The Role of Full-Endoscopic Lumbar Discectomy in Surgical Treatment of Recurrent Lumbar Disc Herniation: A Health-Related Quality of Life Approach

Autor: Stylianos Kapetanakis, Nikolaos Gkantsinikoudis, Georgios Charitoudis
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Neurospine, Vol 16, Iss 1, Pp 96-104 (2019)
Druh dokumentu: article
ISSN: 2586-6583
2586-6591
DOI: 10.14245/ns.1836334.167
Popis: Objective To investigate the utility of full-endoscopic lumbar discectomy (FELD) in surgical treatment of recurrent lumbar disc herniation (RLDH). Methods Forty-five patients were prospectively studied. All patients were subjected to FELD for RLDH. They were assessed preoperatively and in regular intervals at 6 weeks and 3 months, 6 months, and 12 months postoperatively. Evaluation was conducted with visual analogue scale for leg (VAS-LP) and low back (VAS-BP) pain. Short-Form 36 Health Survey Questionnaire was utilized for health-related quality of life assessment. Results All studied parameters featured statistically significant amelioration at all follow-up intervals. Maximal improvement was in general at 6 weeks observed, with subsequent lesser improvement until 6 months and stabilization until the end of follow-up. Comparative assessment indicated that VAS-BP displayed quantitatively lower improvement, whereas physical function, bodily pain, and role-emotional parameters demonstrated greater amelioration. Conclusion FELD is associated with a favorable impact in postoperative daily life of patients with RLDH.
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