Clinical comparison of percutaneous transforaminal endoscopic discectomy and unilateral biportal endoscopic discectomy for single-level lumbar disc herniation
PurposeTo compare the clinical outcomes of percutaneous transforaminal endoscopic discectomy (PTED) and unilateral biportal endoscopic discectomy (UBE) for the treatment of single-level lumbar disc herniation (LDH).Materials and methodsFrom January 2020 to November 2021, 62 patients with single-leve...
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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 |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1107883/full |
| _version_ | 1797952109158596608 |
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| author | Xiaokang Cheng Xiaokang Cheng Beixi Bao Yuxuan Wu Yuanpei Cheng Chunyang Xu Yang Ye Chentao Dou Bin Chen Hui Yan Jiaguang Tang |
| author_facet | Xiaokang Cheng Xiaokang Cheng Beixi Bao Yuxuan Wu Yuanpei Cheng Chunyang Xu Yang Ye Chentao Dou Bin Chen Hui Yan Jiaguang Tang |
| author_sort | Xiaokang Cheng |
| collection | DOAJ |
| description | PurposeTo compare the clinical outcomes of percutaneous transforaminal endoscopic discectomy (PTED) and unilateral biportal endoscopic discectomy (UBE) for the treatment of single-level lumbar disc herniation (LDH).Materials and methodsFrom January 2020 to November 2021, 62 patients with single-level LDH were retrospectively reviewed. All patients underwent spinal surgeries at the Affiliated Hospital of Chengde Medical University and Beijing Tongren Hospital, Capital Medical University. Among them, 30 patients were treated with UBE, and 32 were treated with PTED. The patients were followed up for at least one year. Patient demographics and perioperative outcomes were reviewed before and after surgery. The Oswestry Disability Index (ODI), visual analog scale (VAS) for back pain and leg pain, and modified MacNab criteria were used to evaluate the clinical outcomes. x-ray examinations were performed one year after surgery to assess the stability of the lumbar spine.ResultsThe mean ages in the UBE and PTED groups were 46.7 years and 48.0 years, respectively. Compared to the UBE group, the PTED group had better VAS scores for back pain at 1 and 7 days after surgery (3.06 ± 0.80 vs. 4.03 ± 0.81, P < 0.05; 2.81 ± 0.60 vs. 3.70 ± 0.79, P < 0.05). The UBE and PTED groups demonstrated significant improvements in the VAS score for leg pain and ODI score, and no significant differences were found between the groups at any time after the first month (P > 0.05). Although the good-to-excellent rate of the modified MacNab criteria in the UBE group was similar to that in the PTED group (86.7% vs. 87.5%, P > 0.05), PTED was advantageous in terms of the operation time, estimated blood loss, incision length, and length of postoperative hospital stay.ConclusionsBoth UBE and PTED have favorable outcomes in patients with single-level LDH. However, PTED is superior to UBE in terms of short-term postoperative back pain relief and perioperative quality of life. |
| first_indexed | 2024-04-10T22:42:13Z |
| format | Article |
| id | doaj.art-de19d9a7aa104bdd9aec50d7b43be845 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-10T22:42:13Z |
| publishDate | 2023-01-01 |
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| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-de19d9a7aa104bdd9aec50d7b43be8452023-01-16T04:57:55ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-01-01910.3389/fsurg.2022.11078831107883Clinical comparison of percutaneous transforaminal endoscopic discectomy and unilateral biportal endoscopic discectomy for single-level lumbar disc herniationXiaokang Cheng0Xiaokang Cheng1Beixi Bao2Yuxuan Wu3Yuanpei Cheng4Chunyang Xu5Yang Ye6Chentao Dou7Bin Chen8Hui Yan9Jiaguang Tang10Department of Orthopedics, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaDepartment of Orthopedics, Chengde Medical University Affiliated Hospital, Chengde, ChinaDepartment of Orthopedics, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaDepartment of Orthopedics, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaDepartment of Orthopedics, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Orthopedics, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaDepartment of Orthopedics, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaDepartment