Risk of Developing Seizure After Percutaneous Endoscopic Lumbar Discectomy

Choi, Gun; Kang, Ho-Yeong; Modi, Hitesh N.; Prada, Nicolás; Nicolau, Rodrigo Junqueira; Joh, Ju Yeon; Pan, Woei Jack; Lee, Sang-Ho

doi:10.1097/bsd.0b013e3181ddf124

Cited by 76 publications

(68 citation statements)

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“…There several randomized controlled studies have demonstrated that the new method showed great effectiveness in the treatment of LDH which is consistent with our study [8,13,14]. While PTED brings great benefits to most patients, a small number of them have poor outcomes or complications [15,16]. Therefore, we need further research to explore the best indications for PTED so as to bring the greatest benefit to patients with LDH.…”

Section: Discussionsupporting

confidence: 87%

Comparison of Outcomes Postoperation between Straight Leg Raising Test Negative and Positive Patients Who Underwent Percutaneous Transforaminal Endoscopic Discectomy for Lumbar Disc Herniation

Wei¹,

Gao²,

Yuan³

et al. 2019

Preprint

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Background: Percutaneous Transforaminal Endoscopic Discectomy is used increasingly in patients with Lumbar Disc Herniation. There is little knowledge on the related factors including SLR test influencing the operation. Therefore, we designed this prospective study to explore the relevant factors influencing postoperative effect of PTED surgery.Methods: Consecutive patients with LDH who came to our hospital from August 2015 to September 2016 and received PTED surgery. 4 kinds of scales including VAS (lumbar/leg), ODI and JOA were measured and reassessed at 1 day, 3 months, 6 months, 12months and 36 months after the PTED to assess their surgical outcomes. Results: All the patients had successful surgery. ODI and VAS (lumbar/leg) decreased in all patients and groups. And there was a statistically significant difference in each postoperative follow-up compared with that before surgery in every visit. In addition, the increase of JOA in postoperation was statistically significant compared with that before surgery. And, there is statistically significant difference between the three subpopulations (patients with SLR Positive (0°-30°), SLR Positive (31°-60°) and SLR Negative (61°-) in the changes of the scores of VAS(leg), ODI and JOA. However, there is no statistically significant difference between the three subpopulations (patients with SLR Positive (0°-30°), SLR Positive (31°-60°) and SLR Negative (61°--RRB- in the changes of the score of VAS(lumbar). Conclusions: PTED showed great effect on treating patients with lumbar disc herniation. And the main scale score such as VAS(leg). ODI and JOA showed that there is a statistically significant difference between the three subpopulations treated by PTED. Patients with SLR negative may get greater benefit from PTED.

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Section: Discussionsupporting

confidence: 87%

Comparison of Outcomes Postoperation between Straight Leg Raising Test Negative and Positive Patients Who Underwent Percutaneous Transforaminal Endoscopic Discectomy for Lumbar Disc Herniation

Wei¹,

Gao²,

Yuan³

et al. 2019

Preprint

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“…However, contraindications and inadequate indications have not been fully reported (19)(20)(21). In this study we showed that a narrow foramen (foraminal height ≥13 mm, foraminal width ≥7 mm) is not a limiting factor in PLA for PELD; however, we observed early recurrence in 1 patient who presented with local scoliosis (coronal Cobb angle =13°), and in 1 patient with suspected instability who showed no improvement in the NRS score.…”

Section: Discussionmentioning

confidence: 63%

Advantages and disadvantages of posterolateral approach for percutaneous endoscopic lumbar discectomy

Yokosuka¹,

Oshima

Kaneko³

et al. 2016

J. Spine Surg.

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Background: Percutaneous endoscopic lumbar discectomy (PELD) is one of the less invasive treatments for lumbar disc herniation (LDH), and has 3 different operative approaches. This study focused on the posterolateral approach (PLA) and investigated the appropriate operative indication.Methods: PLA was performed in 29 patients with foraminal and extraforaminal LDH. The height and width of the foramen, LDH type, and positional relationship between LDH and the foramen were radiologically evaluated. Foraminoplasty was also performed in 12 cases including those combined with intra-canal LDH or osseous foraminal stenosis. Pre-and postoperative status was evaluated using Numerical Rating Scale (NRS) scores.Results: Patient mean age was 56.8 years; there was single-level involvement at L3/4 (13 cases) and at L4/5 (13 cases). The mean pre-and postoperative NRS scores were 6.1 and 1.8, respectively. Early recurrence developed in a patient who was found to have local scoliosis at the corresponding vertebral level.Conclusions: PLA can be safely used to treat foraminal and extraforaminal LDH with foraminal height ≥13 mm and foraminal width ≥7 mm. The procedure is effective for preserving the facet joint; however, we should carefully consider the indications when local scoliosis and/or instability are present.

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“…Choi et al (15) reported 4 cases of seizure among 16.725 cases of PED. They complained neck pain before seasure ; thus, it must be the indicator of the consequent seizure.…”

Section: Discussionmentioning

confidence: 99%

Surgery Related Complications in Percutaneous Endoscopic Lumbar Discectomy under Local Anesthesia

et al. 2014

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: The minimally invasive percutaneous endoscopic discectomy (PED) as the postero-lateral approach with the local anesthesia was started in the late 20th century. The procedure only requires 8 mm of skin incision ; thus, it is the least invasive disc surgery presently. The surgery related complications were reviewed in the initial 100 cases from the single surgeon (K.S., first author). Two cases showed exiting nerve irritation, and complained of leg paresthetic pain for 6 to 12 weeks after the surgery (2.0% %). The symptoms got better with medicines. One showed post-surgical epidural hematoma, and required surgical removal of the mass (1.0% %). Two cases complained neck pain during surgery (2.0% %). Surgeons would be aware of the specific complications for the postero-lateral approach of PED procedure. J. Med. Invest. 61 : 264-269, August, 2014

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Risk of Developing Seizure After Percutaneous Endoscopic Lumbar Discectomy

Cited by 76 publications

References 0 publications

Comparison of Outcomes Postoperation between Straight Leg Raising Test Negative and Positive Patients Who Underwent Percutaneous Transforaminal Endoscopic Discectomy for Lumbar Disc Herniation

Comparison of Outcomes Postoperation between Straight Leg Raising Test Negative and Positive Patients Who Underwent Percutaneous Transforaminal Endoscopic Discectomy for Lumbar Disc Herniation

Advantages and disadvantages of posterolateral approach for percutaneous endoscopic lumbar discectomy

Surgery Related Complications in Percutaneous Endoscopic Lumbar Discectomy under Local Anesthesia

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