Analysis of clinical results of three different routes of percutaneous endoscopic transforaminal lumbar discectomy for lumbar herniated disk

Abstract Objective Percutaneous endoscopic transforaminal lumbar discectomy (PETLD) can be performed by using foraminal, intervertebral and suprapedicular routes. The aim of this study was to assess clinical results of three different routes of percutaneous endoscopic transforaminal lumbar discectom...

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Published in:World neurosurgery 2017-07, Vol.103, p.442-448
Main Authors: Kim, Hyeun Sung, M.D, Ph.D, Yudoyono, Farid, M.D, M.S, Paudel, Byapak, M.D, M.S, Jang, Jee Soo, M.D, Ph.D, Choi, Jeong Hoon, M.D, Chung, Sung Kyun, M.D, Kim, Jeong Hoon, M.D, Jang, Il Tae, M.D, Ph.D, Oh, Seong Hoon, M.D, Ph.D, Park, Jae Eun, B.S, Lee, Sol, B.E
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Diskectomy, Percutaneous - methods
Endoscopy - methods
Female
Foraminal route
Humans
Intervertebral Disc Displacement - surgery
Intervertebral route
Lumbar disk herniation (LDH)
Lumbar Vertebrae - surgery
Magnetic Resonance Imaging
Male
Middle Aged
Neurosurgery
Percutaneous endoscopic transforaminal lumbar discectomy (PETLD)
Retrospective Studies
Suprapedicular route
Tomography, X-Ray Computed
Treatment Outcome
Young Adult
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Summary:Abstract Objective Percutaneous endoscopic transforaminal lumbar discectomy (PETLD) can be performed by using foraminal, intervertebral and suprapedicular routes. The aim of this study was to assess clinical results of three different routes of percutaneous endoscopic transforaminal lumbar discectomy (PETLD). Methods 111 patients who had undergone PETLD between January 2016 and October 2016 were included in this study. PETLD was performed by using the foraminal (group A), intervertebral (group B), and suprapedicular (group C) routes in 32, 46, and 33 patients, respectively. Outcomes were evaluated by using the visual analogue scale (VAS), Oswestry Disability Index (ODI), and Macnab criteria. Results 71 were men and 40 were women (mean age 53.33±14.12 years). The mean follow-up period was 6.44±3.26 months. The preoperative VAS score decreased significantly (p
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2017.04.008