioning

confidence: 99%

Comparison of percutaneous transforaminal endoscopic lumbar discectomy versus unilateral biportal endoscopic discectomy for treating far lateral lumbar intervertebral disc herniation

Wang,

lu,

Zhang

et al. 2023

Preprint

View full text Add to dashboard Cite

Purpose We compared the differences between percutaneous transforaminal endoscopic lumbar discectomy (PTELD) and unilateral biportal endoscopic discectomy (UBE) as well as the differences between PTELD and UBE for treating L4/5 or L5/S1 far lateral lumbar intervertebral disc herniation. Methods A retrospective analysis was performed on 32 patients with far lateral lumbar intervertebral disc herniation at the L4/5 or L5/S1 herniation level. The patients were divided into the PTELD (n = 17) and UBE (n = 15) groups, all of whom had lower limb numbness and back and leg pain of varying degrees before surgery. Operation time and blood loss were recorded and analyzed statistically. The Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), and MacNab standard were used to analyze the clinical outcomes of the two groups. Results The VAS and ODI scores of both groups showed marked postoperative improvement, and the clinical outcomes were comparable according to the MacNab standard. However, the VAS score of back pain 1 day after surgery in the PTELD group was significantly lower than that in the UBE group (P < 0.05). Additionally, the operation time of the PTELD group was significantly shorter than that of the UBE group (P < 0.05). Moreover, blood loss in the PTELD group was significantly less than that in the UBE group (P < 0.05). Conclusion PTELD is a good choice for far lateral lumbar intervertebral disc herniation because it has the advantage of shorter operation time, less blood loss, and milder postoperative short-term back pain compared to UBE.

show abstract

Section: Discussionmentioning

confidence: 99%