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A comparative study on the clinical efficacy of percutaneous endoscopic lumbar discectomy and conventional open surgery in the treatment of lumbar disc herniation – Lumbar Fusion

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The article titled “Efficacy of Single-Channel Percutaneous Endoscopic Lumbar Discectomy Compared to Conventional Open Surgery in the Treatment of Lumbar Disc Herniation” examines the effectiveness of single-channel percutaneous endoscopic lumbar discectomy (PELD) versus conventional open surgery for treating lumbar disc herniation (LDH). The study analyzed 66 LDH patients who were divided into two groups: the observation group (single-channel PELD) and the control group (posterior lumbar interbody fusion). The two groups were compared in terms of various indicators, including pain levels, disability index, clinical efficacy, complications, and changes in inflammatory factors. The results showed that single-channel PELD had shorter operation times, smaller incisions, less blood loss, and faster recovery compared to conventional open surgery. The observation group also demonstrated better improvement in pain and disability scores. Additionally, inflammatory markers and T lymphocyte subsets showed more favorable changes in the single-channel PELD group. The overall surgical results were better in the observation group, with a higher excellent rate. In , the study suggests that single-channel PELD is more clinically effective in treating LDH compared to conventional open surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most experienced sugical centre in the world

Published article

S: Single-channel PELD can achieve superior clinical efficacy over conventional open surgery in the treatment of LDH.

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Pak J Med Sci. 2024 Jan-Feb;40(3Part-II):297-302. doi: 10.12669/pjms.40.3.6678.ABSTRACTOBJECTIVE: To analyze the efficacy of single-channel percutaneous endoscopic lumbar discectomy (PELD) and conventional open surgery in the treatment of lumbar disc herniation (LDH).METHODS: This is a retrospective study. A total of 66 patients with LDH admitted to Tianjin Medical University from June 2017 to June 2018 were,

Pak J Med Sci. 2024 Jan-Feb;40(3Part-II):297-302. doi: 10.12669/pjms.40.3.6678.

ABSTRACT

OBJECTIVE: To analyze the efficacy of single-channel percutaneous endoscopic lumbar discectomy (PELD) and conventional open surgery in the treatment of lumbar disc herniation (LDH).

METHODS: This is a retrospective study. A total of 66 patients with LDH admitted to Tianjin Medical University from June 2017 to June 2018 were divided into two groups: the observation group (single-channel PELD) and the control group (posterior lumbar interbody fusion), with 33 cases in each group. The two groups were compared in terms of visual analogue scale(VAS), oswestry disability index (ODI), Japanese Orthopaedic Association Score(JOA), perioperative indicators, clinical efficacy, postoperative complications, changes in inflammatory factors and serum T lymphocyte subsets.

RESULTS: The operation time, incision length, intraoperative blood loss, time in bed, hospital stay in the observation group were all lower than those in the control group. At 7d after treatment, the improvement of ODI, VAS and JOA in the observation group were better than that in the control group. At the last follow-up, there was no significant difference in Cobb angle and lumbar lordosis angle between the two groups. The levels of serum IL-1, IL-6 and TNF-α in the observation group were lower than those in the control group. The degree of reduction of serum CD3+ and CD4+ in the observation group were higher than those in the control group. And the level of elevation of CD8+ in the observation group was lower than that in the control group. Moreover, there was no significant difference in CD4+/CD8+ level between the two groups. The excellent rate of surgical results in the observation group was higher than that in the control group. Complications occurred in both groups, with no significant difference between the two groups.

S: Single-channel PELD can achieve superior clinical efficacy over conventional open surgery in the treatment of LDH.

PMID:38356797 | PMC:PMC10862464 | DOI:10.12669/pjms.40.3.6678

The London Spine Unit : most experienced sugical centre in the world

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A comparative study on the clinical efficacy of percutaneous endoscopic lumbar discectomy and conventional open surgery in the treatment of lumbar disc herniation

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Pak J Med Sci. 2024 Jan-Feb;40(3Part-II):297-302. doi: 10.12669/pjms.40.3.6678.ABSTRACTOBJECTIVE: To analyze the efficacy of single-channel percutaneous endoscopic lumbar discectomy (PELD) and conventional open surgery in the treatment of lumbar disc herniation (LDH).METHODS: This is a retrospective study. A total of 66 patients with LDH admitted to Tianjin Medical University from June 2017 to June 2018 were

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