Treatment of Upper Lumbar Disc Herniation with a Transforaminal Endoscopic Technique
BackgroundTo investigate the clinical efficacy of percutaneous endoscopic transforaminal discectomy (PETD) in the treatment of upper lumbar disc herniation (LDH).MethodsTwenty-two patients, 14 males and 8 females with ages ranging from 23 to 76 years, who had upper LDH and were treated with PETD fro...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-04-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.893122/full |
| _version_ | 1818150046148853760 |
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| author | Zuowei Wang Fengzeng Jian Hao Wu Xingwen Wang Kai Wang Wanru Duan Zhenlei Liu Zan Chen |
| author_facet | Zuowei Wang Fengzeng Jian Hao Wu Xingwen Wang Kai Wang Wanru Duan Zhenlei Liu Zan Chen |
| author_sort | Zuowei Wang |
| collection | DOAJ |
| description | BackgroundTo investigate the clinical efficacy of percutaneous endoscopic transforaminal discectomy (PETD) in the treatment of upper lumbar disc herniation (LDH).MethodsTwenty-two patients, 14 males and 8 females with ages ranging from 23 to 76 years, who had upper LDH and were treated with PETD from April 2015 to April 2020 in the Department of Neurosurgery of Xuanwu Hospital, were selected to evaluate the surgical efficacy by the visual analog scale (VAS) and Oswestry Disability Index (ODI).ResultsAll patients underwent successful completion of PETD surgery. The operation time was 80.4 ± 18.0 min; intraoperative fluoroscopy was used 17.1 ± 8.7 times; and the hospital stay was 3.2 ± 0.6 days. The VAS scores were 7.9 ± 1.2, 2.3 ± 1.5, 2.2 ± 1.3, and 2.1 ± 1.0 before the operation, 1 day and 3 months after the operation, and during the last follow-up, respectively. The postoperative VAS score was significantly lower than that before the operation (P < 0.01). The ODI scores before and 3 months after the operation were 59.8 ± 16.8 and 15.3 ± 8.2, respectively; thus, the postoperative score was decreased (P < 0.01).ConclusionUpper lumbar discs have unique anatomical structures, and PETD is a safe and effective surgical method for the treatment of upper LDH. |
| first_indexed | 2024-12-11T13:16:42Z |
| format | Article |
| id | doaj.art-f91e6ab8347d4eb392a596bc71e82adb |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-11T13:16:42Z |
| publishDate | 2022-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-f91e6ab8347d4eb392a596bc71e82adb2022-12-22T01:06:03ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-04-01910.3389/fsurg.2022.893122893122Treatment of Upper Lumbar Disc Herniation with a Transforaminal Endoscopic TechniqueZuowei WangFengzeng JianHao WuXingwen WangKai WangWanru DuanZhenlei LiuZan ChenBackgroundTo investigate the clinical efficacy of percutaneous endoscopic transforaminal discectomy (PETD) in the treatment of upper lumbar disc herniation (LDH).MethodsTwenty-two patients, 14 males and 8 females with ages ranging from 23 to 76 years, who had upper LDH and were treated with PETD from April 2015 to April 2020 in the Department of Neurosurgery of Xuanwu Hospital, were selected to evaluate the surgical efficacy by the visual analog scale (VAS) and Oswestry Disability Index (ODI).ResultsAll patients underwent successful completion of PETD surgery. The operation time was 80.4 ± 18.0 min; intraoperative fluoroscopy was used 17.1 ± 8.7 times; and the hospital stay was 3.2 ± 0.6 days. The VAS scores were 7.9 ± 1.2, 2.3 ± 1.5, 2.2 ± 1.3, and 2.1 ± 1.0 before the operation, 1 day and 3 months after the operation, and during the last follow-up, respectively. The postoperative VAS score was significantly lower than that before the operation (P < 0.01). The ODI scores before and 3 months after the operation were 59.8 ± 16.8 and 15.3 ± 8.2, respectively; thus, the postoperative score was decreased (P < 0.01).ConclusionUpper lumbar discs have unique anatomical structures, and PETD is a safe and effective surgical method for the treatment of upper LDH.https://www.frontiersin.org/articles/10.3389/fsurg.2022.893122/fullhigh levelupper lumbar disc herniationMinimally invasiveendoscopepercutaneous endoscopic transforaminal discectomy |
| spellingShingle | Zuowei Wang Fengzeng Jian Hao Wu Xingwen Wang Kai Wang Wanru Duan Zhenlei Liu Zan Chen Treatment of Upper Lumbar Disc Herniation with a Transforaminal Endoscopic Technique Frontiers in Surgery high level upper lumbar disc herniation Minimally invasive endoscope percutaneous endoscopic transforaminal discectomy |
| title | Treatment of Upper Lumbar Disc Herniation with a Transforaminal Endoscopic Technique |
| title_full | Treatment of Upper Lumbar Disc Herniation with a Transforaminal Endoscopic Technique |
| title_fullStr | Treatment of Upper Lumbar Disc Herniation with a Transforaminal Endoscopic Technique |
| title_full_unstemmed | Treatment of Upper Lumbar Disc Herniation with a Transforaminal Endoscopic Technique |
| title_short | Treatment of Upper Lumbar Disc Herniation with a Transforaminal Endoscopic Technique |
| title_sort | treatment of upper lumbar disc herniation with a transforaminal endoscopic technique |
| topic | high level upper lumbar disc herniation Minimally invasive endoscope percutaneous endoscopic transforaminal discectomy |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.893122/full |
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