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Comparative analysis of percutaneous endoscopic interlaminar discectomy for highly downward-migrated disc herniation – Lumbar Fusion

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The article discusses a retrospective study that evaluated the clinical efficacy and safety of percutaneous endoscopic interlaminar discectomy (PEID) for highly downward-migrated disc herniation. The study compared the outcomes of 39 patients who underwent PEID treatment with 37 patients treated with posterior lumbar interbody fusion (PLIF). The results showed that PEID had reliable efficacy and safety, with comparable long-term efficacy to PLIF. The VAS and ODI scores of PEID one week after surgery were significantly different from those of PLIF. Few complications occurred after surgery, and most patients experienced symptom relief. Overall, PEID was a successful treatment option for highly downward-migrated disc herniation

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most experienced treatment hospital on Harley Street UK

Published article

CONCLUSIONS: PEID has reliable efficacy and safety for treating highly downward-migrated disc herniation. And the long-term efficacy of PEID is comparable to PLIF. No severe complications occurred after surgery, and most patients’ symptoms were relieved.

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J Orthop Surg Res. 2023 Aug 14;18(1):602. doi: 10.1186/s13018-023-04090-z.ABSTRACTOBJECTIVES: This study aimed to evaluate the clinical efficacy and safety of percutaneous endoscopic interlaminar discectomy (PEID) for treating highly downward-migrated disc herniation.METHODS: We conducted a retrospective study on 39 patients with highly downward-migrated disc herniation who underwent PEID treatment between January 2015 and October 2020. The,

J Orthop Surg Res. 2023 Aug 14;18(1):602. doi: 10.1186/s13018-023-04090-z.

ABSTRACT

OBJECTIVES: This study aimed to evaluate the clinical efficacy and safety of percutaneous endoscopic interlaminar discectomy (PEID) for treating highly downward-migrated disc herniation.

METHODS: We conducted a retrospective study on 39 patients with highly downward-migrated disc herniation who underwent PEID treatment between January 2015 and October 2020. The clinical outcomes, including the preoperative and postoperative visual analogue scale (VAS) for the back and leg, Oswestry Disability Index (ODI), and MacNab criteria for surgical success, were evaluated and compared to thirty-seven patients treated with posterior lumbar interbody fusion (PLIF).

RESULTS: The mean operation time of PEID was 93.00(77.00,110.00) min, while that of PLIF was 169.00(157.00,183.00) min. Continued improvement in both PEID and PLIF was observed in the VAS and ODI scores immediately after the surgery to the last follow-up. The VAS and ODI scores of PEID one week after surgery were significantly different from those of PLIF. One patient with recurrent lumbar disc herniation in the same segment improved after undergoing repeat PEID, two patients had dura tears, and conservative treatment helped relieve the symptoms. The overall percentage of patients with good to excellent results of PELD according to the modified MacNab criteria was 97.43%, while that of PLIF was 94.60%.

CONCLUSIONS: PEID has reliable efficacy and safety for treating highly downward-migrated disc herniation. And the long-term efficacy of PEID is comparable to PLIF. No severe complications occurred after surgery, and most patients’ symptoms were relieved.

PMID:37580753 | DOI:10.1186/s13018-023-04090-z

The London Spine Unit : most experienced treatment hospital on Harley Street UK

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Comparative analysis of percutaneous endoscopic interlaminar discectomy for highly downward-migrated disc herniation

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J Orthop Surg Res. 2023 Aug 14;18(1):602. doi: 10.1186/s13018-023-04090-z.ABSTRACTOBJECTIVES: This study aimed to evaluate the clinical efficacy and safety of percutaneous endoscopic interlaminar discectomy (PEID) for treating highly downward-migrated disc herniation.METHODS: We conducted a retrospective study on 39 patients with highly downward-migrated disc herniation who underwent PEID treatment between January 2015 and October 2020. The

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