Microendoscopic Discectomy for Lumbar Disc Herniation with Bony Fragment Due to Apophyseal Separation
| Autor: | K. Chiba, Ken Ishii, Y. Toyama, Masaya Nakamura, Kota Watanabe, Morio Matsumoto, T. Tuji, Hironari Takaishi |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male Association score Microsurgery medicine.medical_specialty Adolescent Neurosurgical Procedures Surgical time Postoperative Complications medicine Humans Patient group Child Intervertebral Disc Aged Lumbar Vertebrae business.industry Endoscopy Mean age General Medicine Microendoscopic discectomy Middle Aged Magnetic Resonance Imaging Low back pain Surgery Treatment Outcome Orthopedic surgery Feasibility Studies Spinal Fractures Female Neurology (clinical) Lumbar disc herniation medicine.symptom business Intervertebral Disc Displacement |
| Zdroj: | min - Minimally Invasive Neurosurgery. 50:335-339 |
| ISSN: | 1439-2291 0946-7211 |
| DOI: | 10.1055/s-2007-993202 |
| Popis: | The purpose of this study was to elucidate the feasibility of microendoscopic discectomy (MED) for the treatment of lumbar disc herniation with a bony fragment due to apophyseal separation. Eighteen patients with low back pain and unilateral sciatic pain due to lumbar disc herniation with a bony fragment were treated by MED using the unilateral approach (15 males and three females; mean age, of 28.9 years; mean follow-up period, 21.1 months); 18 age-and sex-matched patients with lumbar disc herniation without a bony fragment treated by MED served as the control group. The clinical outcomes were evaluated using the Japanese Orthopedic Association Score for Low Back Pain (JOA scores; maximum score, 29 points). Evaluation of the results revealed that good surgical outcomes equivalent to those in the control group were obtained in the subjects of LDH with a bony fragment (JOA scores; 14.1+/-3.5 in the patient group vs.15.4+/-2.6 in the control group before surgery; 26.3+/-1.8 in the patient group vs. 26.9+/-1.3 at follow-up after the surgery). Although the mean surgical time was significantly longer in the patient group, there were no intra- or postoperative complications in either group. We conclude that MED using the unilateral approach is a feasible minimally invasive surgical option for patients of lumbar disc herniation with an apophyseal bony fragment. |
| Databáze: | OpenAIRE |
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