The Official journal of the China Association of Rehabilitation of Disabled Persons and the 88th Hospital of PLA

Composite Impact Factor:

0. 948 (2015)

Total citation frequency: 3868 (2015)


ISSN 1005-8478

CN 37-1247/R

Percutaneous endoscopic lumbar discectomy for treatment of double-segmental lumbar disc herniation through a single incision

Author : XU Feng, LI Tao, HU Hao, et al.     
Working unit : 1.Orthopedic Department, Wuhan General Hospital of PLA, Wuhan 430070, China; 2. ostgraduate School, Hubei University of Chinese Medicine, Wuhan 430070, China
Page : 385-389
Key words : percutaneous endoscopic lumbar discectomy (PELD) , lumbar disc herniation, single incision double-segment

  Abstract:

Objective

To explore the feasibility and efficiency of percutaneous endoscopic lumbar discectomy (PELD) for treatment of double-segment lumbar disc herniation through a single incision.

Methods

A retrospective study was conducted on 27 patients who underwent PELD through a single incision for treatment of double-segment lumbar disc herniation from March 2010 to March 2016 in our hospital. The visual analogue scale (VAS) , Oswestry Disability Index (ODI) and modified MacNab criteria were used to evaluate the outcomes.

Results

All the patients underwent operation successfully with operation time of 95 min on average (75~135 min) , blood loss of 20 ml (15~25 ml) and hospital stay of 6 days (3~14 days) . All the patients were followed up for an average of 26 months (9~60 months) . The VAS significantly decreased from (9.00±0.35) preoperatively to (3.15±1.25) at discharge, (2.51±1.67) at 1month after surgery and (1.41±0.33) at the latest follow-up (P<0.05) . Likewise, the ODI statistically reduced from (71.21±15.22) preoperatively to (29.46±9.23) at discharged, (17.58±7.16) at 1 month postoperatively and (10.13±5.29) at the latest follow-up (P<0.05) . In term of modified MacNab criteria, the clinical  results graded as excellent in 18 patients, good in 6, fair in 1 and poor in 2, with satisfactory rate of 88.9%(24/27) .

Conclusion

Percutaneous endoscopic lumbar discectomy through a single incision is feasible and safe technique for treatment of double-segment lumbar disc herniation with sound clinical consequences, which should be performed by experienced surgeon, however take advantages of minimized trauma, reduced complications and improved postoperative recovery.


summary:
Percutaneous endoscopic lumbar discectomy for treatment of double-segmental lumbar disc herniation through a single incision   
XU Feng, LI Tao, HU Hao, et al.
Orthop J Chin,2018,26(5):   385-389