Analysis and treatment of surgical complications after percutaneous transforaminal endoscopic discectomy for treating lumbar disc herniation and lumbar intervertebral foraminal stenosis
<p><strong>Objective </strong> To analyze the causes of surgical complications after treatment of lumbar disc herniation (LDH) and lumbar intervertebral foraminal stenosis by percutaneous transforaminal endoscopic discectomy (PTED). <strong>Methods </strong> From De...
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| Format: | Article |
| Language: | English |
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Tianjin Huanhu Hospital
2016-04-01
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| Series: | Chinese Journal of Contemporary Neurology and Neurosurgery |
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| Online Access: | http://www.cjcnn.org/index.php/cjcnn/article/view/1383 |
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| author | Guang HAN Feng-wu TANG Sai ZHANG Xian-feng JIANG Chen YUN Xu-yi CHEN Cui-yun MIAO |
| author_facet | Guang HAN Feng-wu TANG Sai ZHANG Xian-feng JIANG Chen YUN Xu-yi CHEN Cui-yun MIAO |
| author_sort | Guang HAN |
| collection | DOAJ |
| description | <p><strong>Objective </strong> To analyze the causes of surgical complications after treatment of lumbar disc herniation (LDH) and lumbar intervertebral foraminal stenosis by percutaneous transforaminal endoscopic discectomy (PTED). <strong>Methods </strong> From December 2009 to December 2014, 286 patients with LDH (N = 201) and lumbar intervertebral foraminal stenosis (N = 85) were confirmed by X-ray, CT or MRI and treated by PTED in our hospital. Visual Analogue Scale (VAS) was used to evaluate the degree of pain in each paitent before and after operation. The curative effect was evaluated by Macnab score. Surgical complications were recorded to find out the causes and methods to prevent them. <strong> Results</strong> All cases were followed up for 3 months, and the VAS score decreased significantly compared with preoperation [1.00 (0.00, 1.05) vs 8.50 (7.75, 9.25); <em>Z </em>= 2.825, <em>P</em> = 0.050]. According to Macnab score, the rate of excellent and good functional recovery was 95.45% (273/286). Procedure-related complications included nerve injury in 8 cases (2.80%), hemorrhage at the operation site and hematoma formation around nerve root in 6 cases (2.10%), rupture of dural sac in one case (0.35%), muscle cramps in 3 cases (1.05%), surgical infection in one case (0.35%), postoperative recurrence in 4 cases (1.40%). All patients with complications were cured after symptomatic treatment. <strong> Conclusions</strong> The overall effect of percutaneous transforaminal endoscopic discectomy for treating lumbar disc herniation and lumbar intervertebral foraminal stenosis is satisfactory, which has a low incidence rate of postoperative complications. Some tips can effectively reduce the rate of surgical complications such as preoperative evaluation, precise performance, careful hemostasis, shortening the operation time and postoperatively symptomatic treatment, etc.</p><p> </p><p><strong>DOI: </strong>10.3969/j.issn.1672-6731.2016.04.007</p> |
| first_indexed | 2024-12-23T19:54:00Z |
| format | Article |
| id | doaj.art-260cc94953fc4d4d9313b5dd249824fc |
| institution | Directory Open Access Journal |
| issn | 1672-6731 |
| language | English |
| last_indexed | 2024-12-23T19:54:00Z |
| publishDate | 2016-04-01 |
| publisher | Tianjin Huanhu Hospital |
| record_format | Article |
| series | Chinese Journal of Contemporary Neurology and Neurosurgery |
| spelling | doaj.art-260cc94953fc4d4d9313b5dd249824fc2022-12-21T17:33:17ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312016-04-011642102151361Analysis and treatment of surgical complications after percutaneous transforaminal endoscopic discectomy for treating lumbar disc herniation and lumbar intervertebral foraminal stenosisGuang HAN0Feng-wu TANG1Sai ZHANG2Xian-feng JIANG3Chen YUN4Xu-yi CHEN5Cui-yun MIAO6Neurological Hospital, Affiliated Hospital of Logistics University of Chinese Armed Police Force, Tianjin 300162, ChinaNeurological Hospital, Affiliated Hospital of Logistics University of Chinese Armed Police Force, Tianjin 300162, ChinaNeurological Hospital, Affiliated Hospital of Logistics University of Chinese Armed Police Force, Tianjin 300162, ChinaNeurological Hospital, Affiliated Hospital of Logistics University of Chinese Armed Police Force, Tianjin 300162, ChinaNeurological