Percutaneous endoscopic lumbar discectomy as a treatment for lumbar disc herniation linked with posterior ring apophysis separation
BackgroundLumbar disc herniation (LDH) linked with posterior ring apophysis separation (PRAS) is a rare and distinct subset of disc herniation. Few studies have evaluated the clinical efficacy of percutaneous endoscopic lumbar discectomy (PELD), which is a procedure used to treat LDH linked with PRA...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1072444/full |
| _version_ | 1797959891467370496 |
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| author | Ran Li Hongyou Zhou Hao Han Dongming Fu Zihao Zhan Bin Meng |
| author_facet | Ran Li Hongyou Zhou Hao Han Dongming Fu Zihao Zhan Bin Meng |
| author_sort | Ran Li |
| collection | DOAJ |
| description | BackgroundLumbar disc herniation (LDH) linked with posterior ring apophysis separation (PRAS) is a rare and distinct subset of disc herniation. Few studies have evaluated the clinical efficacy of percutaneous endoscopic lumbar discectomy (PELD), which is a procedure used to treat LDH linked with PRAS.ObjectivesTo evaluate the clinical efficacy and safety of PELD in the treatment of LDH linked with PRAS.MethodsPatients who met inclusion criteria (n = 67; 40 males and 27 females) underwent PELD. General and operation-related information and perioperative complications of the patients were recorded. Clinical efficacy was measured using the Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) during the follow-up period.ResultsThe mean operation time was 118.04 ± 19.31 min and the mean blood loss was 22.84 ± 15.89 ml. The VAS and ODI scores continued to improve immediately after the surgery to the last follow-up. Four patients experienced postoperative complications i.e., herniation recurrences. The conditions of the patients with the complications improved after treatment.ConclusionsPELD has reliable efficacy and safety in the treatment of LDH linked with PRAS. |
| first_indexed | 2024-04-11T00:38:59Z |
| format | Article |
| id | doaj.art-41929aa06c1542419abe2b91feebf570 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T00:38:59Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-41929aa06c1542419abe2b91feebf5702023-01-06T13:07:52ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-01-01910.3389/fsurg.2022.10724441072444Percutaneous endoscopic lumbar discectomy as a treatment for lumbar disc herniation linked with posterior ring apophysis separationRan LiHongyou ZhouHao HanDongming FuZihao ZhanBin MengBackgroundLumbar disc herniation (LDH) linked with posterior ring apophysis separation (PRAS) is a rare and distinct subset of disc herniation. Few studies have evaluated the clinical efficacy of percutaneous endoscopic lumbar discectomy (PELD), which is a procedure used to treat LDH linked with PRAS.ObjectivesTo evaluate the clinical efficacy and safety of PELD in the treatment of LDH linked with PRAS.MethodsPatients who met inclusion criteria (n = 67; 40 males and 27 females) underwent PELD. General and operation-related information and perioperative complications of the patients were recorded. Clinical efficacy was measured using the Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) during the follow-up period.ResultsThe mean operation time was 118.04 ± 19.31 min and the mean blood loss was 22.84 ± 15.89 ml. The VAS and ODI scores continued to improve immediately after the surgery to the last follow-up. Four patients experienced postoperative complications i.e., herniation recurrences. The conditions of the patients with the complications improved after treatment.ConclusionsPELD has reliable efficacy and safety in the treatment of LDH linked with PRAS.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1072444/fullminimally invasivespinal endoscopypercutaneous endoscopic lumbar discectomylumbar disc herniationposterior ring apophysis separationclinical efficacy |
| spellingShingle | Ran Li Hongyou Zhou Hao Han Dongming Fu Zihao Zhan Bin Meng Percutaneous endoscopic lumbar discectomy as a treatment for lumbar disc herniation linked with posterior ring apophysis separation Frontiers in Surgery minimally invasive spinal endoscopy percutaneous endoscopic lumbar discectomy lumbar disc herniation posterior ring apophysis separation clinical efficacy |
| title | Percutaneous endoscopic lumbar discectomy as a treatment for lumbar disc herniation linked with posterior ring apophysis separation |
| title_full | Percutaneous endoscopic lumbar discectomy as a treatment for lumbar disc herniation linked with posterior ring apophysis separation |
| title_fullStr | Percutaneous endoscopic lumbar discectomy as a treatment for lumbar disc herniation linked with posterior ring apophysis separation |
| title_full_unstemmed | Percutaneous endoscopic lumbar discectomy as a treatment for lumbar disc herniation linked with posterior ring apophysis separation |
| title_short | Percutaneous endoscopic lumbar discectomy as a treatment for lumbar disc herniation linked with posterior ring apophysis separation |
| title_sort | percutaneous endoscopic lumbar discectomy as a treatment for lumbar disc herniation linked with posterior ring apophysis separation |
| topic | minimally invasive spinal endoscopy percutaneous endoscopic lumbar discectomy lumbar disc herniation posterior ring apophysis separation clinical efficacy |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1072444/full |
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