Minimally invasive percutaneous endoscopic 2 levels adjacent lumbar discectomy through 1 portal skin incision: Preliminary study
| Autor: | Seok Won Kim, Hyeun Sung Kim, Chang Il Ju, Seung Myung Lee, Jong Gyue Kim, Byoung Wook Kim |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Percutaneous Nerve root Skin incision business.industry Lumbar discectomy one portal Leg pain General Medicine percutaneous endoscopic lumbar discectomy transforaminal approach Surgery Endoscopic discectomy Adjacent 2 levels disc herniation Medicine Original Article Lumbar disc herniation Transforaminal approach business |
| Zdroj: | Asian Journal of Neurosurgery |
| ISSN: | 1793-5482 |
| Popis: | Background: Acute lumbar disc herniation can occur in every lumbar intervertebral disc space and in multiple levels simultaneously. In the cases of 2 levels adjacent lumbar disc herniations of severe unilateral radiculopathic leg pain caused by compression of the nerve roots, respectively, multiple incision or long incision is generally needed for simultaneous removal of disc fragment in 2 levels. Objectives: We proposed the minimally invasive one portal skin incision endoscopic discectomy is effective and safe method to treat 2 levels adjacent lumbar disc herniation. Materials and Methods: We have experimented total 8 cases of 2 levels adjacent lumbar disc herniation having unilateral radiculopathic pain respectively. All cases are 2 levels adjacent lumbar disc herniation. We have tried a percutaneous endoscopic transforaminal approach through minimal one portal skin incision and remove the two herniated disc materials in the adjacent levels. Results: The L2-L3 level was involved in 2 patients, L3-L4 level in 6 patients, while the L4-L5 level was involved in 7 patients, L5-S1 level in 1 patient. The mean follow-up was 18.5 months. The mean visual analogue score (VAS) of the patients prior to surgery was 7.75, and the mean postoperative VAS was 2.375. According to Macnab's criteria, 3 patients had excellent results, 4 patients had good results, 1 patient had fair results, and no patient had a poor result; satisfactory results were obtained in 87.5% of the cases. Conclusion: The percutaneous endoscopic transforaminal approach through 1 skin portal incision could be effective surgical method in unilateral adjacent 2 levels lumbar disc herniation. |
| Databáze: | OpenAIRE |
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