Percutaneous Transforaminal Endoscopic Discectomy for Lumbar Disk Herniation

Gadjradj, Pravesh S.; Harhangi, Biswadjiet S.

doi:10.1097/bsd.0000000000000366

Cited by 50 publications

(56 citation statements)

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“…[14,[21][22][23][24]However, the learning curve of PTED technique is steep, which is di cult for many beginners to administer. [25]The poor curative effects and complications were common mostly because of the ambiguous anatomy under the endoscopy, so it is urgent to explore a still and distinct symbol to instruct the surgeons to recognize other tissue.…”

Section: Discussionmentioning

confidence: 99%

Superior Articular Process Osteotomy Navigation (SapON) Technology in Percutaneous Endoscopic Lumbar Discectomy: A New Surgical Technology

Wang

et al. 2020

Preprint

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Background: This research aims to discuss the clinical application value of the superior articular process osteotomy navigation (SapON) technique in percutaneous endoscopic lumbar discectomy.Methods: Patients who underwent intervertebral foraminal endoscopic surgery for degenerative disease of the lumbar spine were collected and divided into two groups from March 2016 to May 2018. Group I: 69 patients were treated by the SapON technique. Group II: 53 patients were treated by Transforaminal Endoscopic Spine Surgery (TESS) technique. Fluoroscopy times, the time of establishment working channel, endoscopic operations, and entire operations in two groups were recorded. Patients' clinical curative effect was evaluated by visual analog scale (VAS) scores, Oswestry disability index(ODI), and MacNab standard at different time points, including before surgeries, one day, three months after surgeries, and the last follow-up time.Results: Operations were all successful both in groups I and II. Fluoroscopy times, establishing the working tunnels time, endoscopic operations time, and entire operations time and other indexes between the two groups were statistically significant. Patients’ low back, legs pain VAS scores, and ODI one day, three months after surgeries, and at the last follow-up in both two groups were significantly lower than those before operations with a statistical difference. The excellent rate in groups I and II were 98.55% and 96.23%. Complications were not observed in group I, while in group II, only one patient suffered the injury of the right L5 nerve root, and recovered after three months’ conservative treatment.Conclusion: The application of SapON in percutaneous endoscopic lumbar discectomy (PELD) has its advantages to popularize in clinical work, including operating simply and orderly, high safety, fewer complications, lower radiation exposure, and good clinical effects

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Section: Discussionmentioning

confidence: 99%

Superior Articular Process Osteotomy Navigation (SapON) Technology in Percutaneous Endoscopic Lumbar Discectomy: A New Surgical Technology

Wang

et al. 2020

Preprint

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“…Percutaneous transforaminal endoscopic discectomy (PTED) is a surgical way to reduce the edema and aseptic inflammation of the nerve root. It has the advantages of being widely indicated, having a small trauma surface, low influence on body appearance, rapid recovery, simple postoperative care, and low cost [5][6][7] . In addition, PTED does not affect remedial treatment after surgery failure 8 .…”

Section: Postoperative Treatmentmentioning

confidence: 99%

Efficacy and safety of percutaneous transforaminal endoscopic discectomy in the treatment of lumbar spinal stenosis combined with osteoporosis

Zhu

et al. 2019

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE: To investigate the efficacy and safety of percutaneous transforaminal endoscopic discectomy (PTED) in the treatment of lumbar spinal stenosis (LSS) combined with osteoporosis. METHODS: Eighty patients with LSS combined with osteoporosis were divided into a control and PTED group, which received conventional transforaminal lumbar interbody fusion and PTED, respectively. The surgical indications, incision visual analogue scale (VAS), lumbar and leg pain VAS, lumbar Japanese Orthopaedic Association (JOA) and Oswestry disability index (ODI) scores, bone mineral density (BMD), and adverse reactions were observed. RESULTS: Compared with the control group, in the PTED group, the operation time, bleeding loss and hospitalization duration, incision VAS scores at postoperative 12, 24 and 48 h and lumbar and leg pain VAS and lumbar ODI scores on postoperative 6 months were significantly decreased (P < 0.01), and the lumbar JOA score on postoperative 6 months was significantly increased (P < 0.05). There was no significant difference in BMD between two groups (P > 0.05). Compared with the control group, in the PTED group, the total effective rate was significantly higher (P < 0.05), and the incidence of adverse reactions was significantly lower (P < 0.05). CONCLUSIONS: PTED is safe and effective in the treatment of LSS combined with osteoporosis.

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“…This technique was then improved, and in 2003 the first micro-endoscopic discectomy was performed [6]. Smaller incision, less muscle and paraspinal tissue damage, lower blood loss, shorter hospital stay, less postoperative pain, and shorter recovery time are the advantages of this technique [6,8].…”

Section: Percutaneous Endoscopic Lumbar Discectomymentioning

confidence: 99%

A review of surgical techniques of lumbar disc herniation

Gołębiowska¹

2018

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Lumbar disc herniation is caused by degenerative changes in the intervertebral disc, and is one of the most common causes of disability for people under 45 years old. The most commonly affected regions are the L4/L5 and L5/S1 levels. When conservative treatment does not bring the expected result, surgical treatment is necessary. Fast recovery, early mobilisation, and short hospitalisation is what patients expect nowadays. There are a wide range of surgical techniques available, from open surgeries, such as laminectomy, hemilaminectomy, and microdiscectomy, to minimally invasive surgeries, such as percutaneous endoscopic lumbar discectomy, which are becoming more and more popular. Microdiscectomy is a gold standard in spine surgery for lumbar disc herniation. StreszczeniePrzepuklina międzykręgowa, która jest efektem zmian degeneracyjnych w dysku międzykręgowym, stanowi jedną z najczęstszych przyczyn ograniczenia sprawności u osób poniżej 45. roku życia. Zwykle dotyczy poziomu L4/L5 i L5/S1. W przypadku niepowodzenia leczenia zachowawczego konieczne jest leczenie operacyjne. Ze względu na tempo życia współcześni pacjenci oczekują krótkiego okresu rehabilitacji, szybkiego powrotu do sprawności fizycznej, a także krótkiego czasu hospitalizacji. Obecnie istnieje wiele metod operacyjnych leczenia przepukliny międzykręgowej -tzw. techniki otwarte, np. laminektomia, hemilaminektomia i mikrodiscektomia, oraz techniki małoinwazyjne, cieszące się coraz większą popularnością, takie jak endoskopowe usunięcie przepukliny międzykręgowej. Złotym standardem leczenia operacyjnego przepukliny międzykręgowej jest mikrodiscektomia.

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Percutaneous Transforaminal Endoscopic Discectomy for Lumbar Disk Herniation

Cited by 50 publications

References 0 publications

Superior Articular Process Osteotomy Navigation (SapON) Technology in Percutaneous Endoscopic Lumbar Discectomy: A New Surgical Technology

Superior Articular Process Osteotomy Navigation (SapON) Technology in Percutaneous Endoscopic Lumbar Discectomy: A New Surgical Technology

Efficacy and safety of percutaneous transforaminal endoscopic discectomy in the treatment of lumbar spinal stenosis combined with osteoporosis

A review of surgical techniques of lumbar disc herniation

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