of Orthopedics, Chengde Medical University Affiliated Hospital, Chengde, ChinaDepartment of Orthopedics, Chengde Medical University Affiliated Hospital, Chengde, ChinaDepartment of Orthopedics, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaDepartment of Orthopedics, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaPurposeTo compare the clinical outcomes of percutaneous transforaminal endoscopic discectomy (PTED) and unilateral biportal endoscopic discectomy (UBE) for the treatment of single-level lumbar disc herniation (LDH).Materials and methodsFrom January 2020 to November 2021, 62 patients with single-level LDH were retrospectively reviewed. All patients underwent spinal surgeries at the Affiliated Hospital of Chengde Medical University and Beijing Tongren Hospital, Capital Medical University. Among them, 30 patients were treated with UBE, and 32 were treated with PTED. The patients were followed up for at least one year. Patient demographics and perioperative outcomes were reviewed before and after surgery. The Oswestry Disability Index (ODI), visual analog scale (VAS) for back pain and leg pain, and modified MacNab criteria were used to evaluate the clinical outcomes. x-ray examinations were performed one year after surgery to assess the stability of the lumbar spine.ResultsThe mean ages in the UBE and PTED groups were 46.7 years and 48.0 years, respectively. Compared to the UBE group, the PTED group had better VAS scores for back pain at 1 and 7 days after surgery (3.06 ± 0.80 vs. 4.03 ± 0.81, P < 0.05; 2.81 ± 0.60 vs. 3.70 ± 0.79, P < 0.05). The UBE and PTED groups demonstrated significant improvements in the VAS score for leg pain and ODI score, and no significant differences were found between the groups at any time after the first month (P > 0.05). Although the good-to-excellent rate of the modified MacNab criteria in the UBE group was similar to that in the PTED group (86.7% vs. 87.5%, P > 0.05), PTED was advantageous in terms of the operation time, estimated blood loss, incision length, and length of postoperative hospital stay.ConclusionsBoth UBE and PTED have favorable outcomes in patients with single-level LDH. However, PTED is superior to UBE in terms of short-term postoperative back pain relief and perioperative quality of life.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1107883/fulllumbar disc herniationpercutaneous transforaminal endoscopic discectomyunilateral biportal endoscopic discectomyendoscopicminimally invasive surgery |
| spellingShingle | Xiaokang Cheng Xiaokang Cheng Beixi Bao Yuxuan Wu Yuanpei Cheng Chunyang Xu Yang Ye Chentao Dou Bin Chen Hui Yan Jiaguang Tang Clinical comparison of percutaneous transforaminal endoscopic discectomy and unilateral biportal endoscopic discectomy for single-level lumbar disc herniation Frontiers in Surgery lumbar disc herniation percutaneous transforaminal endoscopic discectomy unilateral biportal endoscopic discectomy endoscopic minimally invasive surgery |
| title | Clinical comparison of percutaneous transforaminal endoscopic discectomy and unilateral biportal endoscopic discectomy for single-level lumbar disc herniation |
| title_full | Clinical comparison of percutaneous transforaminal endoscopic discectomy and unilateral biportal endoscopic discectomy for single-level lumbar disc herniation |
| title_fullStr | Clinical comparison of percutaneous transforaminal endoscopic discectomy and unilateral biportal endoscopic discectomy for single-level lumbar disc herniation |
| title_full_unstemmed | Clinical comparison of percutaneous transforaminal endoscopic discectomy and unilateral biportal endoscopic discectomy for single-level lumbar disc herniation |
| title_short | Clinical comparison of percutaneous transforaminal endoscopic discectomy and unilateral biportal endoscopic discectomy for single-level lumbar disc herniation |
| title_sort | clinical comparison of percutaneous transforaminal endoscopic discectomy and unilateral biportal endoscopic discectomy for single level lumbar disc herniation |
| topic | lumbar disc herniation percutaneous transforaminal endoscopic discectomy unilateral biportal endoscopic discectomy endoscopic minimally invasive surgery |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1107883/full |
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