Full-endoscopic discectomy through the interlaminar method for disc herniation at L4-L5 and L5-S1: An observational research.
Drugs (Baltimore). 2018 Apr;97(17):e0585
Authors: Hua W, Tu J, Li S, Wu X, Zhang Y, Gao Y, Zeng X, Yang S, Yang C
The aim of this retrospective research was to research the medical outcomes of full-endoscopic discectomy through the interlaminar method within the therapy of lumbar disc herniation (LDH) at L4-L5 below normal anesthesia.Eighty-four sufferers who underwent full-endoscopic discectomy through the interlaminar method at L4-L5 or L5-S1 had been included. Durations of surgical procedure, intraoperative radiation, postoperative bedrest, and hospitalization in addition to perioperative issues had been recorded. The visible analog scale (VAS) rating for leg and again ache and the Oswestry incapacity index (ODI) rating had been evaluated preoperatively and at three, 6, and 12 months postoperatively.The imply durations of surgical procedures in surgical procedures involving L4-L5 and L5-S1 had been 69.eight?±?18.eight and 67.zero?±?20.1?minutes, respectively. The imply durations of intraoperative radiation had been 1.2?±?zero.three and 1.three?±?zero.three?seconds, respectively. The imply VAS and ODI scores improved considerably postoperatively in contrast with the preoperative scores. The perioperative issues included intraoperative epineurium damage in three instances with out nerve damage, cerebrospinal fluid leakage, or cauda equina syndrome. The overall recurrence fee after 12 months follow-up was 1.2% (one case at L5-S1).Full-endoscopic discectomy through the interlaminar method might be thought-about as one of many different choices for the therapy of LDH at L4-L5.
PMID: 29703053 [PubMed – in process]