Percutaneous Endoscopic Interlaminar Discectomy for L5/S1 Adolescent Lumbar Disc Herniation.
Turk Neurosurg. 2017 Dec 28;:
Authors: Xu Z, Liu Y, Chen J
AIM: L5/S1 Adolescent lumbar disc herniation (ALDH) is often ignored for its low incidence. Just lately, percutaneous endoscopic procedures have been broadly used. The purpose of the examine was to research the surgical strategies and scientific outcomes of percutaneous endoscopic interlaminar discectomy (PEID) within the remedy of L5/S1 (ALDH).
MATERIAL AND METHODS: A retrospective examine was carried out between Might 2012 to September 2014, which included 23 adolescent sufferers who underwent PEID for L5/S1 lumbar disc herniation. Ten females and 13 males had been included, with a imply age of 15.four years and a imply BMI of 25.1 kg/m2. The pre- and post-operative visible analogue scale (VAS), Japanese Orthopaedic Affiliation (JOA), and modified MacNab scores, in addition to perioperative knowledge, had been collected.
RESULTS: The imply follow-up interval was 19.7 months. The typical operation time and hospital keep had been 80.9±7.three min and 5.eight±1.2 d, respectively. Throughout follow-up, the VAS for again and leg ache decreased considerably, and JOA scores significantly elevated (P zero.05). By way of modified MacNab standards, 86.9% of sufferers confirmed wonderful or good outcomes. After surgical procedure, two sufferers complained of leg numbness, and one other affected person underwent a subsequent open discectomy resulting from recurrent disc herniation.
CONCLUSION: Contemplating particular anatomical peculiarities and expectation for fast restoration, PEID is a protected and efficient minimally invasive approach for ALDH on the L5/S1 degree.
PMID: 29384189 [PubMed – as supplied by publisher]