Scientific and radiological outcomes of spinal endoscopic discectomy-assisted indirect lumbar interbody fusion: preliminary outcomes.
Neurosurg Focus. 2017 Aug;43(2):E13
Authors: Heo DH, Kim JS
OBJECTIVE Direct neural decompression can’t be achieved by performing lateral lumbar interbody fusion (LLIF). To beat the oblique decompressive impact of LLIF, extra endoscopic discectomy with indirect lumbar interbody fusion (OLIF) has been tried. The aim of this examine was to evaluate the scientific and radiological outcomes of sufferers who underwent OLIF with extra endoscopic discectomy. METHODS Spinal endoscopic discectomy-assisted OLIF was tried to take away herniated disc materials. Solely sufferers with a follow-up time that exceeded 12 months had been enrolled. Scientific parameters examined had been the Oswestry Incapacity Index and visible analog scale scores of again and leg ache. Postoperative MRI was additionally carried out. RESULTS Fourteen sufferers had been enrolled. Central and foraminal disc herniations had been evident in eight and 6 sufferers, respectively. Concomitant central or foraminal herniated discs had been eliminated utterly after extra endoscopic discectomy, and disc elimination was confirmed by postoperative MRI. Imply preoperative visible analog scale scores and Oswestry Incapacity Index scores improved postoperatively. CONCLUSIONS OLIF with extra endoscopic discectomy ends in profitable direct neural decompression with out posterior decompressive procedures. Endoscopic help would possibly overcome the constraints of LLIF.
PMID: 28760027 [PubMed – indexed for MEDLINE]