Surgical techniques and perioperative surgical outcomes after discectomy for calcified lumbar disc herniation: a review and meta-analysis

Kumar, Vishal; Bansal, Parth; Dhillon, Mehar; Dhatt, Sarvdeep Singh; Vatkar, Arvind Janardhan

doi:10.1007/s00586-023-07914-y

Cited by 2 publications

(3 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Lumbar disc herniation surgeries are procedures notably associated with postoperative pain [1,3]. The implementation of efficient strategies for managing postoperative pain has been shown to result in faster mobilization, increased patient satisfaction, and a decrease in complications [17][18][19].…”

Section: Discussionmentioning

confidence: 99%

“…Back and leg pain arising from lumbar disc herniations (LDHs) are widespread, and their treatment can range from pharmacotherapy to surgical intervention. Although postoperative pain is less frequent in minimally invasive surgeries when compared to more conventional procedures, it still remains a significant challenge for healthcare providers [1,2]. A majority of patients who undergo spinal surgery report experiencing moderate pain six months after the operation [2].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Posterior Quadratus Lumborum Block or Thoracolumbar Interfascial Plane Block and Postoperative Analgesia after Spinal Surgery: A Randomized Controlled Trial

Canikli Adıgüzel,

Akyurt,

Bahadır Altun

et al. 2023

JCM

View full text Add to dashboard Cite

Introduction: The management of postoperative pain following lumbar disc herniation (LDH) surgery is crucial for the quality of recovery. The effectiveness of multimodal analgesia plans increases when interfascial plane blocks are included. This study sought to compare the analgesic efficacy of preoperative ultrasound-guided TLIP (thoracolumbar interfascial plane) blocks and posterior QLBs (quadratus lumborum blocks) in patients undergoing LDH surgery. Methods: Patients undergoing elective LDH surgery under general anesthesia were randomized into two groups: thoracolumbar interfascial plane block (Group T) and posterior quadratus lumborum block (Group Q). Block applications were performed 30 min before anesthesia induction. In the postoperative period, analgesia control was provided with a patient-controlled analgesia device. The patients’ 24 h cumulative opioid consumption was examined. Pain scores were evaluated in the 0th, 3rd, 6th, 9th, 12th, and 24th hours. Results: The mean 24 h cumulative morphine consumption for patients was statistically insignificant when Groups T and Q were compared (9.14 ± 7.03 mg vs. 8.66 ± 6.58 mg, p = 0.788). Pain scores at rest and during movement as well as morphine consumption were similar between groups in the 0th, 3rd, 6th, 9th, 12th, and 24th hours (p > 0.05). Conclusions: The study determined that the utilization of TLIP blocks and posterior QLBs prior to anesthesia induction yielded comparable outcomes in terms of reducing postoperative analgesic consumption and enhancing the efficacy of multimodal analgesia in individuals undergoing single-distance lumbosacral spine surgery under general anesthesia.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Posterior Quadratus Lumborum Block or Thoracolumbar Interfascial Plane Block and Postoperative Analgesia after Spinal Surgery: A Randomized Controlled Trial

Canikli Adıgüzel,

Akyurt,

Bahadır Altun

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

“…Calcified lumbar disc herniation (CLDH) 1 is a complex type of disc herniation that is complicated by disc calcification or osteophyte formation on the basis of lumbar disc herniation. Because calcified tissue often adheres to nerve roots or the dura mater, the difficulty of surgery increases and can easily lead to complications such as nerve damage, dural damage, and cerebrospinal fluid leakage.…”

Section: Introductionmentioning

confidence: 99%

Treatment of L5‐S1 Floating Calcified Lumbar Disc Herniation with Percutaneous Endoscopic Interlaminar Discectomy

Gu,

Liu,

Guo

et al. 2024

Orthopaedic Surgery

View full text Add to dashboard Cite

ObjectiveThe floating calcified tissue in floating calcified lumbar disc herniation (FCLDH) is hard and often adheres to the dura mater, which can easily cause nerve root damage during surgery, making the operation challenging. We proposed the classification of FCLDH and a new technique for removing floating calcified tissue and reported the clinical efficacy and safety of this new technique in clinical practice.MethodsFrom January 2019 to October 2021, 24 patients (13 males and 11 females, 46.4 ± 7.72 years) with L5‐S1 floating calcified lumbar disc herniation were treated with percutaneous endoscopic interlaminar discectomy (PEID). According to FCLDH classification, a total of Type Ia: nine cases, Type Ib: five cases, Type IIa: four cases, and Type IIa: six cases were included. The visual analogue scale (VAS) and Oswestry disability index (ODI) were recorded pre‐operatively and 3 days postoperatively, 6 months postoperatively, and at the last follow‐up. The postoperative curative effect was evaluated according to the modified MacNab criteria. Computed tomography (CT) and magnetic resonance imaging (MRI) of the lumbar spine were performed 3 days after surgery to evaluate the efficacy of the surgery.ResultsAll patients successfully underwent PEID. The VAS and ODI scores at 3 days postoperatively, 6 months postoperatively, and at the last follow‐up were significantly improved and statistically significant compared to those of the preoperative period (p < 0.05). All the patients were followed up for 12–24 months (mean, 16.6 ± 4.6 months). At the last follow‐up, according to the modified MacNab criteria, 15 cases were excellent, eight were good, and one was fair. The combined excellent and good rate was 95.83% (23/24). Postoperative review revealed that all floating calcified tissues were effectively removed and the nerve roots were adequately decompressed without complications such as cerebrospinal fluid leakage and lumbar spine infection.ConclusionThe classification of FCLDH we proposed can well guide the selection of surgical plans. PEID combined with floating calcified tissue removal technology has good efficacy in the treatment of L5‐S1 FCLDH, ensuring accurate removal of calcified tissue, reducing complications and improving the quality of life of affected individuals.

show abstract

Surgical techniques and perioperative surgical outcomes after discectomy for calcified lumbar disc herniation: a review and meta-analysis

Cited by 2 publications

References 33 publications

Posterior Quadratus Lumborum Block or Thoracolumbar Interfascial Plane Block and Postoperative Analgesia after Spinal Surgery: A Randomized Controlled Trial

Posterior Quadratus Lumborum Block or Thoracolumbar Interfascial Plane Block and Postoperative Analgesia after Spinal Surgery: A Randomized Controlled Trial

Treatment of L5‐S1 Floating Calcified Lumbar Disc Herniation with Percutaneous Endoscopic Interlaminar Discectomy

Contact Info

Product

Resources

About