Outcomes of Microendoscopic Discectomy and Percutaneous Transforaminal Endoscopic Discectomy for the Treatment of Lumbar Disc Herniation: A Comparative Retrospective Study

Arjun Sinkemani; Xin Hong; Zeng-Xin Gao; Su-Yang Zhuang; Zan-Li Jiang; Shao-Dong Zhang; Jun-Ping Bao; Lei Zhu; Pei Zhang; Xin-Hui Xie; Feng Wang; Xiao-Tao Wu

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자료유형: 학술저널

저자정보: Arjun Sinkemani (Medical School of Southeast University) Xin Hong (Medical School of Southeast University) Zeng-Xin Gao (Medical School of Southeast University) Su-Yang Zhuang (Medical School of Southeast University) Zan-Li Jiang (Medical School of Southeast University) Shao-Dong Zhang (Medical School of Southeast University) Jun-Ping Bao (Medical School of Southeast University) Lei Zhu (Medical School of Southeast University) Pei Zhang (Medical School of Southeast University) Xin-Hui Xie (Medical School of Southeast University) Feng Wang (Medical School of Southeast University) Xiao-Tao Wu (Medical School of Southeast University)

저널정보: 대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.9 No.6

발행연도: 2015.1

수록면: 833 - 840 (8page)

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Study Design: Retrospective, case control evaluation of 86 patients who underwent microendoscopic discectomy (MED) and percutaneous transforaminal endoscopic discectomy (PTED) for the treatment of lumbar disc herniation (LDH). Purpose: To evaluate the safety and the outcomes of MED and PTED for the treatment of LDH. Overview of Literature: MED and PTED are minimally invasive surgical techniques for lower back pain. Studies to date have shown that MED and PTED are safe and effective treatment modalities for LDH. Methods: A retrospective study was performed in patients with LDH treated with MED (n=50) and transforaminal endoscopic discectomy (PTED; n=36) in our hospital. All patients were followed-up with self-evaluation questionnaires, Oswestry disability index (ODI), medical outcomes study 36-item short form health survey and MacNab criteria. All the patients in both groups were followed up to 12 months after the operation. Results: ODI questionnaire responses were not statistically different between the MED and PTED groups (53.00 vs. 48.72) before treatment. Average scores and minimal disability after 5 days to 12 months of follow-up were 4.96 in the MED group and 3.61 in the PTED group. According to MacNab criteria, 92.0% of the MED group and 94.4% of the PTED group had excellent or good results with no significant difference. Conclusions: There was no significant difference between MED and PTED outcomes. Further large-scale, randomized studies with long-term follow-up are needed.

참고문헌 (24)

참고문헌 신청

Andersson GB / 1999 / Epidemiological features of chronic low-back pain / Lancet 354:581~585

Kambin P / 1983 / Percutaneous lateral discectomy of the lumbar spine a preliminary report / Clin Orthop Relat Res 174:127~132

Hijikata S / 1989 / Percutaneous nucleotomy: a new concept technique and 12 years’ experience / Clin Orthop Relat Res (238):9~23

Choi G / 2007 / Percutaneous endoscopic discectomy for extraforaminal lumbar disc herniations: extraforaminal targeted fragmentectomy technique using working channel endoscope / Spine (Phila Pa 1976) 32:E93~E99

Hoogland T / 2008 / Endoscopic transforaminal discectomy for recurrent lumbar disc herniation: a prospective, cohort evaluation of 262 consecutive cases / Spine (Phila Pa 1976) 33:973~978

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