Evaluation of Percutaneous Transforaminal Endoscopic Discectomy in the Treatment of Lumbar Disc Herniation: A Retrospective Study
Objective The objective of the present study was to evaluate the safety and efficacy of percutaneous transforaminal endoscopic discectomy (PTED) and open fenestration discectomy (OFD) in the treatment of lumbar disc herniation (LDH). Methods Patients in our hospital with LDH who received PTED (n = 7...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-04-01
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| Series: | Orthopaedic Surgery |
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| Online Access: | https://doi.org/10.1111/os.12839 |
| _version_ | 1818429609371238400 |
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| author | Qiyong Chen Zhongmin Zhang Boling Liu Shaoqiang Liu |
| author_facet | Qiyong Chen Zhongmin Zhang Boling Liu Shaoqiang Liu |
| author_sort | Qiyong Chen |
| collection | DOAJ |
| description | Objective The objective of the present study was to evaluate the safety and efficacy of percutaneous transforaminal endoscopic discectomy (PTED) and open fenestration discectomy (OFD) in the treatment of lumbar disc herniation (LDH). Methods Patients in our hospital with LDH who received PTED (n = 71) and OFD (n = 39) from 2013 to 2014 were retrospectively studied. Patient information, including age, gender, visual analogue scale (VAS) score for low back pain and leg pain, body weight, height, Oswestry disability index (ODI), Japanese Orthopedic Association (JOA), and recurrence, was collected. The patients in the two groups were followed up for an average of 63 months after surgery. Results A total of 136 patients completed the operation and 110 patients were followed up completely. There was no significant difference in baseline data between the two groups (P > 0.05). The postoperative low back pain, leg pain, ODI, and JOA of the two groups were better than those preoperatively (P < 0.05). One week after surgery, the recovery of PTED patients was better than that of OFD. The ODI score of the PTED group was lower than that of the OFD group (10 [8, 12] vs 14 [11, 16]; P < 0.05), the waist VAS score of the PTED group was lower than that of the OFD group (2 [2, 3] vs 3 [2, 4]; P < 0.05), the leg VAS score of the PTED group was lower than that of the OFD group (1 [0,1] vs 1 [1, 2]; P < 0.05), while the JOA score of the PTED group was higher than that of OFD group [19(16, 20) vs 12(10, 17); P < 0.05]. There were no significant differences in ODI, JOA, waist and leg VAS scores between the two groups at 1 month after surgery and at subsequent follow‐up (P > 0.05). At the end of the follow up, 89.7% (35/39) of patients in the OFD group had excellent improvement in the JOA score, and 88.7% (63/71) of patients in the PTED group had an excellent improvement. There was no significant difference between the two (P > 0.05). There was also no significant difference in the recurrence rate between the two groups [(5/71) vs (3/39); P > 0.05]. [Correction added on 05 March 2021, after first online publication: “3/29” was amended to “3/39” in the preceding sentence.] Conclusion Both PTED and OFD can achieve good mid‐term efficacy in the treatment of LDH but PTED has certain advantages, including the small incision, a shorter hospital stay, and quicker, earlier recovery. However, prospective randomized controlled studies with a larger sample size are needed. |
| first_indexed | 2024-12-14T15:20:14Z |
| format | Article |
| id | doaj.art-e054fc2234a341a4b9bbe489946843b9 |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-12-14T15:20:14Z |
| publishDate | 2021-04-01 |
| publisher | Wiley |
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| series | Orthopaedic Surgery |
