The London Spine Unit : the highest rated sugical centre in London
Published article
CONCLUSION: Modified unilateral biportal endoscopic lumbar discectomy can completely remove a lumbar herniated disc, relieve lower back and leg pain, improve lumbar function, reduce the risk of dural tearing, cerebrospinal fluid leakage, epidural hematoma, and reduce the epidural adhesion and arachnoiditis caused by ligamentum flavum resection.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
World Neurosurg. 2022 Nov 2:S1878-8750(22)01526-1. doi: 10.1016/j.wneu.2022.10.109. Online ahead of print.
ABSTRACT
OBJECTIVE: To evaluate and describe the clinical efficacy and safety of a modified unilateral biportal endoscopic lumbar discectomy.
METHODS: From February 2019 to February 2020, patients who met the inclusion criteria were treated using a modified unilateral biportal endoscopic lumbar discectomy. During the operation, the herniated disc was removed and the ligamentum flavum was preserved. Clinical efficacy was assessed via postoperative imaging and follow-up.
RESULTS: A total of 70 patients were followed up for more than 2 years, including 51 males and 19 females, aged 49.4 ± 16.0 years. All operations were completed and no complications were noted. Postoperative lumbar MRI showed that the decompression of the nerve root was sufficient and the ligamentum flavum was preserved in all patients. Postoperative lumbar CT showed that the caudal lamina and inferior articular process of the cephalad vertebral were partially removed. Lower back and leg pain were significantly relieved after surgery, and the ODI was significantly improved compared to pre-surgery measurements (P<0.01). After 2 years of follow-up, the sensory and muscle strength of nerve roots were significantly recovered (P<0.01). According to the MacNab score of the patients, 40 cases were defined as “excellent”, 26 cases were “good”, 2 cases were “fair”, and 2 cases were “poor”.
CONCLUSION: Modified unilateral biportal endoscopic lumbar discectomy can completely remove a lumbar herniated disc, relieve lower back and leg pain, improve lumbar function, reduce the risk of dural tearing, cerebrospinal fluid leakage, epidural hematoma, and reduce the epidural adhesion and arachnoiditis caused by ligamentum flavum resection.
PMID:36334710 | DOI:10.1016/j.wneu.2022.10.109
The London Spine Unit : the highest rated sugical centre in London
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Modified unilateral biportal endoscopic lumbar discectomy results in improved clinical outcomes