Hospital, Affiliated Hospital of Logistics University of Chinese Armed Police Force, Tianjin 300162, ChinaNeurological Hospital, Affiliated Hospital of Logistics University of Chinese Armed Police Force, Tianjin 300162, ChinaNeurological Hospital, Affiliated Hospital of Logistics University of Chinese Armed Police Force, Tianjin 300162, China<p><strong>Objective </strong> To analyze the causes of surgical complications after treatment of lumbar disc herniation (LDH) and lumbar intervertebral foraminal stenosis by percutaneous transforaminal endoscopic discectomy (PTED). <strong>Methods </strong> From December 2009 to December 2014, 286 patients with LDH (N = 201) and lumbar intervertebral foraminal stenosis (N = 85) were confirmed by X-ray, CT or MRI and treated by PTED in our hospital. Visual Analogue Scale (VAS) was used to evaluate the degree of pain in each paitent before and after operation. The curative effect was evaluated by Macnab score. Surgical complications were recorded to find out the causes and methods to prevent them. <strong> Results</strong> All cases were followed up for 3 months, and the VAS score decreased significantly compared with preoperation [1.00 (0.00, 1.05) vs 8.50 (7.75, 9.25); <em>Z </em>= 2.825, <em>P</em> = 0.050]. According to Macnab score, the rate of excellent and good functional recovery was 95.45% (273/286). Procedure-related complications included nerve injury in 8 cases (2.80%), hemorrhage at the operation site and hematoma formation around nerve root in 6 cases (2.10%), rupture of dural sac in one case (0.35%), muscle cramps in 3 cases (1.05%), surgical infection in one case (0.35%), postoperative recurrence in 4 cases (1.40%). All patients with complications were cured after symptomatic treatment. <strong> Conclusions</strong> The overall effect of percutaneous transforaminal endoscopic discectomy for treating lumbar disc herniation and lumbar intervertebral foraminal stenosis is satisfactory, which has a low incidence rate of postoperative complications. Some tips can effectively reduce the rate of surgical complications such as preoperative evaluation, precise performance, careful hemostasis, shortening the operation time and postoperatively symptomatic treatment, etc.</p><p> </p><p><strong>DOI: </strong>10.3969/j.issn.1672-6731.2016.04.007</p>http://www.cjcnn.org/index.php/cjcnn/article/view/1383Intervertebral disk displacementSpinal stenosisDiskectomy, percutaneousEndoscopyPostoperative complicationsSurgical procedures, minimally invasive |
| spellingShingle | Guang HAN Feng-wu TANG Sai ZHANG Xian-feng JIANG Chen YUN Xu-yi CHEN Cui-yun MIAO Analysis and treatment of surgical complications after percutaneous transforaminal endoscopic discectomy for treating lumbar disc herniation and lumbar intervertebral foraminal stenosis Chinese Journal of Contemporary Neurology and Neurosurgery Intervertebral disk displacement Spinal stenosis Diskectomy, percutaneous Endoscopy Postoperative complications Surgical procedures, minimally invasive |
| title | Analysis and treatment of surgical complications after percutaneous transforaminal endoscopic discectomy for treating lumbar disc herniation and lumbar intervertebral foraminal stenosis |
| title_full | Analysis and treatment of surgical complications after percutaneous transforaminal endoscopic discectomy for treating lumbar disc herniation and lumbar intervertebral foraminal stenosis |
| title_fullStr | Analysis and treatment of surgical complications after percutaneous transforaminal endoscopic discectomy for treating lumbar disc herniation and lumbar intervertebral foraminal stenosis |
| title_full_unstemmed | Analysis and treatment of surgical complications after percutaneous transforaminal endoscopic discectomy for treating lumbar disc herniation and lumbar intervertebral foraminal stenosis |
| title_short | Analysis and treatment of surgical complications after percutaneous transforaminal endoscopic discectomy for treating lumbar disc herniation and lumbar intervertebral foraminal stenosis |
| title_sort | analysis and treatment of surgical complications after percutaneous transforaminal endoscopic discectomy for treating lumbar disc herniation and lumbar intervertebral foraminal stenosis |
| topic | Intervertebral disk displacement Spinal stenosis Diskectomy, percutaneous Endoscopy Postoperative complications Surgical procedures, minimally invasive |
| url | http://www.cjcnn.org/index.php/cjcnn/article/view/1383 |
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