| spelling | doaj.art-e054fc2234a341a4b9bbe489946843b92022-12-21T22:56:11ZengWileyOrthopaedic Surgery1757-78531757-78612021-04-0113259960710.1111/os.12839Evaluation of Percutaneous Transforaminal Endoscopic Discectomy in the Treatment of Lumbar Disc Herniation: A Retrospective StudyQiyong Chen0Zhongmin Zhang1Boling Liu2Shaoqiang Liu3Department of Spinal Surgery Third Affiliated Hospital of South Medical University Guangzhou ChinaDepartment of Spinal Surgery Third Affiliated Hospital of South Medical University Guangzhou ChinaDepartment of Spinal Surgery Fuzhou Second Hospital Affiliated to Xiamen University Fuzhou ChinaDepartment of Spinal Surgery Fuzhou Second Hospital Affiliated to Xiamen University Fuzhou ChinaObjective The objective of the present study was to evaluate the safety and efficacy of percutaneous transforaminal endoscopic discectomy (PTED) and open fenestration discectomy (OFD) in the treatment of lumbar disc herniation (LDH). Methods Patients in our hospital with LDH who received PTED (n = 71) and OFD (n = 39) from 2013 to 2014 were retrospectively studied. Patient information, including age, gender, visual analogue scale (VAS) score for low back pain and leg pain, body weight, height, Oswestry disability index (ODI), Japanese Orthopedic Association (JOA), and recurrence, was collected. The patients in the two groups were followed up for an average of 63 months after surgery. Results A total of 136 patients completed the operation and 110 patients were followed up completely. There was no significant difference in baseline data between the two groups (P > 0.05). The postoperative low back pain, leg pain, ODI, and JOA of the two groups were better than those preoperatively (P < 0.05). One week after surgery, the recovery of PTED patients was better than that of OFD. The ODI score of the PTED group was lower than that of the OFD group (10 [8, 12] vs 14 [11, 16]; P < 0.05), the waist VAS score of the PTED group was lower than that of the OFD group (2 [2, 3] vs 3 [2, 4]; P < 0.05), the leg VAS score of the PTED group was lower than that of the OFD group (1 [0,1] vs 1 [1, 2]; P < 0.05), while the JOA score of the PTED group was higher than that of OFD group [19(16, 20) vs 12(10, 17); P < 0.05]. There were no significant differences in ODI, JOA, waist and leg VAS scores between the two groups at 1 month after surgery and at subsequent follow‐up (P > 0.05). At the end of the follow up, 89.7% (35/39) of patients in the OFD group had excellent improvement in the JOA score, and 88.7% (63/71) of patients in the PTED group had an excellent improvement. There was no significant difference between the two (P > 0.05). There was also no significant difference in the recurrence rate between the two groups [(5/71) vs (3/39); P > 0.05]. [Correction added on 05 March 2021, after first online publication: “3/29” was amended to “3/39” in the preceding sentence.] Conclusion Both PTED and OFD can achieve good mid‐term efficacy in the treatment of LDH but PTED has certain advantages, including the small incision, a shorter hospital stay, and quicker, earlier recovery. However, prospective randomized controlled studies with a larger sample size are needed.https://doi.org/10.1111/os.12839Lumbar disc herniationOpen fenestration discectomyPercutaneous transforaminal endoscopic discectomyMinimally invasive surgeryTransforaminal discectomy |
| spellingShingle | Qiyong Chen Zhongmin Zhang Boling Liu Shaoqiang Liu Evaluation of Percutaneous Transforaminal Endoscopic Discectomy in the Treatment of Lumbar Disc Herniation: A Retrospective Study Orthopaedic Surgery Lumbar disc herniation Open fenestration discectomy Percutaneous transforaminal endoscopic discectomy Minimally invasive surgery Transforaminal discectomy |
| title | Evaluation of Percutaneous Transforaminal Endoscopic Discectomy in the Treatment of Lumbar Disc Herniation: A Retrospective Study |
| title_full | Evaluation of Percutaneous Transforaminal Endoscopic Discectomy in the Treatment of Lumbar Disc Herniation: A Retrospective Study |
| title_fullStr | Evaluation of Percutaneous Transforaminal Endoscopic Discectomy in the Treatment of Lumbar Disc Herniation: A Retrospective Study |
| title_full_unstemmed | Evaluation of Percutaneous Transforaminal Endoscopic Discectomy in the Treatment of Lumbar Disc Herniation: A Retrospective Study |
| title_short | Evaluation of Percutaneous Transforaminal Endoscopic Discectomy in the Treatment of Lumbar Disc Herniation: A Retrospective Study |
| title_sort | evaluation of percutaneous transforaminal endoscopic discectomy in the treatment of lumbar disc herniation a retrospective study |
| topic | Lumbar disc herniation Open fenestration discectomy Percutaneous transforaminal endoscopic discectomy Minimally invasive surgery Transforaminal discectomy |
| url | https://doi.org/10.1111/os.12839 |
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