Transforaminal percutaneous endoscopic lumbar discectomy: end result and problems in 270 instances.
J Neurosurg Sci. 2018 Mar 26;:
Authors: Tacconi L, Baldo S, Merci G, Serra G
BACKGROUND: The endoscopic strategy has been launched within the medical follow in 1980 with the intention to take away the pro- lapsed disk and free the compressed nerve utilizing the least disruptive surgical approach, assuring in the identical time, the decision of the signs and a sooner return again to regular life exercise. Through the years, because of a unprecedented technical enchancment both when it comes to high quality of photographs and growth of many dif- ferent tailor-made instrumentations there was an enormous spreading of the endoscope use throughout the totally different surgical fields. For this causes the transforaminal percutaneous endoscopic lumbar discectomy may be con- sidered, for the time being, the least invasive process for the elimination of lumbar disc prolapsed. The intention of this research was to investigate the medical end result and problems fee on a big cumulative sequence operated on in two years interval.
METHODS: We current a retrospective sequence involving 270 instances of lumbar disk herniation managed surgically solely by a percutaneous transforaminal endoscopic approach in two models and by two surgeons. All sufferers have a minimal follow-up of 6 months. Main research end-points had been analysis of out- comes utilizing the Visible Analogue Scale and Oswestri Incapacity Index pre-operatively and at three, 6 and 12 month in addition to the problems and the recurrence charges.
RESULTS: Our outcomes, with a optimistic end result round 93%, affirm the effectiveness of transforaminal per- cutaneous endoscopic discectomy within the therapy of lumbar disc herniation when evaluate to open microdiscectomy. Additionally the problems (5,5%) and the recurrence fee (four,1%) may be thought-about inside the usual outcomes.
CONCLUSIONS: The transforaminal percutaneous endoscopic lumbar discectomy is a protected and efficient process to deal with lumbar disc prolapsed. Surgical expertise and proper sufferers’ choice are essential components affecting the result.
PMID: 29582973 [PubMed – as supplied by publisher]