Clinical efficacy of transforaminal endoscopic discectomy in the treatment of recurrent lumbar disc herniation: a single-center retrospective analysis

Abstract Purpose To investigate the clinical efficacy of transforaminal endoscopic discectomy (TED) in treating recurrent lumbar disc herniation. Methods Clinical datal of 31 patients who were hospitalized in the Department of Pain Management, First Affiliated Hospital of Nanchang University, betwee...

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Main Authors: Gang Xu, Xuexue Zhang, Mengye Zhu, Yi Yan, Yong Zhang, Jinjin Zhang, Fan Li, Mu Xu, Daying Zhang
Format: Article
Language:English
Published: BMC 2023-01-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-023-06148-9
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author Gang Xu
Xuexue Zhang
Mengye Zhu
Yi Yan
Yong Zhang
Jinjin Zhang
Fan Li
Mu Xu
Daying Zhang
author_facet Gang Xu
Xuexue Zhang
Mengye Zhu
Yi Yan
Yong Zhang
Jinjin Zhang
Fan Li
Mu Xu
Daying Zhang
author_sort Gang Xu
collection DOAJ
description Abstract Purpose To investigate the clinical efficacy of transforaminal endoscopic discectomy (TED) in treating recurrent lumbar disc herniation. Methods Clinical datal of 31 patients who were hospitalized in the Department of Pain Management, First Affiliated Hospital of Nanchang University, between 2015 and 2018 due to recurrent lumbar disc herniation were collected and analyzed retrospectively. Visual analogue scale (VAS) scores and Japanese Orthopedic Association (JOA) scores were used to assess alterations of patients’ leg pain intensity and nerve function, respectively. The Modified MacNab criteria were used to evaluate patients’ excellent and good rates. Results Compared to clinical data before surgery, there was a significant reduction in VAS scores (P < 0.01) along with a significant improvement in JOA scores (P < 0.01) at 2 years after revision surgery. The patients’ excellent and good rates were 83.9% at the 2 years after surgery. Conclusion The TED is safe and effective in the long term and is applicable to the treatment of recurrent lumbar disc herniation.
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spelling doaj.art-05bb882c73874974ad9b9967ea2a086a2023-01-15T12:02:16ZengBMCBMC Musculoskeletal Disorders1471-24742023-01-012411710.1186/s12891-023-06148-9Clinical efficacy of transforaminal endoscopic discectomy in the treatment of recurrent lumbar disc herniation: a single-center retrospective analysisGang Xu0Xuexue Zhang1Mengye Zhu2Yi Yan3Yong Zhang4Jinjin Zhang5Fan Li6Mu Xu7Daying Zhang8Department of Pain Medicine, The First Affiliated Hospital of Nanchang UniversityDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang UniversityDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang UniversityDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang UniversityDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang UniversityDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang UniversityDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang UniversityDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang UniversityDepartment of Pain Medicine, The First Affiliated Hospital of Nanchang UniversityAbstract Purpose To investigate the clinical efficacy of transforaminal endoscopic discectomy (TED) in treating recurrent lumbar disc herniation. Methods Clinical datal of 31 patients who were hospitalized in the Department of Pain Management, First Affiliated Hospital of Nanchang University, between 2015 and 2018 due to recurrent lumbar disc herniation were collected and analyzed retrospectively. Visual analogue scale (VAS) scores and Japanese Orthopedic Association (JOA) scores were used to assess alterations of patients’ leg pain intensity and nerve function, respectively. The Modified MacNab criteria were used to evaluate patients’ excellent and good rates. Results Compared to clinical data before surgery, there was a significant reduction in VAS scores (P < 0.01) along with a significant improvement in JOA scores (P < 0.01) at 2 years after revision surgery. The patients’ excellent and good rates were 83.9% at the 2 years after surgery. Conclusion The TED is safe and effective in the long term and is applicable to the treatment of recurrent lumbar disc herniation.https://doi.org/10.1186/s12891-023-06148-9Transforaminal endoscopic discectomyRecurrent lumbar disc herniation2 years follow-up
spellingShingle Gang Xu
Xuexue Zhang
Mengye Zhu
Yi Yan
Yong Zhang
Jinjin Zhang
Fan Li
Mu Xu
Daying Zhang
Clinical efficacy of transforaminal endoscopic discectomy in the treatment of recurrent lumbar disc herniation: a single-center retrospective analysis
BMC Musculoskeletal Disorders
Transforaminal endoscopic discectomy
Recurrent lumbar disc herniation
2 years follow-up
title Clinical efficacy of transforaminal endoscopic discectomy in the treatment of recurrent lumbar disc herniation: a single-center retrospective analysis
title_full Clinical efficacy of transforaminal endoscopic discectomy in the treatment of recurrent lumbar disc herniation: a single-center retrospective analysis
title_fullStr Clinical efficacy of transforaminal endoscopic discectomy in the treatment of recurrent lumbar disc herniation: a single-center retrospective analysis
title_full_unstemmed Clinical efficacy of transforaminal endoscopic discectomy in the treatment of recurrent lumbar disc herniation: a single-center retrospective analysis
title_short Clinical efficacy of transforaminal endoscopic discectomy in the treatment of recurrent lumbar disc herniation: a single-center retrospective analysis
title_sort clinical efficacy of transforaminal endoscopic discectomy in the treatment of recurrent lumbar disc herniation a single center retrospective analysis
topic Transforaminal endoscopic discectomy
Recurrent lumbar disc herniation
2 years follow-up
url https://doi.org/10.1186/s12891-023-06148-9
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